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Universal-Womens-accesss-to-justice-Publications-Practitioners-Guide-Series-2016-ENG

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V<br />

WOMEN’S ACCESS TO JUSTICE FOR GENDER-BASED VIOLENCE 115<br />

information. 302 Doc<strong>to</strong>rs are required <strong>to</strong> “report <strong>to</strong><br />

the direc<strong>to</strong>r whenever he or she considers that a<br />

prisoner’s physical or mental health has been or will<br />

be injuriously affected by continued imprisonment<br />

or by any condition of imprisonment”. 303<br />

<br />

Range of healthcare services.<br />

‣ Every prison should have in place a health-care<br />

service consisting of an interdisciplinary team, with<br />

sufficiently qualified personnel and expertise in<br />

psychology and psychiatry. The service of a dentist<br />

should also be available for prisoners.<br />

‣ The health care service should be “tasked with<br />

evaluating, promoting, protecting and improving the<br />

physical and mental health of prisoners, paying<br />

particular attention <strong>to</strong> prisoners with special healthcare<br />

needs or with health issues that hamper their<br />

rehabilitation”. 304<br />

‣ There should be medical screening on entry, 305<br />

which should include: gender specific care, mental<br />

health (including post-traumatic stress disorder and<br />

risk of suicide and self-harm), 306 evaluation of drug<br />

dependency issues 307 and reproductive<br />

healthcare. 308<br />

‣ There should be ongoing gender-specialized health<br />

care, including mental health care and<br />

rehabilitation. All prison staff must be aware of the<br />

difficulties of women prisoners’ situation and ensure<br />

that they are provided with appropriate mental<br />

302<br />

Mandela Rules, above note 274, Rule 32(1)(c). There is a lacuna in<br />

this duty of confidentiality, which is if “maintaining confidentiality<br />

would result in a real and imminent threat <strong>to</strong> the patient or <strong>to</strong> others.”<br />

303<br />

Mandela Rules, above note 274, Rule 33.<br />

304<br />

Ibid, Rule 25.<br />

305<br />

Bangkok Rules, above note 273, Rule 6(a).<br />

306<br />

Ibid, Rule 6(b).<br />

307<br />

Ibid, Rule 6(d).<br />

308<br />

Ibid, Rule 6(c).

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