MONITORING ACTIVITIES ADULTS 45 Selected recommendations etc.4 – C  arry out further analysis of patterns and reasons behind the use of coercion, including comparison with other, similar wards – Change the house rules so that the wording about opening patients’ mail reflects the condition of suspicion pursuant to the Mental Health Act – Ensure that patients are given guidance on channels of complaint in a way which is adapted to practical conditions at the units, for example in relation to internet access – Add information to the house rules about consequences of violations – Extend local directions on the use of force – L  abel measured out medicine with name and civil registration number – Update house rules in accordance with applicable regulations – Give guidance to inmates about body searches and urine sampling and ensure that, and follow up on whether, they are carried out in accordance with the rules – R  ecord incidents involving violence and threats among residents and follow up with a view to documentation, knowledge and learning – Clarify applicable regulations in relation to the municipality’s feedback to the residential facility on reported incidents involving use of force – – – – Same recommendations as those given at visit on 8 March Draw up house rules Intensify focus on handling of medicines and in this connection ensure that staff have the necessary qualifications Follow up systematically on inadvertent incidents – D  raw up house rules – Draw up written guidelines on handling of violence and threats among residents (anti-violence policy) – Record incidents where staff found that residents should have been admitted to a psychiatric ward and of discharges perceived to be undesirable – Enter into a cooperation agreement with the psychiatric sector about admissions and discharges, among other things – G  ive guidance to inmates about body searches and urine sampling and ensure that, and follow up on whether, they are carried out in accordance with the rules – Draw up an anti-violence policy for residents as well as for staff – Draw up house rules – Give guidance on how complaints about the use of force can be made via a spouse, relative, guardian or another representative where residents are unable to complain themselves – Enter into a cooperation agreement with the psychiatric sector about admissions to, stays in and discharges from psychiatric wards Continued next page