92 ANNUAL REPORT 2015 EXAMPLES OF IMPORTANT REACTIONS IN 2015 Themes Every year, the Ombudsman selects a theme in collaboration with the Danish Institute for Human Rights and DIGNITY – Danish Institute Against Torture for the monitoring visits carried out by the Children’s Division. Thematic reports are published at www.ombudsmanden.dk THEME: Children and young people who are day-time users of and residents at an institution due to considerable and permanently diminished physical and/or mental functionality The Ombudsman’s key conclusions – In general, the institutions’ staff were reflective in relation to the many practical and ethical dilemmas of daily life, and they were caring and developmentoriented towards the children and young people. – The institutions did not have written guidelines as to how the individual institution prevents sexual abuse and which procedure the institution follows when suspecting abuse. The Ombudsman generally recommends that institutions lay down such guidelines. – The institutions were generally very engaged in and focused on communication with the children and young people and on the different ways in which the children and young people communicated. – The visits shed light on a number of dilemmas, especially with regard to the balance between force and care. Verbal recommendations to the institution’s management Medicine: A number of institutions were recommended to store medicine appropriately, for example in locked cupboards, so that the individual child’s medicine was adequately separated from the other children’s medicine. Resuscitation and first aid: An institution with very sick children was recommended to consider laying down guidelines on basic resuscitation of children and regular refresher courses on first aid.