OPEN RESEARCH BEHIND CLOSED DOORS
in contact with staff and vice versa. However, some persons concerned
reported that they did not get (sufficient) face masks and that the staff was
not wearing them in their shared offices. According to them, physical distancing was not always practised due to lack of enforcement by the staff
and lack of space. They expressed resentment and fear because they felt
their health was not protected enough, particularly for those pertaining
to a risk group. Others were pleased with the hygiene measures ensuring
their safety. Furthermore, in Germany, the clinics handled the obligation
for persons concerned to wear the mask very differently, ranging from the
obligation to wear a mask on the ward to wearing it voluntarily. However,
persons concerned had to wear masks during therapies, when walking
around the courtyard and during visits in most clinics. This obligation was
perceived as burdensome but also as necessary. In some facilities, persons concerned have not been given access to disinfectants for fear they
might misuse them as a drug.
Within the first months of the pandemic, tests were hardly available in Austria, Germany and Italy. Therefore, neither staff nor persons concerned
were regularly tested. Later, many facilities started testing the staff on a
regular basis, as experts and persons concerned agree that persons coming from the outside are most likely to introduce the Coronavirus in the
institution. In Germany, the staff was tested only in case of symptoms and,
varying between institutions, visitors were asked to take a test. Especially
in (forensic) aftercare, these tests can provide reassurance and reduce the
staff's fears of posing a risk.
In most cases, persons concerned showing symptoms, were tested in all
three countries. Moreover, every person arriving newly to a facility was
put into quarantine. These separations were one of the main challenges
for the system and often affected the organisation of the entire facility,
reducing spaces for the other persons concerned and activities. Being
in quarantine meant being separated for 14 days and spending up to
23 hours - 22 hours in Italy - a day in their room. In order to shorten this period, as soon as more tests were available, persons concerned were tested
upon arrival and only had to stay in quarantine until they had a negative
test result (two to five days). Persons in quarantine only had restricted,
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