Monitoring visits to institutions etc. for children in 2021

The table below shows the institutions etc. visited, with a description of each. In addition, it shows the number of talks we had with children and young people (referred to below as ‘users’) and with relatives and, if relevant, guardians (referred to below as ‘relatives etc.’). The Ombudsman collaborates with DIGNITY – Danish Institute Against Torture and the Danish Institute for Human Rights (IMR) on monitoring activities. Among other things, they participate in a number of monitoring visits. It is stated for each visit whether DIGNITY and/or IMR participated. Finally, the recommendations made in connection with the individual visit are presented.

NO. OF VISITS TALKS WITH USERS TALKS WITH RELATIVES ETC. WITH DIGNITY WITH IMR ANNOUNCED/UNANNOUNCED VISITS PHYSICAL/ VIRTUAL VISITS CONCLUDED WITH RECOMMENDATIONS CONCLUDED WITHOUT RECOMMENDATIONS
 9 68 76  9 4 8/1 3/6  9  0
MONITORING VISITS RECOMMENDATIONS
20 and 21 January

‘Stevnsfortet’, Rødvig Stevns

Secure residential institution

In-house school

Talks with 7 users and 6 relatives

DIGNITY participated in the visit

 

The visiting team recommended that ‘Stevnsfortet’:

  • ensure that its internal guidelines on use of physical force, seclusion and drug testing describe the central requirements under the applicable rules, including in relation to the powers of staff

  • observe the deadlines for recording and reporting use of physical force, episodes of seclusion and body searching and searches of living spaces

  • ensure that the holders of parental responsibility are informed following use of physical force and following body searching and searches of living spaces, and that this is stated in the report forms

  • ensure that it is the principal or the deputy principal who makes any decision to place a child or young person in seclusion and that in the principal’s absence it is clear to staff who has been designated as deputy

  • update its internal guidelines on body searching and searches of living spaces in accordance with the applicable rules

  • use the correct form in the Executive Order on Adult Responsibility for recording and reporting body searching and searches of living spaces

  • ensure that general consent is obtained, to the relevant extent, from the children and young people placed in the institution to the use of drug testing, either when they are placed in the institution or in the course of their placement if a need for testing arises

  • ensure that the placing municipality is informed when a drug test has been carried out on a child or young person, and of the result of the test

  • in collaboration with the municipality of location, update the agreement on schooling in accordance with the applicable rules

  • ensure compliance with the rules on teaching the full range of subjects and number of class hours

  • ensure compliance with the rules on exemption from subjects and from compulsory national tests and lower secondary school examinations and ensure documentation of compliance with the rules

  • ensure that the in-house school staff know the rules of the Act on Adult Responsibility that apply to use of force in the school

  • ensure that children and young people who have not already undergone a psychiatric examination when placed at Stevnsfortet are offered screening to establish whether there is a need for a psychiatric examination

  • consider discussing the possibility of entering into a cooperation agreement with child and adolescent psychiatric wards on, among other things, admissions and discharges

Own-initiative case opened against the Ministry of Social Affairs and Senior Citizens on connection between the rules on locking rooms at night and door alarms

10 and 11 February 

‘Bakkegården’, Nykøbing Sjælland

Secure residential institution

In-house school

Talks with 7 users and 8 relatives

DIGNITY participated in the visit

The visiting team recommended that ‘Bakkegården’:

  • ensure that its internal guidelines on use of force, seclusion, body searching and searches of living spaces and drug testing describe the central requirements under the applicable rules

  • ensure that the in-house school staff know the rules of the Act on Adult Responsibility that apply to use of force in the school

  • ensure that when the children and young people arrive, holders of parental responsibility, guardians and personal representatives are informed about their rights in relation to use of force and other restrictions of the right of self-determination, including their right to complain to the National Social Appeals Board and the municipal council, respectively

  • observe the deadlines for recording and reporting use of physical force and body searching and searches of living spaces

  • ensure that reports on use of physical force include an adequate description of the episode and adequate information about the grounds for the use of force

  • use the correct form in the Executive Order on Adult Responsibility for recording and reporting body searching and searches of living spaces

  • ensure that the holders of parental responsibility are informed following body searching and searches of living spaces, and that this is stated in the report forms

  • in collaboration with the municipality of location, update the agreement on schooling in accordance with the applicable rules

  • ensure compliance with the rules on teaching the full range of subjects and number of class hours

  • ensure compliance with the rules on exemption from subjects

  • ensure compliance with the rules on exemption from compulsory tests and lower secondary school examinations

  • ensure that young people who have not already undergone a psychiatric examination when placed at ‘Bakkegården’ are offered screening to establish whether there is a need for a psychiatric examination

  • update the local and regional medicines management and other healthcare directions with, among other things, the date and details of the target group, so that they are in accordance with the guidance notes issued by the Danish Health Authority on the drawing up of directions

  • consider drawing up written guidelines on detection and treatment of drug abuse etc., including withdrawal symptoms

