Hospitals and psychiatric institutions XX  The number of office-based medical specialists for child and adolescent psychiatry who have a contract with public health insurance offices should be increased in all Laender in light of the rising nationwide demand. XX  The care mandate of the psychosomatic sections of paediatric wards should be clearly defined by separating it from treatment reserved for child and adolescent psychiatric wards. 2.2.6 Deficits in regional inpatient psychiatric care The NPM already pointed out deficiencies in regional inpatient care for persons with psychiatric diseases in Styria and Carinthia in its Report 2016 (p. 59 et seq.). Centralisation in Styria In Styria, inpatient psychiatric care is centralised in Graz. Affected persons are thus isolated from their normal surroundings. The caregivers have to spend a considerable amount of time traveling in order to be able to visit the affected persons, which is often an irregular occurrence. Furthermore, in acute situations, time-consuming patient transfers from the outskirts of Styria to Graz are often necessary, causing patients a considerable amount of additional stress in what is already a difficult situation. According to the Regional Health Care Structure Plan for Styria 2025 however, the concentration of psychiatric inpatient care in the Graz area is to remain unchanged as a matter of principle. Only at the Hochsteiermark Regional Hospital in Bruck an der Mur a psychiatric ward including accommodation area is to be set up. Furthermore, the range of psychiatric services in the Graz metropolitan area will be reorganised. The Elisabethinen Hospital in cooperation with the Hospital of St. John of God in Graz (Krankenhaus der Barmherzigen Brüder) under the name “KA Graz-Mitte” will have a psychiatric ward with a predominant focus on geriatric psychiatry. The NPM believes that the planned opening of a psychiatric facility at the Hochsteiermark General Hospital in Bruck an der Mur should be implemented as quickly as possible in order to at least make a first step towards regional inpatient care. Consequently, a third location at the very least with acute beds including accommodation should be set up in Upper Styria. The transfer of beds should also free up capacity in the Graz Süd-West/Standort Süd General Hospital where the existing confined space makes it difficult to care adequately for the patients. Inadequate area for hospitalisation of mentally ill persons 56 A similar problem still exists in the Department of Psychiatry and Psychotherapeutic Medicine at Villach Regional Hospital. The lack of space caused by the inadequate building structure and the lack of a sufficiently

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