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Table 2 QualityRights Tool Kit review

From: Quality of mental health services and rights of people receiving treatment in inpatient services in Finland: a cross-sectional observational survey with the WHO QualityRights Tool Kit

Themes and standards Wards
1 2 3 4 5 6 7 8 9 10 11 12 13 Total (mean, SD)
Theme 1 the right to an adequate standard of living
 1.1: the building is in good physical condition 2 2 2 3 2 2 2 3 3 3 2 3 3 2.5 (0, 5)
 1.2: the sleeping conditions of service users are comfortable and allow sufficient privacy 2 2 2 3 2 3 2 3 2 3 2 3 3 2.5
 1.3: the facility meets hygiene and sanitary requirements 2 2 3 3 2 3 3 3 3 3 3 3 3 2.8
 1.4: service users are given food, safe drinking-water and clothing that meet their needs and preferences 3 3 3 2 3 3 3 3 3 3 3 3 3 2.9
 1.5: service users can communicate freely, and their right to privacy is respected 2 3 2 3 3 3 3 3 3 3 2 2 2 2.6
 1.6: the facility provides a welcoming, comfortable, stimulating environment conducive to active participation and interaction 2 2 2 2 3 2 2 2 2 3 3 3 3 2.4
 1.7: service users enjoy a fulfilling social and personal life and remain engaged in community life and activities 2 2 2 2 3 3 2 2 2 3 3 3 3 2.5
 Final score 2 2 2 2 3 3 2 3 3 3 3 3 3 2.6
Theme 2 the right to enjoyment of the highest attainable standard of physical and mental health
 2.1: facilities are available to everyone who requires treatment and support 3 3 3 3 3 3 3 3 3 3 3 3 3 3.0
 2.2: the facility has skilled staff and provides good quality mental health services 2 2 3 2 2 2 2 2 3 3 3 3 3 2.5
 2.3: treatment, psychosocial rehabilitation and links to support networks and other service are elements of a service user-driven recovery plan and contribute to a service user's ability to live independently in the community 3 2 3 2 2 3 3 2 2 3 2 3 3 2.5
 2.4: psychotropic medication is available, affordable and used appropriately 3 2 3 2 3 2 2 2 3 3 2 3 3 2.5
 2.5: adequate services are available for general and reproductive health 2 2 3 3 3 3 2 2 3 3 3 3 3 2.7
 Final score 3 2 3 2 3 3 2 2 3 3 3 3 3 2.7
Theme 3 the right to exercise legal capacity and the right to personal liberty and the security of person
 3.1: service users' preferences regarding the place and form of treatment are always the priority 3 2 3 2 3 3 2 2 2 2 2 3 2 2.4
 3.2: procedures and safeguards are in place to prevent detention and treatment without free and informed consent 3 2 2 3 2 2 3 2 3 3 2 2 2 2.4
 3.3: service users can exercise their legal capacity and are given the support they may require to exercise their legal capacity 2 2 2 2 3 3 2 2 2 3 3 3 3 2.5
 3.4: service users have the right to confidentiality and access to their personal health information 3 3 2 2 2 3 3 3 3 3 3 2 3 2.7
 Final score 3 2 2 2 2 3 3 2 3 3 3 2 2 2.5
Theme 4 freedom from torture or cruel, inhuman or degrading treatment or punishment and from exploitation, violence and abuse
 4.1: service users have the right to be free from verbal, mental, physical and sexual abuse and physical and emotional neglect 2 2 3 3 3 3 3 2 3 3 3 2 3 2.7
 4.2: alternative methods are used in place of seclusion and restraint as means of de-escalating potential crises 2 2 2 2 2 2 2 2 2 2 2 3 2 2.1
 4.3: electroconvulsive therapy, psychosurgery and other medical procedures that may have permanent or irreversible effects, whether performed at the facility or referred to another facility, must not be abused and can be administered only with the free and informed consent of the person 3 3 3 3 3 3 3 3 3 3 3 3 3 3.0
 4.4: no service user is subject to medical or scientific experimentation without his or her informed consent 3 3 3 3 3 3 3 3 3 3 3 3 3 3.0
 4.5: safeguards are in place to prevent torture or cruel, inhuman or degrading treatment and other forms of illtreatment and abuse 3 3 3 3 3 3 3 3 3 3 3 3 3 3.0
 Final score 3 2 3 3 3 3 3 3 3 3 3 3 3 2.9
Theme 5 the right to live independently and be included in the community
 5.1: service users are supported in gaining access to a place to live and have the financial resources necessary to live in the community 3 3 3 3 3 2 3 3 3 3 3 3 3 2.9
 5.2: service users can access education and employment opportunities 3 3 3 2 2 3 3 3 2 3 3 3 3 2.8
 5.3: the right of service users to participate in political and public life and to exercise freedom of association is supported 3 2 3 3 3 3 2 2 2 3 3 3 3 2.7
 5.4: service users are supported in taking part in social, cultural, religious and leisure activities 2 3 2 2 2 3 2 2 3 3 3 2 3 2.5
 Final score 3 2 3 2 3 3 3 2 2 3 3 3 3 2.7