  • consider drawing up written guidelines on prevention and handling of self-harm, suicide attempts and suicides

3 and 4 March

‘Kompasset’, Brønderslev

Secure residential institution

In-house school

Talks with 6 users and 7 relatives

DIGNITY and IMR participated in the visit 

The visiting team recommended that ‘Kompasset’:

 

  • ensure that when the children and young people arrive, parents, guardians and personal representatives are informed about their rights in relation to use of force (and other restrictions of the right of self-determination)

  • expand its guidelines on seclusion to state (a) that a child or young person in seclusion must be able to summon staff for the duration of the seclusion, and (b) that a doctor of psychiatry (or a general practioner) must be summoned if a child or young person who is placed in seclusion has a mental disorder

  • ensure documentation that the deadlines for recording and reporting episodes of seclusion have been observed

  • update its guidelines on body searching and searches of living spaces to describe the central requirements under the applicable rules

  • ensure compliance with the rules on teaching the full range of subjects and number of class hours

  • ensure compliance with the rules on exemption from subjects and from compulsory national tests and lower secondary school examinations and ensure documentation of compliance with the rules
 

13 and 14 April

‘Grenen-Dalstrup’, Grenaa

Secure residential institution with special secure ward

In-house school

Talks with 8 users and 9 relatives

DIGNITY and IMR participated in the visit

The visiting team recommended that ‘Grenen-Dalstrup’:

  • observe the deadlines for recording and reporting use of physical force, episodes of seclusion and body searching and searches of living spaces

  • ensure that it is the principal or the deputy principal who makes any decision to place a child or young person in seclusion, and that in the principal’s absence it is clear to staff who has been designated as deputy

  • consider drawing up internal guidelines on body searching and searches of living spaces
  • complete updating, in collaboration with the municipality of location, the agreement on schooling in accordance with the applicable rules

  • ensure compliance with the rules on teaching the full range of subjects to the extent that the in-house school is not subject to rules on emergency schooling which entitle the school to deviate from the former rules

  • ensure that decisions to exempt a pupil from a subject are based on a pedagogical-psychological assessment 
  • ensure compliance with the rules on exemption from compulsory tests and lower secondary school examinations 
  • ensure that children and young people who have not already undergone a psychiatric examination when placed at ‘Grenen-Dalstrup’ are offered screening to establish whether there is a need for a psychiatric examination 
  • increase focus on identifying young people who have or are at risk of developing withdrawal symptoms when placed in the institution, for instance by carrying out drug tests, and ensure treatment for withdrawal symptoms 

Own-initiative case opened against Norddjurs Municipality regarding reduction in the number of class hours

 

5 and 6 May

‘Koglen’, Stakroge

Secure residential institution

In-house school

Talks with 3 users and 5 relatives

DIGNITY participated in the visit

The visiting team recommended that ‘Koglen’:

  • observe the deadlines for recording and reporting use of physical force, episodes of seclusion and body searching and searches of living spaces 
  • consider drawing up internal guidelines on body searching and searches of living spaces

  • complete updating, in collaboration with the municipality of location, the agreement on schooling in accordance with the applicable rules 
  • ensure compliance with the rules on teaching the full range of subjects to the extent the in-house school is not subject to rules on emergency schooling which entitle the school to deviate from the former rules 
  • ensure compliance with the rules on exemption from subjects 
  • ensure compliance with the rules on exemption from compulsory tests and lower secondary school examinations 
  • increase focus on identifying young people who have or are at risk of developing withdrawal symptoms when placed in the institution, for instance by carrying out drug tests, and ensure treatment for withdrawal symptoms 
  • consider discussing the possibility of entering into a cooperation agreement with child and adolescent psychiatric wards on, among other things, admissions and discharges

  • ensure that children and young people who have not already undergone a psychiatric examination when placed at ‘Koglen’ are offered screening to establish whether there is a need for a psychiatric examination
 

26 and 27 May

‘Sølager’, Hundested and Skibby

Secure residential institution

In-house school

Talks with 2 users and 10 relatives

DIGNITY participated in the visit

The visiting team recommended that ‘Sølager’:

  • continue the process of drawing up written guidelines on use of physical for

  • observe the deadlines for recording and reporting use of physical force and body searching and searches of living spaces

  • ensure that reports on use of physical force include an adequate description of the episode and adequate information about the grounds for the use of force

  • ensure that reports on personal and room searches include an adequate description of the measure

  • ensure that when the children and young people arrive, the children, young people, holders of parental responsibility, guardians and personal representatives are informed about their rights in relation to use of force and other restrictions of the right of self-determination, including their right to complain to the National Social Appeals Board and the municipal council, respectively

  • ensure that following body searching and/or searches of living spaces the children and young people are informed that the search has been recorded and are given the opportunity to comment on the episode

