- 48 6. Health-care 84. The CPT has long stressed the importance of each immigration detention centre having health-care staff present on a daily basis. At the time of the 2013 visit, this requirement was being met in practically all the facilities visited. However, the staff resources involved were often insufficient having regard to the numbers of persons detained. This was particularly the case at the Amygdaleza centre. Two general practitioners and two nurses were present at the centre every weekday from 9 a.m. to 1 p.m.; at weekends, persons in need would be transferred to the local hospital. There was a full-time psychologist and a psychiatrist visited the centre once a week, but there was no dentist. This is far from sufficient for a detainee population of some 1,600 persons. The situation was better at the Komotini and Xanthi centres, where two general practitioners and two nurses working in two shifts were present every weekday from 8 a.m. to 8 p.m. At the Paranesti centre, a doctor and a nurse from Médecins sans Frontières (MSF) were present from Monday to Thursday; on other days of the week there was an agreement with the health-care centre in Paranesti (some 15 kilometres away). It was envisaged that from May 2013, a permanent doctor and nurse would be employed at the centre by the Ministry of Health, in addition to the MSF team. At the Filakio special holding facility, a health-care team composed of a doctor and a nurse had been present in the establishment every day since 1 March 2013, and they were supplemented by a team from MSF. At Petrou Ralli, basic health-care continued to be provided by the NGO, Medical Intervention, and at the Athens airport facility, a doctor and nurse visited every weekday morning. However, at the Metagogon (Transfer) Centre in Thessaloniki, there was no health-care provision, despite the fact that the facility regularly held 100 persons. In the light of the numerous acts of self-harm and of several attempted suicides in the centres visited, provision should be made for regular visits by a psychiatrist. The psychologists allocated to each centre should also play a more proactive role, especially at times when detainees may be particularly vulnerable, such as when their application for asylum is rejected or the period of their detention is extended. 85. The CPT recommends that the health-care team at the Amygdaleza pre-departure centre be reinforced, in the light of the above remarks. The number of doctors and nurses should be increased significantly and provision made for a dentist to attend the centre. Further, steps should be taken to ensure that an adequate health-care presence is provided at the Metagogon (Transfer) Centre in Thessaloniki. In all the centres visited, an increased nursing presence would be desirable. The Committee also recommends that provision be made for a psychiatrist to visit all the centres and that the psychologists take a more proactive role in supporting detainees.