Violations recorded as a result of the monitoring visit of the Human Rights Defender as National Preventive Mechanism to Syunik Regional Psychiatric-Neurological Dispensary Closed Joint-Stock Company are summarized and a detailed analytical document has been prepared.
The following issues have been raised:
• living conditions are inadequate due to overcrowding, the necessity for renovation, absence of wardrobes, issues with access to bathing, and lack of hygiene products, food supply issues and etc.
• the environment is not adapted for persons with mobility impairments,
• the quality and quantity of food provided is inadequate
• it is necessary to exclude the disposal of out of date food for persons with mental health problems;
• expired medical drugs and medical items, as well as medicines without expiration date
• the right of persons with mental health issues to outdoor exercise is not properly ensured,
• targeted occupation activities for persons with mental health issues or alternative treatments are lacking
• there are issues with regard to the procedures for volunteer and compulsory treatment,
• there is no universal approach, and there are no standards while examining persons with mental health issues
• problems with the application of means of restraint
• it is necessary to take steps in the direction of elaborating the procedure of the proper records of injuries when admitted to organizations implementing psychiatric medical aid and notifying to the law enforcement bodies.
• the necessity to define a list of paid services to avoid the unjustified differentiation of types of paid services and tariffs in psychiatric organizations, etc.
• etc
At the end of the visit the issues were discussed with the administration of the Psychiatric-Neurological Dispensary. Both the Director, as well as the employees of the Dispensary fully cooperated with the representatives of the Human Rights Defender’s Office.
The Human Rights Defender welcomes the readiness of the Director of the Dispensary to undertake activities aimed at addressing the issues raised. Certain activities are already undertaken, such as cultivating garden by the alternative military personnel in the territory of Dispensary, the harvest of which are consumed by the patients, etc.
The Human Rights Defender addressed the raised issues along with recommendations for solutions to the Ministries of Health and Territorial Administration and Infrastructure, as well as to the Health and Labor Inspectorate, expressing readiness to discuss the raised issues and to propose recommendations for their solution.
The Defender also stressed the importance of improving the working conditions of the Dispensary’s employees from the perspective of the whole system of human rights protection.