C. Measures of integral reparation: restitution, satisfaction, and guarantees of non-repetition rehabilitation and 326. The Court will determine other measures that seek to repair the non-pecuniary damage that is not of a monetary nature, and will order measures of public scope and repercussion.410 327. International jurisprudence and, in particular, the case law of the Court, has established repeatedly that the judgment constitutes per se a form of reparation.411 Nevertheless, considering the circumstances of the case sub judice, the sufferings that the violations perpetrated caused to the victims, as well as the change in the living conditions and the other consequences of a non-pecuniary nature that the latter suffered as a result of the violations of Articles 4, 5, 7, 8. 11, 21, 22 and 25 of the American Convention, declared to the detriment of the victims, the Court finds it appropriate to establish the following measures. 1. Rehabilitation i) Medical and psychological treatment for the victims 328. The representatives asked the Court to order the State to guarantee free, permanent medical and psychological treatment for the victims. They asked that the said treatment be provided by “competent professionals, [and that it include] the provision of any medicines that may be required.” They also asked that the State assume “other expenses related to the provision of treatment, such as the cost of transport, among other needs that may arise.” 329. The Court considers, as it has in other cases,412 that a measure of reparation is required that provides adequate attention to the physical and mental ailments suffered by the victims, arising from the violations established in this judgment. Therefore, the Court finds it appropriate to order that the State provide free, immediate, adequate and effective medical and psychological treatment, through its specialized public health institutions to the victims that request this. To this end, the specific ailments of the beneficiaries must be taken into consideration by previously making a physical and psychological or psychiatric evaluation. In addition, the respective treatment must be provided for as long as necessary and include the free provision of any medicines that they may eventually require. 330. In particular, the psychological treatment must be provided by State institutions and personnel specialized in attending victims of acts such as those that occurred in the instant case. If the State does not have the institutions or personnel able to provide the required level of care, it must have recourse to specialized civil society or private institutions. When providing the said treatment, the specific circumstances and needs of each victim must be considered so that they are offered family and individual treatment, as agreed with each of 410 Cf. Case of the “Street Children” (Villagrán Morales et al.), supra note 43, para. 84, and Case of Mejía Idrovo v. Ecuador. Preliminary objections, merits, reparations and costs. Judgment of July 5, 2011 Series C No. 228, para. 132. 411 Cf. Case of Neira Alegría et al. v. Peru. Reparations and costs, Judgment of September 19, 1996. Series C No. 29, para. 56, and Case of López Mendoza, supra note 16, para. 213. 412 Cf. Case of Barrios Altos v. Peru. Reparations and costs. Judgment of November 30, 2001. Series C No. 87, paras. 42 and 45, and Case of Contreras et al., supra note 405, para. 199. 101

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