42 C. Measures recurrence of rehabilitation, satisfaction and guarantees of non- C.1. Measures of rehabilitation 153. The Commission requested the implementation of a program of physical and mental or psychosocial care that is culturally adequate for the survivors and families of the victims. It also indicated that the State, in its answer, referred to health care in general terms, without establishing what had been the specific care for the victims in this case. 154. The State informed that it is already complying with the measure of making the medical care available. It indicated that it has 20` Health Units that offer basic health services in 20 villages and that it also has a Center of Permanent Care (CAP), located in the Barrio El Centro of the Municipality of Chisec, Department of Alta Verapaz. It affirmed that, in that Municipality, the care takes into consideration the Mayan cosmovision in the Q´eqchi language, respecting the different cultures, customs and traditions. 155. The Court welcomes the information presented by the State, but notes that it does not contain elements that would permit it to conclude that the general policies of health care offer an adequate mechanism for the specific needs of reparation for the violations of human rights declared in this case. Therefore, the Court considers it necessary that the State offer adequate care for the harm suffered by the victims. This measure applies to those persons, listed in Annexes B(3) and B(5) of this judgment, whose right to personal integrity was infringed. Therefore, as in other cases,213 the Court orders the State to offer, free of charge, through its specialized institutions, adequate and effective psychological or psychiatric care to the victims, listed in Annexes B(3) and B(5) of this judgment, who seek it, with prior informed consent, including the medicine, without charge, that they may eventually require, taking into consideration the afflictions of each of the victims. This implies that the victims must receive a differentiated treatment with respect to the processes and procedures necessary to be cared for in public institutions. The particular circumstances and needs of each victim must be taken into account in providing psychological or psychiatric treatment in order that they are given collective, family or individual care, depending on what has been agreed with each one and following an individual evaluation. The respective psychiatric or psychological care must be offered for as long as necessary, at the closest centers to the residence of the victims as possible and, in any case, at a place that is accessible to those persons. 156. The victims who request some measure of rehabilitation must, within six months of notification of this judgment, inform the State, personally or through their representatives, of their intention to receive care. Once the State receives such notification, it must immediately begin to offer the treatment. 157. With respect to medical or health care other than psychological or psychiatric care, the Court does not consider it necessary to order a specific measure and, in relation thereto, it bears in mind the measure of establishing a health center in the Community, which will be dealt with subsequently (infra paras. 164 to 167). C.2. Measures of satisfaction Cf. Case of the Las Dos Erres Massacre v. Guatemala, para. 270 and Case of V.R.P., V.P.C. et al. v. Nicaragua, supra, para. 352. 213

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