Annual Report 2019 freedom. In light of the NPM, this represents a significant tightening of the Psychiatric Hospitals (Compulsory Admissions) Act. In 2019, the Health and Youth Care Inspectorate undertook preparations to conduct monitoring in this area. Secure youth care centres In the first quarter of 2019, the Health and Youth Care Inspectorate, which is part of the NPM, conducted an exploratory survey on the reduction of freedom-restricting measures for groups accommodated in 14 secure youth care centres. Secure youth care (Jeugdzorgplus) is a form of youth care provided to children and young people who are unresponsive to less rigorous forms of assistance. Without treatment, they are a risk to themselves and their environment. The Inspectorate noted that all institutions are working on a living environment geared more towards the development of young people and where fewer freedom-restricting measures are imposed. The institutions themselves are able to influence a number of factors, such as the organisational culture and certain methodologies. Due to limited financial resources, however, they have less influence on factors such as group size. A fact sheet containing the Inspectorate’s findings will be published in 2020. This overview of the current status will lead to a monitoring standard until such time as the professional field has developed field standards. Young offenders institutions The Health and Youth Care Inspectorate, which is part of the NPM, visited all young offenders institutions to conduct a national inspection focusing on three themes: prompt access to care, medication safety and involuntary medical treatment. The results of the inspection were published in February 2020. The inspection found that detainees in young offenders institutions had quick and easy access to the medical service or general practitioner. In cases where they needed medication, this was issued in a proper and safe manner. The forcible administration of medication only occurred at one institution and proceeded in accordance with the rules. All institutions wanted to avoid placing young people in seclusion as much as possible. However, this was difficult to achieve in practice. Furthermore, the Justice and Security, Health and Youth Care, Education, and Social Affairs and Employment Inspectorates will review in 2020 whether the concern areas they previously identified at young offenders institutions have been adequately dealt with or resolved. The aspects they will look at include whether the health and safety of workers and detainees is guaranteed. They will also review whether the range of care, treatment and training programmes offered is appropriate for the older and more complex target group of detainees. 7 Table of conte