therapeutic environment to the patients. The Chancellor asked Wismari Hospital to offer
patients more diverse opportunities for spending free time and for therapeutic activities. The
psychiatric department of the South Estonian Hospital was reminded that it should be
possible to lock the toilet doors and that letter boxes for patients’ proposals and complaints
should be placed in the department. Portable devices that can be used to call assistance
should be acquired for staff in the South Estonian Hospital.
Wismari Hospital and the South Estonian Hospital had to be reminded that if a doctor does
not allow a patient to leave the hospital at will, a decision on involuntary treatment must
always be drawn up on this. A patient receiving treatment voluntarily must be able to leave a
hospital at will. In the recommendations sent to Viljandi Hospital, the Chancellor emphasised
that if a patient who is a minor does not agree to treatment or if means of restraint need to
be used because of their illness, a decision on involuntary treatment must be drawn up on
this.
Pärnu, Wismari and the South Estonian Hospital had problems with use of excessive video
surveillance and notification of video surveillance. In general rooms and all wards of the
psychiatric clinic of Pärnu Hospital, video surveillance with image recording is used. In
Wismari Hospital and the psychiatric department of the South Estonian Hospital, some wards
are under video surveillance. Constant video monitoring of a patient may excessively
interfere with their privacy. Therefore, video surveillance in a ward may only be used if this is
unavoidably necessary in view of a patient’s health condition. Patients must also be properly
notified of video surveillance.
Care homes
General care homes
During her whole term in office, the Chancellor has helped to make sure that a decent life and
the opportunity to receive competent care and assistance is ensured to people who are no
longer able to cope on their own at home, due either to poor health or an unsuitable living
environment. This kind of assistance is offered in general care homes. Most residents in
general care homes are elderly people, but also younger people may end up in a care home
as a result of illness or injury. According to data from the Ministry of Social Affairs, 13 048
people used the general care service in 2019. Estonia has approximately 180 general care
homes with over 9000 places. At the end of 2019, 8878 people were living in general care