CEDH · CASELAW;RESOLUTIONS;EXECUTION;ENG — 10 juillet 2013

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margin-bottom:0pt; line-height:12pt; widows:0; orphans:0 } .s1A1E7C45 { font-weight:bold; letter-spacing:-0.25pt } .sCC1A9D73 { letter-spacing:-0.3pt } .s688BFB2F { letter-spacing:0.15pt } .s4FF830B0 { font-size:6.67pt; letter-spacing:0.05pt; vertical-align:super } .s4327D980 { margin-top:0.55pt; margin-bottom:0pt; line-height:12pt; widows:0; orphans:0 } .s82754B { margin-top:0.4pt; margin-bottom:0pt; line-height:7.5pt; widows:0; orphans:0 } .sFA327C45 { font-weight:bold; letter-spacing:-0.65pt } .s3F6AE34E { font-weight:bold; letter-spacing:-0.3pt } .sB220F3F2 { margin-top:0pt; margin-bottom:0pt; text-align:justify; widows:0; orphans:0 } .s76497CE2 { letter-spacing:-0.25pt } .sA1D3DA2E { margin-top:0pt; margin-bottom:0pt; text-align:justify } 1176th meeting – 10 July 2013   Appendix 12 (Item H46-1)   Resolution CM/ResDH(2013)143 Lena Natchkebia against Georgia Execution of the decision of the European Court of Human Rights   (Application No. 55486/10, decision of 2 October 2012)   (Adopted by the Committee of Ministers on 10 July 2013 at the 1176th meeting of the Ministers’ Deputies)     The Committee of Ministers, under the terms of Article 39, paragraph 4, of the Convention for the Protection of Human Rights and Fundamental Freedoms, which provides that the Committee supervises the execution of friendly settlements as they appear in the decisions of the European Court of Human Rights (hereinafter “the Convention” and “the Court”),   Considering that in this case the Court, having taken formal note of the friendly settlement reached by the government of the respondent State and the applicant, and having been satisfied that the settlement was based on respect for human rights as defined in the Convention or its Protocols, decided to strike this case from its list;   Having satisfied itself that the terms of the friendly settlement were executed by the government of the respondent State (see document DH-DD(2013)145),   DECLARES that it has exercised its functions under Article 39, paragraph 4, of the Convention and   DECIDES to close its examination. B il an d ’ ac t i o n d u Go u v e r n eme n t g é o r g i en Lena N a t chkeb i a ( n o 5 5 486 / 10), D éc i s i on du 2 octobre 201 2 , d é fi n i t ive l e 12 octobre 2012 R èg l e m ent a m i ab l e avec l es engag e m en t s spéc i f i ques (French only)     R ésu m é i n t rodu c t i f de l ’ a f f a i re   La r e q u é r an t e , p u r g eant depu i s 2007 sa pe i ne de p r i son po u r b r a q u a g e , e st a tt e i n t e de t r oub l es sch i z o ‑ a ff ec t i fs , d i a g n os ti q ués su i t e à l’ e x a m en ps y ch i a tr i q ue, r éa li sée p a r l e Bu r eau na t i onal de l’ e x pe rt i se en t r e l e 7 e t l e 23 no v e m b r e 200 9 . C o n f o r m é m e n t au r app o r t de l’ e x pe rt i se en q ue s t i on, l’ é t a t de sa n t é m en t a l e de l a r e q ué r a n t e nécess i t a i t l e tr a i t e m e n t m éd i cal ob li g a t o i re au se i n d ’ un hôp i t al ps y ch i a tr i q ue ; l’ e x écu t i on de l a pe i ne de p r i son de l a r e q u é r ante pou r r a i t ê tr e r e p r i se seu l e m e n t a p r ès l e r é t ab li ss e m ent d e ce ll e- c i .   Le 21 o c t ob r e 2010, en v e rt u de l’ a rt i c l e 39 de s o n Rè g l e m en t , l a C o u r a i nd i q ué au g ou v e r ne m e n t de p l acer l a r e q ué r a n t e dans un é t ab li sse m ent m éd i cal ca p ab l e de l ui d i spenser des so i ns ad é q u a t s pour ses tr oub l es ps y ch i q ue s . Le 17 no v e m b r e 201 0 , l a cour de l a v ill e de Tb ili ssi a o r donné l e r e m p l ace m ent de l a pe i ne d e p r i son de l a r e q ué r a n t e par l e t r a i t e m ent m éd i cal ob li g a t o i r e au s e i n d ’ un hôp i t al c i v i l ps y c h i a tr i q u e . P a r co n s é q uen t , la r e q u é r an t e a é t é p l acée dans l e C e n tr e n a t i onal de l a sa n t é m e n t a l e B. N ane i shv ili .   