Hospitals and psychiatric institutions On the basis of these general deficiencies and problems in the care area, the NPM recently highlighted the situation in Styria and Vienna as an example. Existing deficiencies in the cooperation with the patient advocacies were also highlighted at press conferences. A mere 33 inpatient beds for child and adolescent psychiatry and 14 child and adolescent psychiatry day-clinic places were available in Styria in 2016 for example. Seen in the context of the current bed index of 0.04, Styria held last place in Austria. Care deficits in Styria This inadequate care situation causes extreme stress in child and adolescent wards in the Graz Süd-West/Standort Süd Regional Hospital. Adolescents regularly have to be placed in adult wards. This already grossly inadequate care is exacerbated by the absence of medical specialists for child and adolescent psychiatry who have a contract with the public health insurance office in Styria. There are only outpatient services for minors in the day-care clinics in Graz Süd-West/Standort Süd Regional Hospital and in Hochsteiermark/Leoben Regional Hospital. Action was taken as part of the Regional Health Care Structure Plan for Styria (Regionaler Strukturplan Gesundheit Steiermark) 2025 in response to the criticism formulated by the NPM. The plan includes setting up a total of 84 beds for child and adolescent psychiatry, of which 72 are for the Graz region (15 beds in the University Hospital Graz and 57 in Graz Süd-West/Standort Süd Regional Hospital) and 12 as a separate day-care clinic in the Hochsteiermark/ Standort Leoben Regional Hospital. This is equivalent to a capacity increase of 38 beds compared to the current 46 beds. The minimum number of 96 beds defined in the Austrian Health Care Structure Plan 2017 has not been achieved, but a significant expansion of the outpatient care facilities outside of the hospital sector is planned in parallel with the reinforcement of the inpatient area. As a supplementary measure instigated by the NPM, a chair of child and adolescent psychiatry is being set up for the first time at the University Hospital Graz. In the interest of a decentralised, outpatient child and adolescent specialist service, a total of ten outpatient child and adolescent psychiatric facilities are to be created in Styria. These were in the development phase at the time when this report was completed. These outpatient facilities should be closely linked to some of the existing psychosocial counselling centres for children and adolescents. In 2018, the NPM will continue monitoring if and in how far the goal of treating children and adolescents as outpatients for as long as possible can be met; regardless of the type of illness. There is also significant underperformance of the goals of the Austrian Health Care Structure Plan 2017 in Vienna (128 to 208 beds). The child and adolescent psychiatry at the Neurological Rehabilitation Centre Rosenhügel and Vienna General Hospital had only a total of 56 beds in 2016. Insufficient bed capacity in Vienna 53