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Amnesty
International News Release dd Oct-10-2001:
Women
inmates at Sanadinovo
Mentally disabled women are being held at a state institution
in the village of Sanadinovo in conditions that a delegation
of mental health experts has described as 'far worse than we
have documented anywhere in the region,' and which amount to
cruel, inhuman and degrading treatment. Some inmates are being
held in a cage, because the staff claim that 'they had misbehaved'.
Independent experts have described conditions in such institutions
as 'a slow death'.
The Sanadinovo
Social Home for Mentally Disabled Women houses 97 women. A delegation
from the Bulgarian Helsinki Committee, Mental Disability Rights
International (MDRI) and Amnesty International visited the institution
on 1 October. They found around 20 of the most severely disabled
women are being housed in a two- room, single-storey building,
separated from the rest of the facility by a high wire fence.
Some of these women also suffer from mental illness.
The delegation
found most of the 20 women sitting on the ground in the small,
paved yard outside the building. There were no chairs or benches.
They wore dirty, ill-fitting, tattered clothes. Several women
with amputated limbs or other physical disabilities moved about
without any help from the staff. Only one of the physically
disabled women was in an old wheel-chair, but it was not clear
whether she had to share it with others.
It appears
that during milder, warm weather these women spend most of the
day outside the building in the small yard. Once the delegation
inspected the building it was clear why: the conditions inside
were appallingly filthy, smelly and unhygienic. The floors of
the rooms were wet and there was an overpowering smell of urine
and feces even though all the barred windows and doors had been
open. There were feces on the floor, particularly under the
beds, and traces of feces all over the walls.
Not far
from the small building is a cage measuring roughly three meters
by one and a half (10 feet by 5 feet), with two brick walls
and two made of iron bars and wire. At the time of the visit
six women were held in this cage. The director of the home later
explained that staff lock patients in the cage when they are
'violent and destructive, as we do not have adequate drugs to
administer to the patients in such situations'. The cage was
full of urine and feces and the women covered in filth. One
was naked from the waist down, and many sores were visible on
her skin. It was not clear how long anyone would be held in
the cage. There appeared to be no staff supervision of these
women and at one point we observed another patient bring a plastic
bottle of water which she then held between the bars for a woman
on the other side to drink.
The Sanadinovo
institution is staffed by four nurses and five orderlies who
work in shifts. At night only one nurse and an orderly are on
duty. They cannot possibly adequately care for so many women,
particularly the most seriously disabled who are held in the
small building.
Background Information:
Most of the women of Sanadinovo were brought to this state institution
as orphans or were committed here when their parents or relatives
could no longer care for them. They are a legacy of a mental
disability care system which provides hardly any support to
parents, and where doctors reportedly encourage that such children
or adults be committed to state-run institutions. These are
usually located in the remotest areas of the country, outside
small villages, or in the mountains, far from medical facilities,
and from the trained people who could be hired to work at them.
The United
Nations Declaration on the Rights of Mentally Retarded Persons
proclaims that 'the mentally retarded person has a right to
protection from exploitation, abuse and degrading treatment'
(paragraph 6). World Mental Health Day is 10 October.
For more
details see press release Bulgaria: Disabled
women condemned to slow death published on 10 October 2001.
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