En v e rt u des a r t i c l es 3 et 13 de l a C on v en t i on, l ’ a v ocat de l a r e q ué r a n t e s e p l a i g na i t du f a i t q ue j u s q u ’ au 17   no v e m b r e 2 01 0 , ce ll e - ci é t a i t dépou r v ue de so i ns ps y ch i a tr i ques app r o p r i és en p r i son.   La pa r t i e r e q u é r an t e a a ccep t é l e r è g l e m e n t a m i ab l e dans l es cond i t i ons su i v an t es :   un nou v el e x a m en ps y ch i a tr i q ue de l a r e q u é r an t e de v a i t a v o i r li eu a v ec l a pa rt i c i pa t i on, en tr e au t r es, d ’ e x pe rt s d és i g nés par l a pa r t i e r e qué r an t e ; l’ é t ab li sse m ent du s t a t u t de l’ hand i capée se r a i t é t ab l i ; l e g ou v e r n e m ent se cha r g ea i t des fr a i s d ’ e x a m ens m éd i caux ; l e g ou v e r n e m ent s ’ est e n g a g é à pa y er 3 500 eu r os à l a r e q ué r a n t e au t i t r e de l a sa t i s f a c t i on é q u i t ab l e p o ur t out do m m a g e m o r al et m a t é r i el et fr a i s e t dé p ens ; l es m es u r es sus m e n t i o n n é es de v a i ent ê t r e ado p t ées dans un dé l ai de tr o i s m o i s à co m p t e r de l a n o t i f i ca t i on de l a p r ése n t e déc i s i on au g ou v e r ne m ent so i t j u s q u ’ au 12 j an v i er 2013 ; e n f i n, l e g ou v e r n e m ent s’ est e n g a g é à po u r su i v r e l es r é f o r m es en v ue d ’ a m é li o r er l’ access i b i l i t é et l a q ua lit é des so i ns ps y ch i a tr i q u es au se i n du s y s t è m e p én i t en t i a i r e g é o r g i en.   I .   M es ur e s indi v idu e l l e s   a) Pa i e m e n t de l a s a t i s f a c t i on équ i t ab l e   N o m e t n o d e la r equê te Dommage moral/dommage matériel / frais et dépens   Total Len a N a t c h ke b i a c . G éo r gi e ( n o 55 4 86 / 1 0 ) 3 50 0 E U R 3 50 0 EUR P a y é l e 2 4 . 12 . 20 1 2   b) En ce qui c o nce r ne l e nouvel exa m en psych i a tri que   C on f o rm é m e n t aux t e rm es du r è g l e m e n t a m i ab l e, l e 30 no v e m b r e 2012 u n nou v el e x a m en co m p l e x e ps y ch i a tr i q ue et ps y cho l o g i q ue d e l a r e q u é r an t e a eu li eu au C e n tr e na t i onal de l a san t é m en t a l e . Les e x pe rt s m éd i caux dés i g nés p ar l a p a rt i e r e q ué r a n t e, M . J i shka r i ani e t G . Be r u l ava, ont é g a l e m e n t pa rt i c i pé à l’ e x a m en.   Le 21 déc e m b r e 201 2 , c o n f o r m é m e n t aux r ésu l t a t s dud i t e x a m en, l a sch i z oph r én i e pa r ano ï a q ue a v ec l a p r o g r éd i ence co n t i nue a é t é d i a g no s t i q uée à l a r e q u é r an t e ( v o i r anne x e I ) .     c) En ce qui conce r ne l ’ é t ab li sse m ent du s t a t ut de l ’ han d i capée m en t a l e   Le 22 no v e m b r e 2012, l e C en tr e n a t i onal de l a sa n t é m en t a l e a dé li v r é l’ a tt e s t a t i on m éd i ca l e de l’ e x a m en soc i a l e de l a r e q u é r an t e q ui a é t é r eco n nue pe r sonne hand i cap é e aux capac i t és f o r t e m e n t r édu i t es ( v o i r a nne x e II ) .   A l a l u m i è r e de ce q ui p r écède et v u l es cond i t i o n s du p r ésent r è g l e m ent a m i ab l e, aucune au t r e m esu r e i nd i v i due l l e ne s e m b l e ê t r e n é cessa i r e .     II. M es u r e s g é n é r a l e s   I n f o r m a t i on re l a ti v e a u x so i ns ps y ch i a t r i ques au se i n du s y s t è m e p é n it en t i a i re gé o rg i en   a) en ce qui conce r ne l e tr a i t e m ent des p r ob l è m e s psych i ques des d é t en u s   C ha q ue é t ab li sse m e n t p én i t en t i a i r e g é o r g i en d i spose d ’ un m édec i n ps y ch i a tr e dont l’ ob j ec t i f p r i nc i pal est l a p r é v en t i on, l e dép i s t a g e e t l a g e s t i on des p r ob l è m es de san t é m en t a l e des dé t enus ( en m o y enne 1 5 00 consu l t a t i ons ps y ch i a tr i q ues m ensue ll es o n t l i eu dans l’ ense m b l e des é t ab li ss e m en t s pén it en t i a i r es g é o r g i ens ) .   