- 31 68. The treatment offered to patients was based exclusively on pharmacotherapy, with no genuine occupational therapy activities, or facilities for them, in place. Indeed, apart from cleaning and maintenance work, no activities were on offer at the Hospital. A review of medical files revealed an absence of treatment plans – confirmed by discussions with patients and staff – as well as very poorly kept or organised records. The CPT recommends that these very serious shortcomings be addressed as a matter of priority. Comprehensive individual treatment plans, offering a range of treatment options in accordance with a multi-disciplinary approach, should be drawn up and regularly revised for each patient and should include the diagnosis, the goals of treatment, the therapeutic means used and the staff members responsible. Patients should be involved in the drafting and revision of their individual treatment plans and be informed of their progress. 69. There appeared to be no designated smoking areas in the hospital. Indeed smoking in shared open and closed spaces was visibly widespread. In the context of the establishment's transition towards a proper hospital, the CPT recommends that the authorities put in place measures to ensure, at the very least, protection from the harms of passive smoking. Ideally, any hospital environment, including a prison psychiatric hospital, should be smoke free, and strategies to ensure this should include (therapeutic) activities and other measures (e.g. nicotine replacement therapy) to assist persons suffering from nicotine addiction; such a strategy should include gradual steps, taking due consideration of the stress which quitting will cause for many patients.