Hospitals and psychiatric institutions
Flawed discharge
management
Discharge management at Graz Süd-West/Standort Süd Regional Hospital
also gave cause for criticism. Commission 3 observed during their visit that
one long-term patient was discharged due to the authorisation of her legal
guardian and was transferred to Vienna by an “authorised” person.
As a matter of principle it is, however, impermissible that legally appointed
guardians divest themselves of their responsibility by delegating their tasks
to third parties. The discharge and transfer of this patient to Vienna was thus
conducted without the legal consent for the patient, which was extremely
problematic in view of an acute risk of suicide. It was evidently not examined
if the authorised “escort” was legally entitled to carry out the discharge
procedure.
The reservations on the part of the NPM were considered insofar as
authorisations made by legal guardians will be examined more closely in the
future in cases where the status is unclear.
XX
The number of non-residential places for taking care of persons with psychiatric diseases
must continue to be increased to avoid hospital stays for which there is no medical
indication.
XX
The authority of persons having powers of representation must be carefully examined as
part of discharge management.
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