European Committee for the Prevention of Torture and Inhuman or Degrading Treatment or Punishment (CPT) Strasbourg, 29 October 2009 CPT (2009) 56 rev Checklist for the evaluation of a psychiatric hospital by Andres Lehtmets and Pétur Hauksson This list is not exhaustive, but rather an aide memoire to be used during a CPT visit. I. The comprehensive evaluation of a psychiatric hospital involves the completion of the following steps: a. b. c. d. e. f. g. analysis of the legal basis of the mental health services (Mental Health Act etc) and the regulations within the hospital (guidelines etc). an initial interview with the head of the hospital (and his deputies) a visit to all the establishments facilities examination of a number of medical files and other documentation related to the medical service provision (court rulings, registers, reports of outside monitoring bodies) interviews (in private) with a number of patients interviews with the staff (doctors, nurses, specialists) a final talk with the head of the hospital and his deputies (to provide first impressions, and – if needed – to ask for supplementary information) Other activities might be necessary, depending on the situation: visits to external medical units, surprise visits during night hours etc. II. Attention should be paid to the following matters: 1. Issues to be addressed on the management level 1.1. 1.2. 1.3. 1.4. 1.5. 1.6. 1.7. official capacity of the establishment and the number of patients on the day of the visit different categories of patients (children, juveniles, elderly patients, patients with substance abuse problems, forensic patients) number on involuntarily admitted patients (if relevant, breakdown of different categories according to the law) ward structure of the hospital (including the supportive / paraclinical services – X-ray, EEG, clinical laboratory etc) staffing: breakdown by different specialist categories, numbers of posts, vacancies, persons working for more than one full post external support : security companies, consultants from outside, cooperation with general hospitals, discharge and transfer to social care homes etc financial issues : budgeting principles, out-of-pocket payments related to service provision

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