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اهليئات املشتِرك يف عضويتها (؛ عضــو يف 4119-4112عضــو يف اجمللــس التن يــذي للراب ــة الدوليــة للحــد مــن األلــرار ) ــم املتحــ ــي لام ــق املرجع ــة البشــرية ورعايــة ال ري ــمل املناع ــريو نق ــن ف ــو بالوقايــة م دة املع E/2014/9/Add.19 12/15 14-63844 (؛ ر ــيس راب ــة ال ــب 4119-411٣بــ يف ضوســان متعــاةي املخــدرات بــاوقن ) املصــابني (؛ عضــو يف اللجنــة 4100-4111(د ونا ــب للــر يس )4112-4111الن ســي يف ليتوانيــا ) (د 4111-0299والشـرقية ) التوجيهية لشبكة اود من ضلرار املخدرات يف ضوروبا الوسـ ى (؛ ر ــيس الراب ــة الليتوانيــة لل ــب الن ســي املتخصــمل يف 4114-4111ومنســق للجنــة ) ــام ــذ عـ ــاأ )منـ ــاالت اإلدمـ ــذ 4119حـ ــاأ )منـ ــب اإلدمـ ــة ل ـ ــة الدوليـ ــو يف اةمعيـ (؛ عضـ (. 4104 عام منشورات خمتارة Padaiga Ž., Subata E., Vanagas G., “Outpatient methadone maintenance treatment programme: Quality of life and health of opioid-dependent persons in Lithuania”, Medicina, 2007; 43(3). – 235-241; Subata E., “Methadone maintenance treatment of opioid dependence in Lithuania: Challenges, solutions and integration with HIV/AIDS treatment and care”, Chinese Journal of Drug Dependence, 2007/16/3, 174-178; Subata E., Evaluation of methadone maintenance therapy programmes in Estonia, 2007; Peter Lawrinson, Robert Ali, Aumphornpun Buavirat, Sithisat Chiamwongpaet, Sergey Dvoryak, Boguslaw Habrat, Shi Jie, Ratna Mardiati, Azaraksh Mokri, Jacek Moskalewicz, David Newcombe, Vladimir Poznyak, Emilis Subata, Ambrose Uchtenhagen, Diah S.Utami, Robyn Vial and Chengzheng Zhao, “Key findings from the WHO collaborative study on substitution therapy for opioid dependence and HIV/AIDS”, Addiction, 2008, 103, 1484-1492; Subata E., Pincevičiute E., “Opioid dependence treatment with naltrexone, national clinical protocol (in Lithuanian)”, Lithuanian Psychiatric Association, 2008, p. 12; Michael Schaub, Emilis Subata, Victor Chtengelov, Gundo Weiler, Ambros Uchtenhagen, “Feasibility of Buprenorphine maintenance therapy programmes in Ukraine”, European Addiction Research, 2009,15: 157-162; Subata E., Karymbaeva S., Moller L., “Evaluation of opioid maintenance treatment in the Kyrgyz Republic”, WHO Regional Office for Europe, p.16; Moller L., Karymbaeva S., Subata E., Kiaer T. (2009), “Evaluation of patients in opioid substitution therapy in the Kyrgyz Republic,” WHO Regional Office for Europe; M. (...) ,Naujokiene S., Malinauskaite A., “Opioid dependence treatment with Methadone”, national clinical protocol, Lithuanian Psychiatric Association, UNODC, 2010, p. 32; Subata E., Danileviciute V., Adomaitiene V., Matulionyte R., Kuznecova J., Sinkuniene N., Zamkovaja S., Zikaras T., Naujokiene S., Malinauskaite A., “Opioid dependence treatment with buprenorphine and buprenorphine/naltrexone, national clinical protocol, Lithuanian Psychiatric Association, 2010, p. 33; Addiction Severity Index, UNODC Treatnet, 5th edition, 3.0 version (Lithuanian translation), adapted by Subata E., Malinauskaite E., Pinceviciute E. and others, Vilnius Centre for Addictive Disorders, 2010, p. 12; Amass, L. (...) Moller L., “Evaluation of opioid substitution therapy in prisons”, pilot study in Kyrgyzstan, WHO Regional Office for Europe, 2011; Subata E., Gilman M., Alho H., Maremmani I.

Specific‫areas‫are‫ regulated‫ in‫other,‫acts‫ including‫ the‫Rights‫Protection’‫Patients‫ Act, the Medical Practice Act, the Pharmacy Act, the Nursing Act and the Dental Care Act; the Midwifery Act; the Physical Therapy Activities Act, and the Act on the Health Care Technical Services. (...) While mental health care is provided in Croatia at the primary level (general practitioners, school medical specialists, psychiatrists and professionals in mental health centres and public health institutes), the secondary level (mental health professionals, mainly psychiatrists) and the tertiary level, the mental health system is still too focused on psychiatric hospitals. Since 1991, inadequate attention has been paid to the development of outpatient mental health services at the community level, which has led to an overreliance of the system on inpatient services, mainly provided at psychiatric hospitals. (...) The capacity in psychiatric institutions continues to escalate, as shown by the increasing number of psychiatric beds32 and the increasing amount of financial resources directed at enhancing hospital infrastructure, a situation that was observed by the Special Rapporteur in his visit to a psychiatric hospital in Zagreb which was in the process of expanding, with the construction of a new building for forensic patients. 55.

