6 – PSYCHIATRIC CLINICS 6.1 – PHYSICAL RESTRAINT 19 6.3 – CCTV MONITORING The use of physical restraints is only to be ordered as a last resort, on the basis of clear and precisely defined criteria, and for the shortest possible period of time. A person subject to physical restraint must also be observed continuously and personally by a trained member of staff who is in direct proximity to the detainee (known as “Sitzwache”). This is the only way to ensure comprehensive care and support and to establish the earliest possible time to end this use of physical restraint. Persons placed in psychiatric institutions should not be subjected to uninterrupted and indiscriminate CCTV monitoring. Under no circumstances can CCTV monitoring replace the presence of members of staff. The reasons for CCTV monitoring must be documented. In addition, the person concerned must be informed of the monitoring. The mere fact that the camera is visible is not sufficient. It must be possible for the person concerned to discern whether the camera is running. 6.2 – DOCUMENTATION OF COERCIVE MEASURES 6.4 – OUTDOOR EXERCISE All coercive measures should be documented comprehensively, comprehensibly and completely. This documentation must be done in writing and include documentation of which less restrictive measures had been tried in advance and why these failed. 19 As a rule, every person deprived of his/her liberty must be offered at least one hour of outdoor exercise per day. 6.5 – RESPECTFUL TREATMENT Prisoners’ privacy should be respected. For example, staff members should indicate their presence by knocking on the door before entering a room, and should, as a rule, speak to patients using polite forms of address. See Chapter II. 4.4 – “Physical restraint”. 25