Implementation of Duties and Powers of the National Preventive Mechanism in 2010
accommodation space. However, we observed that common rooms and secure ward rooms
left a cold and bleak impression, impersonal and not really stimulating, as the hospitals
(obviously) do not pay enough attention to the equipment or decor. The DPM believes that a
visually suitable accommodation room is certainly important to create a positive therapeutic
environment. In some patient rooms, no personal or decorative items were observed. We
even had the impression that no one was accommodated in that room. Artistic creations
made by patients, which must be quite numerous considering the activation therapy, were
neither observed on the walls of secure ward halls nor in the rooms of other secure wards.
We suggested that the hospitals furnish patient rooms, and particularly common rooms, with
patient creations, which have aesthetic value and create a more optimistic atmosphere. Room
decoration is also a visual stimulus, making the place more homely and patient-friendly.
In both hospitals, even within each secure ward, we observed different practices regarding
the day clothes of patients. In both secure wards in the Vojnik hospital, patients wore hospital
clothes; in the Idrija hospital, the majority of patients in gerontopsychiatric ward and some
patients in the reception male ward wore hospital clothes.
Experience shows that the practice of wearing hospital clothes does not contribute to
strengthening the patient’s personal identity and his or her self-confidence. Since the
individualisation of clothing in secure wards might be an important part of the therapeutic
process, the hospital should inform the patients of the possibility of wearing their own day
clothes and encourage them to do so, except when such practice would aggravate or disable
the therapeutic care of a patient. Also, according to the Expanded Professional Board of
Psychiatry (RSK), clothes worn by persons hospitalised in secure wards are highly important
for their self-image and personal dignity; therefore, these wards should encourage the
wearing of personal clothes, which is supported by professional and humanistic factors. RSK
also encourages personnel working at psychiatric wards to wear personal clothing. Both
hospitals are faced with personnel issues due to the lack of psychiatrists, which is evident in
the quality of work with patients, since the employed psychiatrists are overburdened by the
large number of patients and cannot devote themselves to them to the desired extent. One
of the hospitals also pointed out the inadequate organisation of specialisations, which does
not take into account the actual region’s and hospital’s needs for trainee specialists.
Admissions without consent to secure wards
The hospitals keep central records on admissions for treatment without consent to secure
ward in urgent cases, and documents on admissions without consent are additionally kept
in patient medical records. During the DPM visit, both hospitals highlighted that the statutory
time limits for information were (too) short. As we have established, the forms used by the
hospitals for notification on admissions without consent were prepared on the basis of the
Mental Health Act (ZDZdr).
Access to randomly chosen patient medical records and to records on admissions without
consent showed that the time limits specified by ZDZdr for notification were sometimes
not observed, and in some cases, it was not possible to verify whether the notification on
admission without consent had been submitted in due time, because the time of admission
without consent had not been stated on the notification. Occasionally, the archiving of
individual documents on admissions without consent was also insufficient, as some medical
records did not contain certain forms.
National Preventive Mechanism in the Republic of Slovenia under the Optional Protocol to
the UN Convention against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment
51
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