DOUBLE PUNISHMENT

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APRIL 2016 ISBN 978-1-6231-33382 Double Punishment Inadequate Conditions for Prisoners with Psychosocial Disabilities in France Summary ........................................................................................................................... 1 Recommendations .............................................................................................................. 7 To the Ministers of Justice and Health ............................................................................. 7 To the Minister of Justice ................................................................................................ 7 To Judges and Prosecutors ............................................................................................. 8 To the Director of the Prison Administration ..................................................................... 8 To the Minister of Health ................................................................................................ 9 To Directors of Psychiatric Hospitals that Admit Patients from Prisons ............................. 10 To the Inspector of Prisons ........................................................................................... 10 Methodology ..................................................................................................................... 11 A Note on Terminology ................................................................................................. 12 Terms ................................................................................................................................14 I.Background: Prisoners with Psychosocial Disabilities in French Prisons .......................... 15 Over-representation of people with psychosocial disabilities in prison ............................ 15 Why people with psychosocial disabilities are over-represented in French prisons ........... 17 II.Organization of Mental Healthcare in French Prisons ..................................................... 20 III.Life Behind Bars for Prisoners with Psychosocial Disabilities ....................................... 23 Living conditions ......................................................................................................... 23 Disciplinary measures .................................................................................................. 30 Stigma and fear of other prisoners ................................................................................ 34 Discrimination Against Women in Prison ....................................................................... 35 Prisons Not Equipped to Adequately Support People with Psychosocial Disabilities ......... 40 V.Inadequate Access to Mental Health Care ...................................................................... 43 Insufficient Access to Care ........................................................................................... 43 Unequal distribution of Mental Health care among French Prisons ................................... 46 Shortage of medical staff ............................................................................................. 47
Medication .................................................................................................................. 50 Abuses During Hospitalization ...................................................................................... 52 Suicide and self-harm .................................................................................................. 57 Relations between medical professionals and prison staff .............................................. 60 VI.Domestic and International standards .......................................................................... 63 France’s duties under European and International law .................................................... 63 France’s domestic law .................................................................................................. 68 VII.Acknowledgements ..................................................................................................... 69
Page 1 and 2: H U M A N R I G H T S W A T C H DOU
Page 3: Copyright © 2016 Human Rights Watc
Page 7 and 8: A frequent explanation given for th
Page 9 and 10: despite being responsible for their
Page 11 and 12: The government should also expand t
Page 13 and 14: • Work towards reducing the ratio
Page 15 and 16: • Equip more prisons with Regiona
Page 17 and 18: of over two years and who were cons
Page 19 and 20: Terms Psychosocial disability 1 : T
Page 21 and 22: According to the National Institute
Page 23 and 24: therefore lead to more serious sent
Page 25 and 26: II. Organization of Mental Healthca
Page 27 and 28: detention of persons “who have di
Page 29 and 30: health services.” 35 During our r
Page 31 and 32: escalating situations of distress a
Page 33 and 34: Nighttime regimes Depending on the
Page 35 and 36: health condition], and the physical
Page 37 and 38: harm. However, the prisoner should
Page 39 and 40: However, she also said, “if someo
Page 41 and 42: Human Rights Watch also found that
Page 43 and 44: detention conditions in the women
Page 45 and 46: protection cell for men, but not fo
Page 47 and 48: disabilities “I don’t feel read
Page 49 and 50: The issue was also raised by the di
Page 51 and 52: ok?’” He said he also saw a psy
Page 53 and 54: centrale” section (for people ser
Page 55 and 56:
These demands on mental health staf
Page 57 and 58:
daily basis or periodically during
Page 59 and 60:
considered to be in need of psychia
Page 61 and 62:
quarter. In general, prisoners pref
Page 63 and 64:
According to the latest figures of
Page 65 and 66:
Relations between medical professio
Page 67 and 68:
take place. 172 When nurses obstruc
Page 69 and 70:
torture and other forms of ill trea
Page 71 and 72:
The right to life is also guarantee
Page 73 and 74:
Article 12 of the Convention on the
Page 75:
DOUBLE PUNISHMENT Inadequate condit
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DOUBLE PUNISHMENT

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