2.2 VISITS TO
PSYCHIATRIC HOSPITALS
for further accommodation in the ward since, as stated in previous recommendations, the implementation of SPM against the patient’s will is understood as a
withdrawal of consent to stay in the ward.
On the occasion of this visit, we made 17 new recommendations (these were
partly repeated recommendations that were not realised after the previous visit
of the NPM in 2018). We thus recommended that the hospital repair the ventilation system, decorate common areas and hospital rooms in the women’s and
gerontopsychiatric wards, install suitable collection boxes for complaints, proposals and commendations, provide writing material and description of complaint channels. We also advised that collection boxes be emptied (at least) every
two weeks due to possible complaints, and contact details of the staff member
who helps patients to write complaints be published on notice boards. It was
again proposed that emergency buttons be installed, and that it is necessary
to pay attention to whether a patient in whose room group activities are being
implemented has agreed to them. We repeated the recommendation about due
diligence when a patient gives their consent to be accommodated in the secure
ward and when they withdraw such consent. In relation to this, we recommended amending the legal notice in the consent form. We also added that the hospital should ensure that the deadlines for detention of individual patients are not
exceeded. Relating to the implementation of SPM, we highlighted the patient’s
privacy and the importance of observing all provisions of Article 29 of the ZDZdr,
including the staff’s vigilance when SPM are carried out on a patient who is in
the secure ward based on their own consent. We also noted that special attention must be paid when a patient is no longer capable of withdrawing their consent due to their worsening condition. We suggested the harmonisation of house
rules with actual visits (which are supposedly unlimited) and suitable airing of
the smoking room in the women’s secure ward. As stated above, we received only
a partial reply from the hospital to the new recommendations after an additional
request and are still waiting for the full response during the drafting of this report
after submitting another request.
42
THE REPORT OF THE HUMAN RIGHTS OMBUDSMAN OF THE REPUBLIC OF SLOVENIA
ON IMPLEMENTING THE TASKS OF THE NPM
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