66 assistance, free of charge, to the next of kin of the children in this case and to José Adrián Rochac, Santos Ernesto Salinas, Manuel Antonio Bonilla Osorio, Ricardo [Abarca Ayala], and Emelinda Lorena Hernández, should they be found alive,” so that they can have access to a nationally recognized health center, chosen by mutual agreement with the beneficiaries, with psychological care provided by specialists in treating victims of serious human rights violations. Likewise, they indicated the “need for the State to give priority to medical care for the next of kin in this case and to guarantee appropriate medicines for their ailments” and, “until an appropriate system is in place, to provide an insurance policy in the private system, for the highest amount, to cover the medical care of the next of kin, including the deductibles, avoiding any expenditure to the victims.” They also requested that, if any of the children in the instant case should be found abroad, and if they should decide not to return to the country, they should be granted a sum of money. 217. Regarding the representatives’ request, in its final written arguments the Commission indicated that the medical and psychological care required must be specialized and based on an individual assessment of the situation of each individual and of each family group. It also indicated that the State had the immediate obligation to provide specialized medical and psychological assistance and that, once this was implemented, with guarantees of continuity and with sufficient resources for its effective operation, the State could use the comprehensive psychosocial care program designed for victims of serious human rights violations that occurred during the armed conflict, as a mechanism to channel that assistance. 218. The State assumed responsibility for providing medical and psychological assistance for the victims in the instant case through the country’s network of public hospitals and at the community level. It agreed with the representatives that some of the victims in the instant case had already received care through the public health system, but would be treated according to their specific needs. It indicated that, to this end, it has implemented the following actions: (i) in relation to psychosocial care, the Ministry of Health has trained key personnel at local level to provide care to victims of human rights violations during the armed conflict; (ii) it has worked to build capacity to ensure that victims of human rights violations receive differentiated assistance in relation to the rest of the population, through awareness-raising and training directed at medical personnel and staff involved in the care of patients in different areas; and (iii) it has begun distributing an identification card specifying the victims’ status as beneficiaries, in keeping with the judgments of the Inter-American Court, in order to guarantee them effective and timely care. Considerations of the Court 219. The Court assesses positively the actions taken by the State to provide medical care to some of the victims in this case, and acknowledges the general measures implemented to guarantee medical and psychosocial treatment for the victims of grave human rights violations in El Salvador. As it has done in other cases,307 the Court finds it necessary to order measures of reparation to provide adequate care for the psychological and physical ailments suffered by the victims as a result of the violations established in this judgment. Therefore, having confirmed the violations and the harm suffered by the victims, the Court deems it necessary to order measures of rehabilitation in this case. 220. To help repair this harm, the Court establishes the State’s obligation to provide medical, psychological and/or psychiatric treatment to the victims who request it, free of charge, immediately, adequately and effectively, in its specialized health care institutions. The treatment must include the provision of any medication they may need, also free of charge, based on the ailments of each person. If the State is unable to provide these services, it must obtain them from specialized private or civil society institutions. Also, to the extent possible, the respective treatments must be provided in the 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. v. El Salvador, supra, para. 198. 307