40 NORWEGIAN PARLIAMENTARY OMBUDSMAN National Preventive Mechanism ANNUAL REPORT 2017 Oslo University Hospital, psychosis treatment unit, Gaustad The patients generally described the staff in positive terms such as kind and caring. At the same time, information emerged from both patients and staff members about cases where less invasive means could have been used rather than force. Staff members talked about cases where restraints had been used for longer than strictly necessary and where staff insecurity was a contributing factor. Fear and insecurity among the staff constitutes a clear risk of disproportionate use of force. Oslo University Hospital, psychosis treatment unit, Gaustad 17–19 October 2017 The unit comprised three inpatient units, two of which were local high-risk psychiatric units and one was a psychosis unit. Main findings The high-risk psychiatric units were located in old, run-down premises. The segregation units in the high-risk psychiatric units appeared to be in very poor condition. The segregation unit at the psychosis unit comprised one bare, prison-like room, and no other common rooms. There were separate rooms with restraint beds bolted to the floor in all of the segregation units, and there were several such rooms in each segregation unit at the high-risk psychiatric units. No errors were found in administrative decisions concerning the use of mechanical restraints or other use of force, as has been the case previously. The written grounds for decisions concerning the use of segregation and being placed in restraints were