67 rights that, as a measure of satisfaction, will honor the memory of the human rights defender. 238. Regarding the medical and psychological care indicated in paragraph 227, the Court finds it necessary to order the State to provide this care free of charge immediately, adequately and effectively through its specialized health care institutions. The psychological and psychiatric care must be provided by personnel and institutions specialized in treating the difficulties and ailments of these persons arising from the facts of the case. This medical and psychological care must be provided as of notification of this judgment and for the time necessary, and must include the provision of the required medicines, and take into account the ailments of each person related to the facts of the instant case, following an individual assessment.169 239. The Court observes that the Commission and the representatives requested additional measures of reparation with the objective of raising awareness about the risks faced by human rights defenders, in order to avoid a recurrence of facts such as those of the instant case. However, the Court finds that the measures already ordered (supra paras. 231 to 234 and 238) make a significant contribution to achieving this purpose, so that it does not find it necessary to order additional measures in the context of this case.170 D) COSTS AND EXPENSES 240. The Commission asked the Court to order the State to “pay the costs and expenses duly authenticated by [the representatives], bearing in mind the special characteristics of the case.” 241. The representatives alleged that the costs and expenses they incurred to litigate the case at the domestic level and before the Commission amount to US$11,681.84 (eleven thousand six hundred and eighty-one United States dollars and eighty-four cents) for the Grupo Interdisciplinario por los Derechos Humanos and US$4,382.76 (four thousand three hundred and eighty-two United States dollars and seventy-six cents) for the Comisión Colombiana de Juristas. In addition, the representatives alleged that they had incurred expenses of US$33,805.00 (thirty-three thousand eight hundred and five United States dollars) to produce the evidence provided to the Court, which included the transportation of witnesses, lawyers, and expert witnesses between Colombia and Costa Rica. In addition, in the case of their fees, they suggested that the Court take into account the amounts established for proceedings under administrative law by the National Lawyers’ Professional Association 242. The State undertook to pay the representatives’ legal costs and expenses, and alleged that the other expenses incurred by the representatives should be subsumed in the costs ordered by the Court. 243. As the Court has indicated on previous occasions, costs and expenses are included in the concept of reparations embodied in Article 63(1) of the American Convention, since the actions taken by the victims, their next of kin, or their representatives to obtain justice at both the national and the international level involve expenditure that must be compensated 169 Cf. Case of Cantoral Benavides, supra note 15, para. 51; Case of Heliodoro Portugal, supra note 13, para. 256, and Case of Cantoral Huamaní and García Santa Cruz, supra note 62, para. 200. 170 Cf. Case of Heliodoro Portugal, supra note 13, para. 262.