MONITORING ACTIVITIES ADULTS THEME: Customised projects for individuals1 The Ombudsman’s key conclusions – In general, the conditions and efforts for the target group of the customised projects were good. – The visits shed light on a number of dilemmas, particularly about the balance between force and care. Verbal recommendations to the institution’s management Placement in solitary confinement cell: Recommendation was given to many institutions to increase their focus on documentation and follow-up in connection with placement in solitary confinement cell. See the above theme about placement in solitary confinement cell. Use of force: A number of institutions were recommended to prepare/revise an instruction about the use of force and to systematically review and assess statistical information about the use of force and other measures – including that the institution compares itself with other, similar institutions. Coercion: A number of institutions were recommended to review and assess statistical information about the use of coercion in the mental health care system – including that the institution compares itself with other, similar institutions. 1) The term ‘customised projects for individuals’ is used as a general term for special accommodation facilities for citizens with a behaviour which causes such problems that it cannot be dealt with at, for example, ordinary specialised accommodation facilities. 85