The risk for inadequate treatment with psychotropic medication is higher (and these are also the reference points for prevention), particularly if: a) the professional competence of the prescribing doctor is insufficient or appropriate care by doctors with geriatric or psychiatric training is not ensured (psychotropic medication is prescribed by general practitioners; visits by specialists do not take place regularly or take place too seldom); b) the nursing and care staff is not appropriately qualified (in particular as far as dealing with challenging behaviour is concerned); c) the cooperation between doctors, pharmacists and nursing staff is inadequate; d) documentation is insufficient (if, for example, indication, the symptoms being treated and the effectiveness of the treatment are not documented, administration of PRN medication must be adequately specified in order to not leave the decision about the medication up to the nursing staff); e) non-pharmacological measures consideration or none at all. are given too little There are some positive initiatives, which were begun or expanded after the presentation of the report of the NPM. In 2015, Lower Austria began the “medication reconciliation” project in collaboration with the Baden Regional Hospital, the Lower Austria State Nursing Home Baden, the Mödling Regional Hospital, the Lower Austria State Nursing Home Mödling, the Lower Austrian Public Regional Health Insurance Office (NÖGKK), the Social Insurance Institution for Trade and Industry (Sozialversicherungsanstalt der Gewerblichen Wirtschaft) and the Health and Social Fund of Lower Austria (NÖ Gesundheits- und Sozialfonds). The intention is to optimise patients’ medication and to reduce the negative effects of polypharmacy. Lower Austria Another project in Lower Austria is the “Lower Austrian Nursing Home Polystudy” (“NÖ-H-Polystudie”). Within the scope of the study, the medication of all new residents accepted in regional nursing homes is ascertained and re-examined after eight weeks. The results will in all likelihood be available in late 2016. The improvement of care of patients with dementia, the increase in the number of care and nursing staff in nursing homes, support by local office-based doctors as well as the reduction or adjustment of psychotropic medication is also the objectives of the project “Gerontopsychiatry in Nursing Homes” (“Gerontopsychiatrie in Vorarlberg 40