Le ps y ch i a tr e de l a p r i son é v a l ue l e s t a t u t p s y ch i q ue des d é t enus a t t e i n t s de p r ob l è m es m en t aux et en cas de b e so i n, l es d é t enus sont s o u m i s au t r a i t e m e n t m éd i cal adé q u a t . En cas d ’ ag g r a v a t i on de l’ é t at de san t é m e n t a l e, l o r s q u e l a g es t i on d ’ un pa t i e n t est i m poss i b l e sur p l ace, ce l u i - ci e s t t r a ns f é r é dans l’ un i t é ps y ch i a tr i q ue de l’ é t ab li sse m e n t m éd i cal pén i t en t i a i r e n o 18 ; i l e s t p l acé sous l a su r v e ill ance pe rm ane n t e du pe r sonnel m éd i cal et e s t s o u m i s au tr a i t e m ent p r e sc r i t par l e ps y ch i a tr e et à l a consu lt a t i on d ’ un ps y cho l o g i s t e , en v ue d ’ é v i t er des au t o - tr a u m a t i s m es.   En cas d ’i m poss i b ili t é stabiliser le s t a t ut ps y ch i q ue d ’ un p a t i en t , c e l u i - ci e s t e x a m i né par l a C o mm i ss i on p sy c h i a tr i que du mi n i s t è r e du sy s t è m e pén i t e n t i a i r e et par l a su i t e, se l on l a r eco m m and a t i on de c e tt e C o m m i ss i on, une e x pe rt i se m éd i co - l é g a l e a li eu a f i n d ’ é v a l uer l a g r a v i t é du s t a t u t ps y ch i que du p a t i ent e t l a néce s s i t é d’un tr a i t e m e n t m éd i c al ob li g a t o i r e .   A f i n d ’ a m é li o r er l a g e s t i on des p a t i en t s ps y ch i a tr i q ue s , un g r oupe spéc i al de su r v e ill ance sur l a san t é m en t a l e des d é t e n us, c o m posé de on z e m édec i ns ps y ch i a tr es a é t é c r éé en a v r i l 2012, dans l e ca d r e du dépa r t e m ent m éd i ca l du m i n i s t è r e du s y s t è m e pén i t e n t i a i re . Les m e m b r es du g r oupe m éd i cal p r éc i t é o nt é t é f o r m és dans l a g e s t i on de p a t i en t s p l acés en dé t e n t i on.   b) en ce qui conce r ne l a f o r m a t i on du pe r sonnel m éd i cal pén i t en t i a i r e   Le m édec i n ps y ch i a tr e d e l a p r i son agit en coopé r a t i on é t r o i t e a v ec d e s m édec i ns cha r g és de p r e m i e r s so i ns e t con t r i bue à l a f o r m a t i on ps y ch i a tr i q ue du pe r sonnel m éd i cal (m éd e c i ns e t i n f ir m i e r s ) .   Avec l’ a i de de dona t e u r s i n t e r n a t i onaux ( C r o i x - R ou g e , U E, G ou v e r ne m ent d es Pa y s - Bas e t c . ) des f o r m a t i ons ont é t é o r g an i sées pour des m éd e c i ns et i n f ir m i e r s en v ue de la p r é v en t i on et du dép i s t a g e des p r ob l è m e s de san t é m e n t a l e ( a u t o m u t il a t i on, su i c i de, p a ra- su i c i de e t c . ) . Par a ill eu r s, en v ue de m i eux g é r e r l es d é t enus a y ant de p r ob l è m e s ps y ch i q u e s, un m odu l e de f o r m a t i on ana l o g ue à c e l ui des Pays - Bas a é t é p r épa r é .   Le G ou v e r ne m ent g é o r g i en i n f o r m e r a l e C o m i t é d es M i n i s tr es et l a C our E DH , à i n t e r v a ll es r a i sonnab l es, des dé v e l oppe m en t s da n s l e d o m a i ne des so i ns p sy ch i a tr i q u e s au se i n du s y s t è m e pén i t e n t i a i r e g é o r g i en.     III. Con c l u s ions de l ’ E t a t d é f e nd e ur   Le g ou v e r ne m ent e s t i m e q ue su i t e aux m e su r es adop t ées i l a r espe c t é l e s e n g a g e m e n t s p r i s dans l e ca d r e du p r ése n t r è g l e m e n t a m i ab l e et q u e par cons é q ue n t , i l a r e m p l i ses ob l i g a t i ons décou l ant de l’ a rt i c l e 39 § 4 de l a C on v en t i on.