{"?xml":{"@version":"1.0"},"edm:RDF":{"@xmlns:dc":"http://purl.org/dc/elements/1.1/","@xmlns:edm":"http://www.europeana.eu/schemas/edm/","@xmlns:wgs84_pos":"http://www.w3.org/2003/01/geo/wgs84_pos","@xmlns:foaf":"http://xmlns.com/foaf/0.1/","@xmlns:rdaGr2":"http://rdvocab.info/ElementsGr2","@xmlns:oai":"http://www.openarchives.org/OAI/2.0/","@xmlns:owl":"http://www.w3.org/2002/07/owl#","@xmlns:rdf":"http://www.w3.org/1999/02/22-rdf-syntax-ns#","@xmlns:ore":"http://www.openarchives.org/ore/terms/","@xmlns:skos":"http://www.w3.org/2004/02/skos/core#","@xmlns:dcterms":"http://purl.org/dc/terms/","edm:WebResource":[{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:DOC-BB8FUENU/3d002118-fdbc-4156-92b5-b3a5e5d9560c/PDF","dcterms:extent":"384 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:DOC-BB8FUENU/d3f90416-dbbf-4efc-9cf5-641fec8fad45/TEXT","dcterms:extent":"39 KB"}],"edm:TimeSpan":{"@rdf:about":"2002-2026","edm:begin":{"@xml:lang":"en","#text":"2002"},"edm:end":{"@xml:lang":"en","#text":"2026"}},"edm:ProvidedCHO":{"@rdf:about":"URN:NBN:SI:DOC-BB8FUENU","dcterms:isPartOf":[{"@rdf:resource":"https://www.dlib.si/details/urn:nbn:si:spr-py0w57lr"},{"@xml:lang":"sl","#text":"Zdravstveno varstvo"}],"dcterms:issued":"2025","dc:creator":["Prevodnik, Katja","Rafaelič, Andreja","Škraban, Juš"],"dc:format":[{"@xml:lang":"sl","#text":"številka:4"},{"@xml:lang":"sl","#text":"letnik:64"},{"@xml:lang":"sl","#text":"str. 181-189"}],"dc:identifier":["ISSN:0351-0026","DOI:10.2478/sjph-2025-0024","COBISSID:259696643","URN:URN:NBN:SI:doc-BB8FUENU"],"dc:language":"en","dc:publisher":{"@xml:lang":"sl","#text":"Nacionalni inštitut za javno zdravje"},"dc:subject":[{"@xml:lang":"en","#text":"coercion"},{"@xml:lang":"sl","#text":"duševno zdravje"},{"@xml:lang":"sl","#text":"institucionalizacija"},{"@xml:lang":"en","#text":"institutionalisation"},{"@xml:lang":"en","#text":"intellectual disability"},{"@xml:lang":"en","#text":"involuntary admission"},{"@xml:lang":"en","#text":"mental health"},{"@xml:lang":"sl","#text":"osebe z intelektualnimi ovirami"},{"@xml:lang":"sl","#text":"pravice"},{"@xml:lang":"sl","#text":"prisila"},{"@xml:lang":"en","#text":"rights"},{"@xml:lang":"sl","#text":"socialnovarstveni zavodi"},{"@xml:lang":"sl","#text":"varovani oddelki"}],"dcterms:temporal":{"@rdf:resource":"2002-2026"},"dc:title":{"@xml:lang":"sl","#text":"User, admission and discharge characteristics at secure units in residential social care institutions in Slovenia| Značilnosti uporabnikov, sprejema in odpusta z varovanih oddelkov v posebnih socialnovarstvenih zavodih v Sloveniji|"},"dc:description":[{"@xml:lang":"sl","#text":"Introduction: To evaluate data on users, the characteristics of admission, placement and discharge of individuals in secure units. These are locked units in special residential institutions in the social care sector. Methods: A total population descriptive study was performed. In April 2024, a questionnaire comprising 72 items was sent to all six institutions with secure units in the field of mental health and intellectual disabilities. Data from 2023 were gathered. Descriptive and univariate analysis were applied. Results A total of 64% of users were male, and the mean age was 54.3 years. The vast majority of users (98%) were admitted involuntarily and deprived of their legal capacity (67%). The largest proportion of users were admitted following admission into a psychiatric hospital (44%), admission to open units of the same institution (34%) and living in the community (10%). The mean length of stay in the secure unit was 64.01 months. During the placement in secure units, 14% of users were admitted to a psychiatric hospital. Only 17% users were discharged from secure units, with 