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Pilot project on reducing use of restriants and coersive methods in Estonia
Eve Pilt
Advisor for Health Board
14.12.2013
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Our Pilot team on April 03,2014 in Rõngu
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Contributors to the PilotEve Pilt Estonian Health Board);
Rosemary Smyth (director Director of Standards and Quality Assurance Training and Development at Mental Health Commission Ireland );
Hanna Ahonen (Counsellor of Social Welfare at Valvira);
Thijs Melchior (Inspector IGZ elderly care Netherlands );
Marjolein van Vliet Senior programme officer, Quality and Innovation at Care for the disabled;
Jooske Vos (EPSO)
Mari Murel ( translator Dutch – Estonian and English – Estonian)
Juta Varjas – Estonian Health Board
Inge Mäe- Estonian Medicines Agency
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General goal
-To reduce and prevent unnecessary restraints
and coercive methods in the EPSO member countries, and
-If restraints or coercive methods are necessary, the use should be subject to stringent
conditions in terms of quality and safety.
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Goals of the pilot project in Estonia-To test applicability of EPSO framework for monitoring and
supervisory organisations and for care providers in different settings in Estonian context
- To raise awareness on the broad definition of restraints and coersive methods
- To present alternatives - 60 alternatives for restraints in health care, Vilans 2011) – translated into Estonian and handed over to care providers
- To encourage Health Board to adopt a policy on reducing using of restraints and coersive methods
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Goals of the pilot project -to accommodate differences between
approaches of the
Health Board and the Chancellor of Justice
-to send a clear message: produce jointly an optional guidelines for care providers on using restraints and coercive methods
- to draft a discussion paper on chemical
restraints
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Selection of sitesAs we agreed that EPSO framework should
be applicable in all health and social care settings
we targeted to have a broad overview of various
services where using of restraints or
coersive methods is likely to happen.
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Valkla HomeMarch 31, 2014 - a unit for persons with psychiatric illness placed into closed institution based on a court order. At the time of our visit the unit accomodated 93 persons.
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Tartu University HospitalApril 1 2014 - intensive care department – 28 beds, nursing care department – 75 beds
April 2 2014 - psychiatric clinic – 86 beds
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Rõngu HooldusravikeskusApril 03 2014, altogether 75 beds , 10 beds for nursing care and others for social welfare services
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Plans for the future
- to draft a report and present it in Ireland, Dublin
- to pilot the EPSO Framework in couple of more countries
- to take reducing restraints and coercive
methods issue to a bigger audience and develop common standards for EPSO members
- To translate 80 alternatives by Vilans into EPSO member state languages
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Drafting the report is in processOutline of the report:
1 – Introduction
2 – Level of awareness and Policy
3 – restraints and Coersive methods seen in the institutions
in Estonia
4 – EPSO framework useful for the Estonian Insitutions
5- EPSO framework – usefule for the Health Board
6 – EPSO Framework – useful for the Finnish Valvira
7 – Proposed Changes to the Framework
8 – Conclusions
Report will be presented at EPSO 18 –the conference in Dublin.