ELECTION OF 1 MEMBER OF THE INTERNATIONAL NARCOTICS CONTROL BOARD FROM AMONG CANDIDATES NOMINATED BY THE WORLD HEALTH ORGANIZATION :NOTE / BY THE SECRETARY-GENERAL
Subata, Evaluation of methadone maintenance therapy
programmes in Estonia, 2007; P. Lawrinson, R. (...) Kiaer, « Evaluation of patients in opioid substitution therapy in Kyrgyz
Republic », Bureau régional de l’OMS pour l’Europe, 2009; M. (...) Moller, « Evaluation of opioid substitution
therapy in prisons », pilot study in Kyrgyzstan, Bureau régional de l’OMS pour
l’Europe, 2011; E.
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Ponctuation: 2162169.7
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REPORT OF THE SPECIAL RAPPORTEUR ON THE RIGHT OF EVERYONE TO THE ENJOYMENT OF THE HIGHEST ATTAINABLE STANDARD OF PHYSICAL AND MENTAL HEALTH ON HIS VISIT TO CROATIA :NOTE / BY THE SECRETARIAT
Specific areas are regulated in other acts, including the Patients’ Rights Protection
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. (...) This shows the lack of an
effective “gatekeeping” policy in the health-care sector and, above all, the urgent need for
coordination between the social welfare and health sectors.
54. 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. (...) European Union structural funds should be directed at building up a modern rights-
compliant system throughout Croatia, with services that prevent referrals both to
psychiatric hospitals and to large residential institutions.

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ELECTION OF 5 MEMBERS OF THE INTERNATIONAL NARCOTICS CONTROL BOARD FROM AMONG CANDIDATES NOMINATED BY THE WORLD HEALTH ORGANIZATION :NOTE / BY THE SECRETARY-GENERAL
Fonctions actuelles
Professeur de psychiatrie à la Division de la santé mentale, St George ’s,
Université de Londres, Royaume-Uni; consultant honoraire en psychiatrie des
dépendances, South West London et St George’s Mental Health Trust; psychiatre
consultant, Psychiatric and Psychological Consulting Services, Londres; psychiatre
consultant, Helen Bamber Foundation, Londres; médecin légiste et responsable
médical, General Medical Council; Vice-Président de la Fédération mondiale pour la
santé mentale chargé des efforts de renforcement des moyens d’action et de la
région de la Méditerranée orientale; Président de la Section de psychiatrie
biologique de l’Association mondiale de psychiatrie.
(...) P., Butler T. et
Burns L. (2014). « The impact of opioid substitution therapy on mortality post-
release from prison: Retrospective data linkage study », Addiction, 109, p. 1306 à
1317; Mattick R. (...) 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.

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REPORT OF THE SPECIAL RAPPORTEUR ON THE RIGHT OF EVERYONE TO THE ENJOYMENT OF THE HIGHEST ATTAINABLE STANDARD OF PHYSICAL AND MENTAL HEALTH ON HIS VISIT TO ARMENIA : NOTE / BY THE SECRETARIAT
Mental health in Armenia is regulated by the Law on Psychiatric Assistance, which
was adopted in 2004 and last amended in 2013. (...) The types of medical enforcement
measures allowed in the above-mentioned cases are outpatient supervision by psychiatrists
and forced treatment; forced treatment in general psychiatric hospitals; and forced treatment
in specialized psychiatric hospitals (art. 98).
57. (...) The Special Rapporteur visited a number of psychiatric institutions and was able to
interview staff working there at different levels, as well as a number of service users.
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ELECTION OF 2 MEMBERS OF THE INTERNATIONAL NARCOTICS CONTROL BOARD UNDER THE PROVISIONS OF ARTICLE 9, PARAGRAPH 1 (A), OF THE SINGLE CONVENTION ON NARCOTIC DRUGS, 1961, AS AMENDED BY THE 1972 PROTOCOL :NOTE : ADDENDUM / BY THE SECRETARY-GENERAL
Thomas, Londres (1978-1987); chargé de recherche, psychiatre-chercheur et chargé
de cours à l’École de médecine St. (...) Distinctions honorifiques
Entre autres : prix du mérite supérieur du Service national de santé; professeur
honoraire de l’Université médicale de Beijing (1997); commandeur honoraire de
l’ordre de l’Empire britannique (CBE) (1999); Fellow honoraire du Royal College
of Psychiatrists, Royaume-Uni (2006); Fellow honoraire de la World Psychiatric
Association (2008); Fellow honoraire de l’American Psychiatric Association (2010).
(...) Publications
Auteur et coauteur de plus de 100 publications, parmi lesquelles : « Attitudes toward
opioid substitution therapy and pre-incarceration HIV transmission behaviors among
HIV-infected prisoners in Malaysia: Implications for secondary prevention », Drug
and Alcohol Dependence (2010); « Risk behaviour and HIV prevalence among men
who have sex with men in a multiethnic society: a venue-based study in Kuala
Lumpur, Malaysia », International Journal of STD & AIDS (2010); « Trends in CD4
counts in HIV-infected patients with HIV viral load monitoring while on
combination antiretroviral treatment: results from the TREAT Asia HIV
Observational Database », BMC Infectious Diseases, no 10 (1) (2010); The HIV
epidemic in Malaysia.

