34 ANNUAL REPORT 2017 that it happens approximately every three weeks. The frequent fits of rage make Lars feel very unsafe. He never knows how Søren will react after the hospital­ isations. Lars wishes that the staff would talk with him about what he should do in regard to Søren. RECOMMENDATIONS ON AN ANTI-VIOLENCE POLICY IN WRITING During the meeting with management, the monitoring team are told that crisis counselling for staff was ordered immediately after the incident with Søren, and that calls to involved staff members are made on a daily basis to make sure they are doing all right. But when we get talking about a follow-up for David, Lars and the other residents, management cannot account for what action was taken, and there is no information in the facility’s records either. As agreed with Lars, we tell management how Lars experienced the incident, and that he felt that he needed a follow-up afterwards. Management appreciate being made aware of this. As we did at Ole’s residential facility, we recommend that the facility draw up an anti-violence policy in writing with guidelines on follow-ups with residents after crisis situations. At many of our visits, we saw the same as we saw at the two facilities described above: the residential facilities have an anti-violence policy to support staff but nothing in writing when it comes to violence and threats among residents. Therefore, we recommended at a total of seven facilities that management draw up a written anti-violence policy with guidelines on how to support residents in the event of violence end threats. In addition, at five residential facilities, we recommended keeping records of incidents involving violence and threats among residents and using these records as preventive measures, among other things in order to find causes and patterns in the occurrence of violence and threats. The purpose of the records and analyses of these records would be to put focus on resident safety and to contribute to staff getting better at preventing incidents involving violence and threats. KEY INITIATIVES During our visits, at least one resident at all of the facilities reported that he or she would sometimes feel unsafe. Looking back at the year’s visits to social psychiatric facilities, our conclusion is that the effort to ensure residents’ safety and feeling of safety should be strengthened. In the Ombudsman’s assessment, it is crucial that all residential facilities get an anti-violence policy and specific