Institutions for persons with disabilities residents and the staff is more frequent. Working with persons with multiple disabilities in particular can result in the extreme overload of organisations. Commission 6 twice visited one facility in Lower Austria that also admits adult residents with high aggression potential. The staff claimed not to have been sufficiently prepared for the admission of three clients who, in addition to an intellectual impairment since birth, also required psychiatric treatment. Other residents in particular had to suffer from uncontrollable, aggressive, impulsive outbursts and aggression towards others as well as occasional physical attacks both as victims but also as observers. There was no clear concept on how to deal with this situation and which type of support has to be offered to the other affected residents. Human Rights Advisory Council drafts statement on vicitim support The NPM observed that victim support aspects were structurally denied in this facility and requested the Human Rights Advisory Council to address this topic using the incidents as a basis. The experts drafted an extensive statement that can be read on the AOB website. The NPM hopes to have created easier access to the document developed for them in an “easy to read” version in particular. The following aspects are depicted as extracts: The Human Rights Advisory Council emphasised that persons with disabilities in assisted institutions and facilities belong to a particularly vulnerable group. The possibilities to set boundaries as well as accept help after experiencing violence are few. Therefore, mechanisms and measures are required to protect the human rights of those affected. At the same time, it is also important not to respond to those who act aggressively towards others and who have severe intellectual impairments and psychiatric disorders exclusively with criminalisation, enforcement and cancellation of the home contracts. This would thwart any successful attempt at providing support. The protection of these victims cannot be subject to any compromise. Top priority must be given to the safety of persons in institutions and facilities. This includes anchoring a professional approach in the institutions and taking clear stance on violence. Missing violence protection concepts Suitable quality standards should be defined as the basis for effective victim support. Currently, guidelines on dealing with violence in institutions for persons with disabilities are not available in all Laender. All of the Laender should define these standards in order to prescribe a clear course of action for operator organisations. Regardless of this, operators must ensure that persons can live (and work) in their facilities without violence. In order to reach this goal, preventive approaches have to be implemented in three areas: in primary prevention by preventing aggressive behaviour; in secondary prevention by taking deescalation measures; and in tertiary prevention through structured follow-up. Sufficient resources are a basic condition for achieving this goal. Clients who 88

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