Annual Report 2019 their conduct, detainees are given more or less freedom of movement. The group composition is aimed at preventing mutual influence among detainees. The Inspectorate took a positive view of these measures. The Inspectorate believes that the legal position of detainees in a terrorist detention unit is safeguarded. Detainees are treated in a respectful manner. Detainees have a day programme, which includes outdoor exercise, work and spiritual care. They are also allowed to receive visitors. However, the Inspectorate regarded the exchange of information between the terrorist detention units and the Dutch Probation Service on the one hand, and the terrorist detention units and the municipalities on the other as a risk. Furthermore, the Inspectorate noted that the cooperation between the terrorist detention units and the municipalities is currently based on personal contacts rather than on documented agreements. Personal contacts may cease to exist, causing knowledge to be lost. In its report, the Inspectorate made various recommendations to help address these issues. Secure care wards Applications for new placements The Health and Youth Care Inspectorate, which is part of the NPM, assesses all applications for opening or expanding secure care wards. This concerns placements under the Psychiatric Hospitals (Compulsory Admissions) Act (Wet bijzondere opnemingen in psychiatrische ziekenhuizen) in nursing home care, care for the disabled and mental health care. In 2019, the Inspectorate assessed some 170 applications to determine whether conditions were in place to provide proper and secure care to patients. The Inspectorate conducted 32 visits in total to assess whether care providers complied with the requirements. The Inspectorate pointed out that greater attention should be paid to the field of tension between care and security. People with mental health issues are a good example. The Inspectorate noted that care providers were increasingly thinking in terms of security rather than the client’s or patient’s perspective. Moreover, greater focus should be placed on citizenship and social inclusion given that not all people suffering from mental health issues are dangerous. Reducing the use of seclusion and isolation The Health and Youth Care Inspectorate also assessed the use of seclusion and isolation at mental health institutions, based on an assessment framework for the reduction of seclusion and isolation. The parties in the professional field were informed that this assessment framework will continue to apply until such time as the professional field has created a field standard to replace this assessment framework. Various sector and patient organisations are currently working on developing a field standard. Preparing for new legislation The Mandatory Mental Healthcare Act (Wet verplichte geestelijke gezondheidszorg) and the Care and Compulsion (Psychogeriatric and Intellectually Disabled Patients) Act (Wet zorg en dwang) came into force on 1 January 2020. Both laws are important for improving the legal position of clients/patients who receive mandatory care or involuntary treatment. The underlying principle is to avoid the restriction of 6 Table of conte