Hospitals and psychiatric institutions Advance prescriptions also preclude reporting the dangerous situation which makes the measure that restricts freedom allowable because the actual situation has not yet occurred and can therefore not be known. It can at most be predicted based on previous threats. Dubious predictions The NPM thus insisted that the current practice of restrictions of freedom facilitated by doctors who write advance prescriptions on a weekly basis has to stop. This should ensure the legally compliant application of restrictions of freedom in the ward. As a reaction to this criticism, a working group was set up in the affected gerontopsychiatric ward. Together with the patient advocates, the group is developing the definition and implementation of a procedure that is designed to guarantee the legally compliant application and documentation of restrictions of freedom. The NPM will evaluate the results of this working group and ensure that the legally compliant application and documentation of restrictions of freedom are guaranteed in practice. XX 2.2.5  The application of measures that restrict freedom due to advance doctors’ prescriptions must stop because it results in the illegal delegation of the relevant mandatory authority to write prescriptions to the nursing staff. Inadequate child and adolescent psychiatric care Some 165,000 children and adolescents are considered to be in need of treatment in Austria. A current study by the Medical University of Vienna and the Ludwig Boltzmann Institute shows that actually a quarter of all 10- to 18-year-olds are affected by some form of mental illness. But there are structural deficits both in the outpatient and inpatient area of child and adolescent psychiatry as was observed by the Federal Ministry of Health and Women’s Affairs in the Child and Adolescent Health Report published in 2016. Considerable underachievement in planning objectives The Austrian Health Care Structure Plan (Österreichischer Strukturplan Gesundheit) 2017 still stipulates a benchmark of 0.08 to 0.13 inpatient child and adolescent psychiatric beds per 1,000 inhabitants. The number of beds available nationwide for child and adolescent psychiatry has risen slightly from 389 in 2015 to 392 beds in 2016. However, the 2016 bed index for child and adolescent psychiatry was still only 0.04 beds per 1,000 inhabitants due to the average national growth in population. In addition to the beds in child and adolescent psychiatric wards, there were another 122 beds for the psychosomatic care of children and adolescents in 2016. 51