  • in collaboration with the municipality of location, update the agreements on schooling in accordance with the applicable rules 
  • ensure compliance with the rules on teaching the full range of subjects and number of class hours 
  • ensure compliance with the rules on exemption from compulsory tests and lower secondary school examinations 
  • draw up written guidelines on how sexual abuse is to be prevented and the procedure for handling suspected abuse 
  • consider the possibility of again entering into an agreement with a local general practitioner on assistance with medical care for residents during their placement at ‘Sølager’ 
  • ensure continued focus on identifying young people who have or are at risk of developing withdrawal symptoms when placed in the institution and ensure treatment for any withdrawal symptoms

8 and 9 September

‘Socialcenter Lillebælt – Egely’, Nørre-Aaby

Secure residential institution with special secure ward

In-house school

Talks with 11 users and 9 relatives

DIGNITY and IMR participated in the visit

 

The visiting team recommended that ‘Socialcenter Lillebælt – Egely’:

  • observe the deadlines for recording and reporting use of physical force, seclusion and body searching and searches of living spaces

  • ensure that reports on use of physical force, seclusion and body searching and searches of living spaces include an adequate description of the episode and adequate information about the grounds for the use of force 
  • in collaboration with the region ensure that guidelines on use of force comply with applicable rules 
  • ensure that the written information to the children and young people on the Act on Adult Responsibility and their rights in relation to, among other things, use of force and other restrictions of the right to self-determination includes an adequate description of the applicable rules 
  • expand its guidelines on seclusion to state (a) that a child or young person in seclusion must be able to summon staff for the duration of the seclusion, and (b) that a doctor of psychiatry (or a general practioner) must be summoned if a child or young person who is placed in seclusion has a mental disorder

  • ensure that it is the principal or the deputy principal who makes any decision to place a child or young person in seclusion, and that in the principal’s absence it is clear to staff who has been designated as deputy 
  • cease video monitoring children and young people who have been placed in seclusion 
  • in collaboration with the municipality of location, update the agreement on schooling in accordance with the applicable rules 
  • ensure compliance with the rules on teaching the full range of subjects and number of class hours 
  • ensure compliance with the rules on exemption from subjects and from compulsory national tests and lower secondary school examinations and ensure documentation of compliance with the rules 
  • ensure that children and young people who have not already undergone a psychiatric examination when placed at the institution are offered screening to establish whether there is a need for a psychiatric examination 
  • consider how it is to a wider extent possible to ensure that children and young people can have general dental examinations regularly 
  • consider – possibly with the involvement of the region – whether an agreement can again be established with a general practitioner in the local community who can assist with the treatment of the children and young people for the duration of their placement at Egely 
  • update healthcare directions so as to bring them into line with applicable practice and relevant legislation, including directions for psychological screening and directions on medicines management 

Own-initiative case opened against the Ministry of Social Affairs and Senior Citizens on connection between the rules on locking rooms at night and door alarms

13 and 14 October

‘Sønderbro’, Copenhagen

Secure residential institution with special secure ward

In-house school

Talks with 11 users and 11 relatives

DIGNITY participated in the visit

The visiting team recommended that ‘Sønderbro’:

  • ensure that staff are familiar with Section 9(3) of the Act on Adult Responsibility on use of physical force when mandatory house rules have been breached 
  • ensure that the written information to the children and young people on the Act on Adult Responsibility and their rights in relation to, among other things, use of force and other restrictions of the right to self-determination includes an adequate description of the applicable rules 
  • observe the deadlines for recording and reporting use of physical force and body searching and searches of living spaces 
  • record and report use of physical force in a form which in terms of contents correspond to the form in the Executive Order on Adult Responsibility 
  • consider drawing up internal guidelines on body searching and searches of living spaces 
  • use the correct form in the Executive Order on Adult Responsibility for recording and reporting body searching and searches of living spaces 
  • check that the institution has authority to use video monitoring on outside areas 
  • cease practice of searching visitors by means of a scanner 
  • in collaboration with the City of Copenhagen, ensure that the in-house school is approved in accordance with applicable rules 
  • ensure compliance with the rules on teaching the full range of subjects and number of class hours 
  • ensure that the use of individual teaching complies with applicable rules 
  • ensure compliance with the rules on exemption from subjects and from compulsory national tests and lower secondary school examinations

9 and 10 November

‘Fårupgård’, Jelling

Open residential institution

In-house school

Talks with 13 users and 11 relatives

DIGNITY and IMR participated in the visit

The visiting team recommended that ʽFårupgård’: 

  • update guidelines on use of force so that they comply with the rules of adult reponsibility legislation regarding deadlines for recording and reporting use of force 
  • observe the deadlines for recording and reporting use of physical force and body searching and searches of living spaces 
  • ensure compliance with the rules on general consent to drug testing and voluntary participation in specific tests, including that all staff are familiar with the new guidelines, and that the children and the young people are informed of their rights in this regard 
  • ensure that all staff are familiar and comply with the new house rules, and that the children and the young people are informed of the house rules