CHANCELLOR OF JUSTICE AS THE PREVENTIVE MECHANISM list of items and substances the possession of which is not advisable in the clinic (as well as other hospital units if applicable) and the procedure for the transfer, deposit and return of such items and substances. For improving the protection of the rights of children, it was recommended that treatment documentation of children admitted for voluntary treatment should include a written informed consent for the provision of health services or a doctor’s written opinion that the minor is not able to express an independent will concerning the provision of health services. Also, treatment conditions corresponding to respective therapeutic indications and the possibility to stay in the accommodation room during free time should be ensured for child patients. In addition, the Chancellor also recommended that the Minister of Social Affairs and the Minister of Justice, in cooperation with the representatives of Viljandi Hospital Foundation, should discuss the concept of organisation of targeted coercive treatment, the need for additional regulation, and issues relating of cost-based funding of the service. During the follow-up proceedings, the addressees of the recommendations informed the Chancellor that his recommendations had been taken into account or provided exhaustive explanations of the situation. 4. Psychiatric department of Lääne County Hospital Foundation On 6 July 2010, the Chancellor of Justice carried out an unannounced inspection visit to the psychiatric department of Lääne County Hospital Foundation. The previous inspection of the establishment took place in 2008. As a result of the inspection, the Chancellor recommended that the service provider should expand the range of rehabilitative and therapeutic activities offered in the department. At the time of writing this Report, closing down of the department is being considered as according to the assessment of supervisory authorities the activities of the department do not conform to the requirements for the provision of health services. 5. Department No 5 of the psychiatric clinic of the North Estonian Regional Hospital Foundation On 9 July 2010, the Chancellor of Justice carried out an unannounced inspection visit to department No 5 of the psychiatric clinic of the North Estonian Regional Hospital Foundation. The previous inspection of the establishment took place in 2009. As a result of the inspection, the Chancellor asked the service provider to submit an overview of specific activities planned for alleviating the shortage of space along with the respective time schedules. During the follow-up proceedings, the addressee provided an exhaustive explanation of the situation. 6. Psychiatric department of Rapla County Hospital Foundation On 26 July 2010, the Chancellor of Justice carried out an unannounced inspection visit to the psychiatric department of Rapla County Hospital Foundation. The previous inspection of the establishment took place in 2008. As a result of the inspection, the Chancellor recommended that the service provider should ensure for all persons, regardless of their ability to move, a secure and weather-protected access to possibilities for spending time in the fresh air. In addition, the Chancellor recommended ensuring a situation where recipients of the health service have provided an informed consent for intervention. In its reply the hospital informed the Chancellor that his recommendations had been implemented. On 24 March 2011, a follow-up visit to the service provider was carried out to verify compliance with the recommendations, mostly as concerns notification of patients. It was found that although the relevant procedures and guidelines had been drawn up they had not been made generally available. 7. 56 Psychiatric clinic of Pärnu Hospital Foundation On 12 November 201, the Chancellor of Justice carried out an unannounced inspection visit to the psychiatric clinic of Pärnu Hospital Foundation. The previous inspection of the establishment took place in 2007. As a result of the inspection, the Chancellor recommended that the service provider should abandon the practice of requiring patients to wear hospital clothing and ensure that both the court as well as a pa-