81% taking place later, while 19% discharges took place before the expiry of a court order. The most common location of discharge was the open unit of the same institution (79%). Conclusions: The results highlight high rates of involuntary admissions, prolonged stays and limited transitions to community care, raising public health and human rights concerns. The findings call for a shift in focus from expanding institutional capacity towards improving discharge practices and strengthening community-based support"},{"@xml:lang":"sl","#text":"Uvod: Oceniti podatke o uporabnikih, značilnostih sprejema, namestitve in odpusta iz varovanih oddelkov. To so zaprti oddelki v posebnih socialnovarstvenih zavodih. Metode: Opravljena je bila deskriptivna študija celotne populacije. Aprila 2024 je bil vprašalnik, ki je vseboval 97 polj za vnos podatkov, poslan vsem šestim posebnim zavodom z varovanimi oddelki (na področju duševnega zdravja in motenj v duševnem razvoju). Zbrani so bili podatki za leto 2023. Uporabljena je bila opisna univariatna analiza. Statistična analiza podatkov je bila izvedena z uporabo statističnega programskega paketa SPSS. Rezultati: 64 % uporabnikov je bilo moških, povprečna starost je bila 54,3 leta. 6 % uporabnikov je imelo manj kot 30 let. Večina uporabnikov (98 %) je bila sprejeta neprostovoljno in jim je bila odvzeta poslovna sposobnost (67 %). Največji delež uporabnikov je bil sprejet po sprejemu v psihiatrično bolnišnico (44 %), sprejemu na odprti oddelek istega zavoda (34 %) in življenju v skupnosti (10 %). Povprečna dolžina bivanja na varovanem oddelku je bila 64,01 meseca, kar 14 % uporabnikov pa je bilo nameščenih več kot 121 mesecev. Med namestitvijo na varovanem oddelku je bilo le 14 % uporabnikov sprejetih v psihiatrično bolnišnico. Z varovanih oddelkov je bilo odpuščenih 17 % uporabnikov. Do 81 % odpustov je prišlo po, do 19 % pa pred iztekom sklepa sodišča. Najpogostejša lokacija odpusta je bila odprta enota iste ustanove (79 %). Rezultati se razlikujejo od zavoda do zavoda, statistično pomembne razlike pa so se pokazale v dolžini namestitve. V primerjavi s posebnimi socialnovarstvenimi zavodi je na varovanih oddelkih več moških, večji delež uporabnikov je postavljen pod skrbništvom, imajo nekoliko nižjo povprečno starost, več jih je nameščenih neposredno iz psihiatrične bolnišnice in redkeje so odpuščeni v skupnost. Zaključki: Visoka stopnja sprejemov brez privolitve, dolgotrajno in kontinuirano nameščanje ali sporadični prehodi v skupnostne oblike podpore lahko vzbujajo skrb z vidika javnega zdravja in človekovih pravic. Zato bo treba posebno pozornost nameniti premiku iz širjenja institucionalnih kapacitet k vzpostavitvi novih praks odpustov z varovanih oddelkov in krepitvi skupnostnih oblik podpore"}],"edm:type":"TEXT","dc:type":[{"@xml:lang":"sl","#text":"znanstveno časopisje"},{"@xml:lang":"en","#text":"journals"},{"@rdf:resource":"http://www.wikidata.org/entity/Q361785"}]},"ore:Aggregation":{"@rdf:about":"http://www.dlib.si/?URN=URN:NBN:SI:DOC-BB8FUENU","edm:aggregatedCHO":{"@rdf:resource":"URN:NBN:SI:DOC-BB8FUENU"},"edm:isShownBy":{"@rdf:resource":"http://www.dlib.si/stream/URN:NBN:SI:DOC-BB8FUENU/3d002118-fdbc-4156-92b5-b3a5e5d9560c/PDF"},"edm:rights":{"@rdf:resource":"http://creativecommons.org/licenses/by-nc-nd/4.0/"},"edm:provider":"Slovenian National E-content Aggregator","edm:intermediateProvider":{"@xml:lang":"en","#text":"National and University Library of Slovenia"},"edm:dataProvider":{"@xml:lang":"sl","#text":"Nacionalni inštitut za javno zdravje"},"edm:object":{"@rdf:resource":"http://www.dlib.si/streamdb/URN:NBN:SI:DOC-BB8FUENU/maxi/edm"},"edm:isShownAt":{"@rdf:resource":"http://www.dlib.si/details/URN:NBN:SI:DOC-BB8FUENU"}}}}