Ombudsman Velislava Delcheva requested strict regulations and control over the restraint of mentally ill patients, the institution's press center announced.
Delcheva sent an opinion to the Health Committee in the National Assembly regarding the bill to amend and supplement the Health Act. The opinion is based on systemic problems identified in the application of coercive measures against patients with mental illnesses.
The Ombudsman emphasizes that Ordinance No. 1 of June 28, 2005, does not meet international standards. Delcheva points out that the new provisions should be supplemented with a clear regulation of the grounds, order, duration, and frequency of isolation and immobilization measures. She insists on the creation of an information system for the registration of these measures, as well as monthly reporting by the Ministry of Health.
Delcheva supports the prohibition of cruel, inhuman, or degrading treatment and the introduction of a mechanism for judicial protection. She emphasizes the need for mandatory autopsies in the event of patient deaths, as well as the development of psychosocial rehabilitation and support for families.
The Ombudsman supports the creation of municipal mental health commissions and expresses reservations regarding the assignment of social assessments to the "Social Assistance" directorates.
Regarding the rights of minors, Delcheva supports the changes to strengthen guarantees when admitted to psychiatric institutions.
In conclusion, the ombudsman notes that a large part of her proposals have been taken into account in the bill and emphasizes the need for consultations with interested parties.