1. Immigration Centres Andres Lehtmets M.D. Psychiatrist, IMAP member Warsaw, 14.12.2011

2. Illuka Pagulaskeskus, Estonia

3. – Individual care Access to care Quality of care provided Transmissible diseases (TB in particular): prevention and management of contagious detainees Detainees suffering from psychiatric disorders Vulnerable groups (minors, women, etc.) Emergency procedures – General organisation of the health services Health facilities and equipment Health personnel (competencies, number and timetable) Medical consultations and prescribing patterns Management of medical records Drug stocks and management Health promotion and prevention strategies (suicide, transmissible diseases) Referral and access to health facilities

4. Public health aspects environmental factors (protection from the climate, ventilation, access to the open air etc, overcrowding, water and sanitation, food and nutrition and outbreaks of disease Measures taken for the prevention of suicides Medical aspects of the disciplinary system in place; including the use of solitary confinement) Identification and documentation of cases of ill-treatment

5. Specific issues in immigration centres working with interpretor – interviewing techniques – establishing a trustworthy relation / contact cultural /religious divergence PTSD separated families confidentiality issues, including the confidentiality of medical files access to specialist (including dental) care emergency interventions medical interventions relating to (possible) disciplinary measures medical supervision of deportation