-21.8.
1.9.
1.10.
1.11.
1.12.
1.13.
2.
Issues to be addressed on the ward level
2.1.
2.2.
2.3.
2.4.
2.5.
2.6.
2.7.
2.8.
2.9.
3.
3.7.
3.8.
3.9.
use of restraints and seclusion
outdoor exercise
categories of patients under special regimes
restrictions concerning possessions, searches
ECT
vulnerable categories (including juveniles and children, long-term patients,
physically handicapped persons)
contacts with the outside world (visits, access to telephone)
prevention of suicides
biomedical research
Assessment of material conditions
4.1.
4.2.
4.3.
4.4.
5.
admission of patients – procedures, regulations
placement of patients in the rooms
different regimes of observation
daily activities provided for the patients
presence of medical and paramedical staff
treatment plans and teamwork
medication (availability, possible excessive use, chemical restraints)
availability of psychotherapeutic treatments and psychosocial interventions
interpatient violence
Special issues
3.1.
3.2.
3.3.
3.4.
3.5.
3.6.
4.
medical statistics : number of admissions per year, main pathologies, deaths
(including suicides), autopsies
special treatments : ECT, psychosurgery, special programs for sexual offenders etc.
medical documentation (registers, standards and rules for taking medical notes and
filing the documentation)
plans for future developments (renovations, reconstructions, new treatment options)
guidelines for addressing certain medical issues (treatment guidelines)
training and supervision of the staff
living conditions in different wards – layout of the rooms (privacy issues),
access to light, temperature
clothing and personal items
food
hygiene (toilets, showers)
Legal issues
5.1.
5.2.
5.3.
5.4.
5.5.
5.6.
involuntary placement procedure
review of placement decisions
consent to treatment
information on rights and access to legal aid
complaints procedure
visits by outside bodies (monitoring bodies, NGO’s, ombudsman etc)