Moskalkova proposed establishing a unified routine for psychiatric hospitals
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Human Rights Commissioner Tatyana Moskalkova prepared a report that talks about frequent violations of the rights of patients in psychiatric hospitals. The violations concern both medical and domestic issues. In this regard, Mrs. Moskalkova asked the Ministry of Health to develop uniform rules of procedure in hospitals.
“Monitorings conducted by human rights activists show that violations of the rights of patients in psychiatric hospitals are widespread,” says the report, cited by RIA Novosti.
The document lists such rights violations as poor quality of food, lack of conditions for occupational therapy, privacy in toilets, and the inability to keep patients in separate rooms. In Russia, in most wards of psychiatric clinics the standard of square meters per person is not met. In addition, hospitals are often located in unsuitable buildings; they lack locker rooms, visiting rooms, and have little space for exercise yards.
The report says treatment often does not meet medical standards and there are deficiencies in medical records. There are also problems with obtaining psychiatric care for somatic diseases, a shortage of medicines, staffing problems and unethical behavior of medical staff.
In connection with all these violations, Tatyana Moskalkova proposed that the Ministry of Health develop uniform internal rules. These should include: privacy in toilets and showers, personal space, patient access to drinking water, the right to daily exercise, and patients being informed of their rights.
The Commissioner proposes to increase the rate of telephone use, establish the right of patients to receive legal assistance, and inform about the restriction of the right to visits. Tatyana Moskalkova asks not to limit the patient’s meetings with a lawyer, a representative of the human rights ombudsman or a member of the public monitoring commission.
In 2019, Russian psychiatric hospitals were visited by experts from the European Committee for the Prevention of Torture and Inhuman or Degrading Treatment or Punishment (CPT). They came to the conclusion that in psychiatric hospitals, patients are tied to beds for a long time, treated with electric shock without anesthesia, and not allowed to go to the toilet. When patients die, an autopsy is often not performed.
Early August 2023 was accepted the law on changing the rules for the provision of psychiatric care in the Russian Federation, abolishing the creation by the state of independent services for protecting the rights of people with mental disorders. Instead, the law assumes that social activists will protect their rights – and with the approval of the patient’s visit from the head of the medical institution.
The law was criticized by the head of the Palliative Care Center and the founder of the Vera Hospice Fund, Nyuta Federmesser. After that she spoke with the idea of creating in regions “where governors care”, services to protect the rights of patients in psychiatric hospitals and wards of psychoneurological boarding schools (PNI).
More details in the material “Human rights activists launched a psychic attack”.
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