CPT _2010_ 82 - EN - Report Armenia 2010 _2_ - The Government ...

- 82 -• statements made by the prisoners concerned in the context of such examinations, theobjective medical findings and medical conclusions should not be accessible to nonmedicalprison staff (health-care staff examining the prisoners may inform prisonstaff on a need-to-know basis about the state of health of an inmate, includingmedication being taken and particular health risks)(paragraph 107);- the Armenian authorities to improve the provision of psychiatric care to prisoners, inparticular by securing regular visits by psychiatrists to Kosh and Vardashen Prisons. Further,as regards prisoners “under psychiatric observation” at Nubarashen Prison, the CPT muststress again that inmates who are in a situation of vulnerability should never beaccommodated under material conditions which are inferior to those prevailing on normallocation. Moreover, mentally disturbed prisoners who require in-patient psychiatrictreatment should be promptly transferred to appropriate hospital facilities which areadequately equipped and possess appropriately trained staff (paragraph 109);- steps to be taken at Yerevan Prison Hospital’s psychiatric ward to:• reduce occupancy levels in the rooms, in particular by using the rooms that had beenoccupied by somatic patients;• refurbish the rooms in need of repair and replace missing window panes;• renovate the sanitary facilities;• install an efficient heating system;• assist patients to maintain good personal hygiene(paragraph 113);- the treatment of patients in the Prison Hospital’s psychiatric ward to be improved, theobjective being to offer a range of therapeutic and rehabilitative activities, including accessto occupational therapy, group and individual psychotherapy and possibly educationalactivities and suitable work. This will require the setting up of appropriate facilities withinthe ward and the drawing-up of individual treatment plans (paragraph 114);- the Armenian authorities to take steps at the Prison Hospital’s psychiatric ward to ensure theregular presence of specialists qualified to provide therapeutic and rehabilitative activities,such as psychologists and occupational therapists. In addition, efforts should be made toincrease the number of ward-based feldshers/nurses and to fill the vacant orderly’s post(paragraph 115);- the Armenian authorities to discontinue their current practice in respect of inmatesconsidered to be particularly high suicide risk and to introduce appropriate suicideprevention procedures in prison, in the light of the remarks in paragraph 117(paragraph 117);- the Armenian authorities to review their policy for the management of prisoners on hungerstrike, in the light of the remarks in paragraph 118 (paragraph 118).