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VISIT TO NORWAY : REPORT OF THE SPECIAL RAPPORTEUR ON THE RIGHTS OF PERSONS WITH DISABILITIES
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.
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REPORT OF THE SPECIAL RAPPORTEUR ON THE RIGHTS OF PERSONS WITH DISABILITIES ON HER VISIT TO PARAGUAY : NOTE / BY THE SECRETARIAT
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. (...) The foster
homes initiative should be revived as a transitional support measure to promote a return to
community living for persons with disabilities who have been institutionalized in the
psychiatric hospital in Asunción. However, the initiative should be improved and extended
throughout the country, guaranteeing a rights-based approach, reducing the number of
persons per home and ensuring a full range of support services for independent living in the
community. (...) During the visit to the psychiatric hospital in Asunción, th
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REPORT OF THE SPECIAL RAPPORTEUR ON TORTURE AND OTHER CRUEL, INHUMAN OR DEGRADING TREATMENT OR PUNISHMENT, MANFRED NOWAK
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. The Special Rapporteur received allegations that psychiatric clinics are sometimes used as
places of detention (see appendix: Bălţi Prison, Comrat police detention facility). (...) 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.
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Zoran Jovanovic, pour Franko Simatovic
LA CHAMBRE DE PREMIÈRE INSTANCE du Tribunal international chargé de poursuivre les personnes présumées responsables de violations graves du droit international humanitaire commises sur le territoire de l’ex-Yougoslavie depuis 1991 (le « Tribunal international »),
VU la requête confidentielle aux fins d’examen médical (psychiatrique) de l’accusé en application de l’article 74 bis du Règlement ( Defence Motion for Medical (Psychiatric) Examination Pursuant to Rule 74 bis ), déposée par la Défense de Jovica Stanisic (la « Défense ») le 1 er octobre 2003 (la « Requête »), par laquelle elle demande 1) que la Chambre de première instance ordonne, en application de l’article 74 bis du Règlement de procédure et de preuve (le « Règlement »), la nomination comme expert de la Défense du D r Joseph Marie Johannes Franciscus Offermans, spécialiste de psychiatrie médicolégale, pour examiner Jovica Stanisic (l’« accusé »), bien que ce médecin ne figure pas sur la liste officielle d’experts du Greffe, et 2) qu’il soit demandé au D r Offermans de répondre, dans le rapport d’expert qu’il remettra à la Chambre, aux questions particulières posées dans la Requête,
VU les arguments avancés par la Défense dans sa Requête et les rapports médicaux présentés en annexe,
VU la réponse confidentielle à la Requête ( Prosecution Response to Motion by Jovica Stanisic for Medical (Psychiatric) Examination pursuant to Rule 74 bis), déposée par le Bureau du Procureur (l’« Accusation ») le 15 octobre 2003 (la « Réponse »), par laquelle l’Accusation ne s’oppose pas à la Requête et demande que la Chambre de première instance nomme également le D r Vera Folnegovic-Smalc pour apprécier l’état de santé mentale de l’accusé,
VU les arguments avancés par l’Accusation dans sa Réponse,
ATTENDU que l’article 74 bis du Règlement dispose que la Chambre de première instance peut, d’office ou à la demande d’une partie, ordonner un examen médical, psychiatrique ou psychologique de l’accusé et que, dans ce cas, à moins que la Chambre n’en décide autrement, le Greffier confie cette tâche à un ou plusieurs experts dont le nom figure sur une liste préalablement établie par le Greffe et approuvée par le Bureau du Tribunal international,
ATTENDU que l’idée qui sous-tend l’article 74 bis est de nommer des experts indépendants et non pas de permettre aux parties à une procédure engagée devant le Tribunal de choisir des experts,
ATTENDU que la Défense n’a pas établi la nécessité de nommer un expert indépendant en application de l’article 74 bis du Règlement,
ATTENDU que la Défense peut engager un expert pour examiner l’accusé et préparer un rapport approprié qui sera déposé devant la Chambre de première instance,
EN APPLICATION de l’article 74 bis du Règlement,
REJETTE la Requête.
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REPORT OF THE SPECIAL RAPPORTEUR ON THE RIGHT OF EVERYONE TO THE ENJOYMENT OF THE HIGHEST ATTAINABLE STANDARD OF PHYSICAL AND MENTAL HEALTH ON HIS VISIT TO PARAGUAY : NOTE / BY THE SECRETARIAT
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.
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