“Comparatively preserved impulse control in late-onset opiate users”, in Psychopharmacology (Berl); vol. 230, No.3 (2013), pp. 499-505; Sharma, V. and Abou-Saleh, M.T. and others, “The Global Mental Health Assessment Tool: validation of the Arabic version in Eastern Mediterranean Health Journal vol. 19, No. 11, pp. 905- 908; Kronfol, Z. and Abou-Saleh, M.T., “The State of Psychiatry in the Arab Middle East, in Psychiatric Times (2015); Bener, A., Abou-Saleh, M.T., Dafeeah, E.E., Bhugra, D. (2015); “The prevalence and burden of psychiatric disorders in primary health care visits in Qatar: too little time?” (...) “The impact of opioid substitution therapy on mortality post-release from pris- on: Retrospective data linkage study”, Addiction, 109, 1306-1317; Mattick, R.P., E/2016/9/Add.13 12/19 16-03123 Kimber, J., Breen, C. and Davoli, M. (2014). (...) B., Rahgozar, M., Alaghebandrad, J., Amini, H., Razzaghi, E.M., Mesgarpour, B., Soori, H., Mohammadi, M., “An epidemiological survey of psychiatric disorders in Iran”, Clinical Practice and Epidemiology in Mental Health, 1:16, (2005); Razzaghi, E.

During her visit, the Special Rapporteur went to Asunción Psychiatric Hospital, the Nueva Paz foster home for persons with psychosocial disabilities and the Albino Luis shelter for boys and girls with disabilities located in Asunción. (...) During the visit to the psychiatric hospital in Asunción, the Special Rapporteur noted that the majority of patients had been placed there forcibly and were being medicated without their consent. She also noted that electroconvulsive therapy is still a common practice and is performed without the free and informed consent of the person concerned.

She visited the regional section for mental health, intellectual disabilities and autism of Dikemark Psychiatric Hospital in Asker, the Åsgård Psychiatric Hospital in Tromsø, the basalt exposure therapy department of Vestre Viken Hospital Trust in Blakstad, the residential facilities for persons with intellectual disabilities Emma Hjorth in Sandvika and Borgenbråten in Borgen, the Haug special school and resource centre in Bekkestua, the Manglerud school in Oslo and the sheltered workshop Fossheim in Oslo. 3.

Reportedly, about 90 per cent of persons living with HIV (7,915) received antiretroviral therapy; around 500 women living with HIV were in need of antiretrovirals to prevent mother-to-child transmission; and about 112 pregnant women (about 25 per cent) actually received antiretrovirals in 2015.29 93.

He thanks the Government for the additional information received and welcomes that the Ministry of Health recognized that the treatment, which consists almost exclusively of the use of strong neuroleptics (developed long time ago), was inadequate and indicated that psychiatric care would be individualized, new treatments developed (ergo therapy, psychotherapy, music therapy, occupational therapy), and modern drugs purchased once the necessary funds were made available. 44. (...) Whereas the Special Rapporteur was unable to visit a psychiatric facility in the Transnistrian region of the Republic of Moldova, he has received allegations of detention in psychiatric clinics as a means to pressurize persons to comply. He also received credible allegations that conditions in Cocieri psychiatric clinic are not in compliance with international standards.

The issue of mental health has in Fiji historically relied on a traditional model of care based on psychiatric hospitalization and the idea that persons with mental health conditions could not be managed within the community. (...) Giles Hospital, the country’s only psychiatric hospital, located in Suva. Established in 1884 as the “Public Lunatic Asylum”, it was renamed the “Suva Mental Asylum” in 1935, and again in 1960, as the St. (...) The Act also allows for the use of electroconvulsive therapy (sect. 72–76), with either the patient’s free, voluntary and written consent or by decision of a tribunal, when the patient does not consent or is considered “incapable of giving [it]”.

He also visited the Psychiatric Hospital in Asunción, a prison and one educational detention centre for adolescents in Ciudad del Este. 4. (...) Paraguay has a history of mental health services closely linked and limited to assisting users of mental health services, including persons with disabilities, through institutionalization in the only public psychiatric hospital in the country, the Psychiatric Hospital in Asunción. 95. Paraguay does not have a specific legal framework to protect and promote the rights of users of mental health services and those with mental health conditions and disabilities in terms of their admission to psychiatric institutions. Neither the Constitution nor disability- related laws or national regulations include due process guarantees for the admission into psychiatric institutions or provisions for periodic reviews of involuntary institutionalization.

Access to sufficient psychiatric services and specialists was also problematic, due to the remote location of the detention facility. (...) It is estimated that around 10,000 persons with disabilities live in either psychiatric hospitals and social care institutions, isolated from their families and away from public view and scrutiny. (...) She spends her time doing “work therapy” (knitting) and receives some allowance for this work.