E. Health Services

40.13. Clinical safeguards include confirmation of a detainee’s capacity to understand the consequences of his/her voluntary refusal of nourishment by at least one other independent physician.

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40.14. Physicians have complete clinical independence in deciding upon the care of a person on hunger strike.

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40.08. The individual’s intentions and mental competence to refuse nourishment are medically assessed early.

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40.09. Separation or isolation, in any form, are not used as a method for non-clinical management of hunger strikers.

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40.10. Hunger strikers are not given medical treatment against their will, including rehydration and artificial feeding.

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40.11. The right to treatment is unconditional, and the right to refuse some forms of treatment and not others is respected.

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40.12. Forcible feeding is prohibited.

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40.01. The suicide prevention policy addresses the issue of hunger strikes, which are a form of protest, separately.

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40.02. Food refusal is always taken seriously by staff and a care and support plan initiated.

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40.03. A meals register is used to record meal attendance and staff note carefully and unobtrusively non-attendance or other fasting.

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