6 17. That based on the aforementioned considerations the Inter-American Court considers it necessary that the State: a) adopt as soon as possible all the measures necessary for the effective design of the State’s public policy in matters of children in conflict with the law, and b) continue forwarding updated and detailed information of the progress achieved and the specific measures adopted to comply with the eleventh operative paragraph of the Judgment. * * * 18. That with regard to the psychological treatment of all former inmates of the Institute between August 14, 1996 and July 25, 2001; the medical and/or psychological treatment of former inmates injured in the fires, and the psychological treatment of the next of kin of the inmates who had died or were injured (twelfth operative paragraph of the Judgment), and regarding the vocational assistance and special education program destined to the former interns of the Institute between August 14, 1996 and July 25, 2001 (thirteenth operative paragraph of the Judgment), the State indicated that according to the report prepared by the General Office for the Attention of Teenage Offenders, “the aid for victims has been systematically developed, despite certain inconveniences such as inability to locate some victims or the distrust of any of [them] towards the authorities,” which results in their failure to show up to the diagnosis consultations programmed. It added that it does not have the addresses of fifteen victims of the fire or a means of transportation to make the necessary visits and make the diagnosis required. Based on meetings held with representatives of the victims’ mothers, the attorneys that exercised the defense of the case, some of the youngsters, and authorities of the Ministry of Justice and Labor and the Ministry of Public Health and Social Wellbeing, it decided to create a registry of the beneficiaries and their next of kin. On April 8, 2009 a “Public Act for the delivery of identification cards for medical attention and diffusion of vocational assistance for the victims and next of kin of the Institute” was held with the presence of high authorities from the Ministries of Justice and Labor and of Public Health and Social Wellbeing. On the other hand, the Ministry of Justice and Labor, through the National Professional Formation and Training System, presented a series of courses for the work training of victims and their next of kin. 19. That at the public hearing for monitoring compliance, the State informed that forty-three beneficiaries, who had the corresponding identification card, had been registered to receive medical attention. Several of them were tended to at different health centers throughout the country and “the response of the establishments that are dependent on the Ministry of Public Health has been highly satisfactory.” Among the services offered they mentioned emergency services, the realization of studies, the supply of medications, and medical assistance in general. Given the reluctance of many of the young victims to receive medical, psychological, or psychiatric attention the presentation of the training courses established by the State was used to communicate to the representatives, the mothers, and some of the youngsters the possibility to receive assistance at any health center throughout the country through the use of the identification card, as well as to inform of the hospitals, the working hours, and the mental health professionals available for their attention. On the other hand, it indicated that the victims that are imprisoned, among other measures, are regularly accompanied and assisted by the General Human Rights Office of the Ministry of Justice and Labor and they also have the help of a psychologist from whom they receive group and individual therapy. Some of these imprisoned victims are enrolled in the basic school cycle within the National Prison of Tacumbú. It stated that “[a]ccording to the last interviews carried out with [the detained victims,] all of them are in good health conditions.” Finally, regarding the education programs, it stated that five beneficiaries registered in the