6 – PSYCHIATRIC CLINICS 6.1 – OUTDOOR EXERCISE 6.4 – INFORMATION ON RIGHTS Every person deprived of their liberty should be offered at least one hour of outdoor exercise per day. Children and juveniles should be offered considerably more time outdoors for exercise. Patients must receive written information on their rights in the psychiatric facility. Where young people are concerned, this information should be provided in an age-appropriate form. 6.2 – DOCUMENTATION OF COERCIVE MEASURES 6.5 – CCTV MONITORING Persons held in psychiatric facilities should not be subjected to uninterrupted and indiscriminate CCTV monitoring. Under no circumstances can CCTV monitoring replace the presence of members of staff. The reasons for the use of CCTV monitoring should be documented. In addition, the person concerned must be informed that monitoring is taking place. The mere fact that the camera is visible is not sufficient. It should be possible for the person concerned to discern whether the camera is running. All coercive measures should be documented comprehensively, comprehensibly and completely. The measure must be documented in writing. This includes documenting which less severe measures have already been tried and an explanation of why they failed. 6.3 – PHYSICAL RESTRAINT 34 The use of physical restraints is only to be ordered as a last resort, on the basis of clear and precisely defined criteria, and for the shortest possible period of time. Persons under physical restraint must be observed continuously and personally by therapeutic or care staff who are in direct proximity to the detainee (one-on-one supervision). For any physical restraint applied for more than just a short period of time, a court 35 decision is required. The measure should be discussed with the detainee concerned 36 afterwards. The detainee should also be informed after the measure of the possibility to have a court review the permissibility of the 37 restraint procedure. 6.6 – RESPECTFUL TREATMENT Patients should be treated respectfully. For example, staff members should indicate their presence by knocking on the door before entering a room, and should, as a rule, speak to patients using polite forms of address. 6.7 – CONFIDENTIALITY OF CONVERSATIONS In psychiatric facilities, measures should be introduced to ensure that phone calls can be made confidentially. 34 See part III. 2.5 – “Physical restraint” Federal Constitutional Court, judgment of 24/07/2018, file no.: 2 BvR 502/16, margin no. 69 36 DGPPN [German Society for Psychiatry and Psychotherapy] (2018): “S3-Leitlinie: Verhinderung von Zwang: Prävention und Therapie aggressiven Verhaltens bei Erwachsenen.” URL: https://www.dgppn.de/_Resources/Persistent/154528053e2d1 464d9788c0b2d298ee4a9d1cca3/S3%20LL%20Verhinderung %20von%20Zwang%20LANG%2BLITERATUR%20FIN AL%2010.9.2018.pdf (last retrieved on 27/02/2019) 37 Federal Constitutional Court, judgment of 24/07/2018, file no.: 2 BvR 502/16, margin no. 85 35 31