Chain-free initiative

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Chain-free initiative expected results

A) Chain-free hospitals:

1. Chains have been removed from patients

2. Chains have been removed from the hospital and are not allowed in the hospitals

3. Staff are well trained in the humane treatment of users and users’ rights

4. Relatives are trained in the humane treatment of users and users’ rights

5. Users are trained on self control and on their own rights

6. Hospital are renovated, provide all basic facilities and are maintained in good shape

7. Users are well fed, appropriately clothed and taken care of in acceptable environmental conditions, including temperatures

8. Users have access to clean bathrooms and latrines with sufficient privacy

9. Hospital furniture is clean and in good repair and sheets are regularly changed

10. Users and families are involved in the planning and maintenance of the hospital

11. A committee on chain-free hospitals is available with the participation of users, families and staff

12. Treatment facilities and medications are available, especially in the event of violent or self destructive behaviour

13. Patients are regularly examined by well trained staff to monitor recovery, the side-effects of treatments and coincident physical illnesses

14. Seclusion rooms and soft restraints are available but only used in limited well-defined situations for short periods of time under regular supervision

15. Regular inspections are made by relevant authorities to reassure the implementation of the above activities

B) Chain-free homes:

1. Chains have been removed from users

2. Chains have been removed from homes and are not allowed in the home for restraining users

3. Regular home visits are carried out by health care providers

4. Users are trained on their own rights and on self control

5. Family members are well trained on the humane approach, the rights of users and on the recovery-oriented approach

6. Neighbours who express concern are briefed about the condition and rights of patients

C) Chain-free environments:

1. Community awareness is raised on the chain-free initiative in hospitals and homes and the rights of users

2. Community awareness is raised on invisible chains on the rights of users in the community

3. Community awareness is increased on the recovery-oriented approach to mental illness

4. Attitudes of the community are improved towards mental illness

5. Attitudes of the community are improved on individual differences

6. Social distance is reduced regarding mental health service users

7. Users’ organizations are available and active

8. Family associations are available and active

9. Community mental health services and continuous recovery-oriented care are available and active

10. Universal access to all civil opportunities is available for users