42
voluntary activities, which the youth could exert
some influence on.
The ward worked well on providing children and ad
olescents with information about their rights, daily
routines and their ongoing health treatment. The
findings indicated that children and adolescents,
to a significant degree, were heard and allowed
to decide on matters important to them. Children
who wished to do so, could give feedback about
their experience at the institution. This was good
practice for learning about children’s experience of
being admitted to hospital.
There were inadequate guidelines concerning
how maltreatment and abuse can be prevented
and how suspicion of such incidents should be
followed up. The staff’s experience was that these
issues were not spoken about to any great extent,
even though the ward had some routines for
preventing maltreatment and abuse. No findings
were made during the visit that gave rise to any
suspicion about such incidents.
In exceptional cases, disruptive adolescents were
forcibly admitted to an adult ward with locked
doors. The clinic was within walking distance
of the BUP ward. In the last three years, a total
of eighteen adolescents under 18 years old had
been admitted to the adult ward. Four of these
were under 16 years old. A review of these cases
indicated that the children had been closely
followed up by staff from the child and adolescent
psychiatry ward. Most of the admissions were of
short duration.
Placement of adolescents together with adults
in detention settings is problematic. The UN
Convention on the Rights of the Child demands that
children shall be separated from adults, unless the
opposite is in the child’s best interests. Children
and adolescents who were involuntarily admitted
NORWEGIAN PARLIAMENTARY OMBUDSMAN
National Preventive Mechanism
ANNUAL REPORT 2020
to the adult mental health emergency section, were
placed in a segregation unit but separated from
adult patients. The segregation unit appeared to be
new and its design adapted to vulnerable patients.
However, several children had had stressful experi
ences after being admitted to the same section as
adult patients. It is also unfortunate that children
are prevented from having contact with their peers.
The Ombudsman highlighted that the child’s best
interest must be assessed individually in each case;
however, the opportunity to have contact with their
peers is important for all children and adolescents.
In exceptional cases where this is not a viable
alternative, it should take place only in extraordinary
cases and for as short a time as possible.
During the years 2017–2019, the child and
adolescent psychiatry ward had made no adminis
trative decisions related to the use of mechanical
coercive means, segregation or short-term-effect
medications. The ward did not have mechanical
coercive means or isolation rooms. There were no
administrative decisions regarding segregation
even though they had areas that could be used
for this. None of the children we spoke to had
experienced enforced measures, and there were
no administrative decisions concerning coercive
measures in 2019. Together, the low coercion
incident figures and our findings indicate that
the ward is successful in preventing the use of
coercion within the ward.
A good system for complaints and oversight
adapted to children’s needs had been established
within the ward. Both the ward and the Control
Commission had routines to ensure that children’s
potential resistance to admission were quickly
identified. This is in accordance with human rights
standards. The Controll Commission carried out
active oversight of the children and adolescents’
legal safeguards and was characterised by a
proactive and child-friendly approach.
Select target paragraph3
Connect to a paragraph
Connect to an entity
Disable highlights
Add to table of contents