• Finally, safeguards must be in place. These include access to legal counsel and to monitoring bodies, rights of appeal, and a robust, confidential and accessible system for making complaints. Similar principles apply to the use of restraints, namely that their use must be lawful, necessary and proportionate. Restraint must only be applied in cases of emergency, when all other options have been tried and failed. The least restrictive form of restraint possible must be used and then for the shortest time possible necessary to achieve the specific aim which its use seeks to achieve. Instruments of restraint must never be used as punishment, and the manner in which restraint is applied must not be degrading or painful. Some forms of restraint, including chains, irons and or other instruments of restraint which are inherently degrading or painful (Mandela Rule 47(1)) are prohibited altogether. Using these principles to assess whether the establishments visited met international standards on conditions of confinement and treatment of individuals secluded in them, the following issues were examined for this review: • What is the legal basis for using solitary confinement and restraint in each of the settings examined? (see Appendix 3) • How many people spent time in solitary confinement, and for how long? • When and why was solitary confinement used in practice? Was it used only as a last resort? • What were the material conditions, daily regime and in-cell provisions in solitary confinement cells? Were minimum human rights standards met? • Were individuals belonging to vulnerable groups, as defined in the Mandela Rules, found in solitary confinement units? • How often were placements reviewed and by whom? Were reviews substantive? • How often was restraint used? Was it used only as a last resort? • Was a robust system enabling confidential complaints in place? 23

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