When visiting the Unit for Forensic Psychiatry, our discussion partners explained that patients in subunit F1 were without exception still in pyjamas, putting on daytime clothes only when they leave the unit,
i.e. when they go for exercise or fresh air in the fenced yard. This was also established when examining
the sub-unit. Since this clarification differs from the one we received in 2014, we understood that this
recommendation had not been accepted by the Unit, so we repeated it.
Smoking room
We recommended that Idrija Psychiatric Hospital place chairs or benches in the smoking room. If not
possible otherwise, these should be fixed to the floor, and ashtrays should also be provided.
In their response to the preliminary report, the management of Idrija Psychiatric Hospital stated that they
had followed the legal obligations when providing the smoking area. The premises intended for smoking
were equipped with ashtrays, but there were no chairs. The hospital had had negative experience from the
time when the premises were still equipped with chairs. In addition to the risk when ensuring the safety
of patients and staff, the hospital also established that the area had become “the only and too frequented
space for socialising.” Patients would stay in the smoking room much longer and the number of patients
in the room would exceed the permitted number. Patients who do not smoke would also stay in the
smoking room. From the aspect of the health and responsibility of health workers, the limit of therapeutic
tolerance was thus exceeded and it even encouraged behavioural patterns harmful to health and the
grisly consequences of smoking also affecting those in any way connected to smokers. The management
explained that they would not install furniture in the area intended for smoking. The hospital would further
care for persons/patients in secure wards who smoke, also by enabling free exits with the nursing staff
and individual placing of chairs in the smoking room for physically disabled persons. It would also provide
ashtrays in the smoking room and promptly replace used and broken ones.
We are aware of the lack of space in ward A1 and the needs of female patients who smoke. For this
reason, we recommended that Ljubljana University Psychiatric Hospital examine the possibility of
arranging a special area for smoking, thus preventing the use of the bathroom for smoking, which is
also used by other female patients who do not smoke.
We recommended that the staff provide suitable ventilation of the smoking room in the male admission
ward, and if necessary, Ljubljana University Psychiatric Hospital should examine the option of (additional)
artificial ventilation of the room. We also proposed that cigarettes for smokers be lit directly in the
smoking room, or a device should be place in the smoking room allowing the safe lighting of cigarettes,
which could not be removed.
In their response to the preliminary report, the management of Ljubljana University Psychiatric Hospital
claimed that they were in the process of finding the most effective ventilation system, or installing
smoking rooms, which requires more building interventions. Placing (electric) lighters in smoking rooms
presented too great a safety (fire) risk. The opening times of smoking rooms are provided in the house rules,
which are on the notice board and on the doors of smoking rooms.
We proposed to Ljubljana University Psychiatric Hospital that the opening hours of the smoking room in
the female admission ward also be placed on the door of the smoking room, so that it is accessible to
female patients at all times.
Residents’ access to rooms and personal items
We recommended that Idrija Psychiatric Hospital enable female patients to freely access their personal
belongings also after 8 pm.
In their response to the preliminary report, the management of Idrija Psychiatric Hospital stated it must
be emphasised in regard to this recommendation that the hospital had not received any complaint
IMPLEMENTATION OF THE DUTIES AND POWERS OF THE NPM IN 2016
NATIONAL PREVENTIVE MECHANISM UNDER THE OPTIONAL PROTOCOL TO THE UN CONVENTION AGAINST TORTURE AND OTHER CRUEL, INHUMAN OR DEGRADING TREATMENT OR PUNISHMENT
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