physician and are also medically insured. However, especially in rural areas consultant positions for institutions and facilities are hard to find. In particular, specialist physicians who treat statutorily insured patients are often unavailable. Not all practices of physicians who treat statutorily insured patients ensure barrier-free accessibility for persons with disabilities. In some cases, local professionals may be insensitive when handling persons with disabilities and their behaviour patterns, prior to or during treatment. Physicians freely chosen by the individual are not contacted due to cost constraints. medical care There are some interesting initiatives for making medical care more inclusive, though these initiatives are only being carried out in certain regions. For example, in Lower Austria doctor-patient interaction guidelines have been developed for Land clinics and institutions and facilities for persons with disabilities. They are available as a free brochure and are written in clear, easily comprehensible language. They are useful when preparing for appointments to treat persons with disabilities. Also helpful are various new technologies such as apps for doctor’s appointments conducted in sign language, or the so called “Video Interpreting in Healthcare” project, which was launched in 2013 at healthcare and other facilities and which, has received specialist support. During the pilot phase it was set up for persons with hearing and speech impairment, among others. In 2015 a further project for enabling sign language functionalities on smartphones, tablets and laptops was launched. This project, entitled “Sign Language Interpreter on Your Display”, is to ensure that persons with hearing impairment in Vienna have barrier-free communicative access at doctors’ practices, to which they are entitled under UN CRPD. New technologies are being developed Notwithstanding the commitment and effort of various individual entities, the Austria-wide inadequacies in medical provision for persons with disabilities are a structural problem. This needs to be acknowledged and suitable strategies for solutions need to be developed.  Persons with disabilities are entitled to the very highest level of health.  Inclusive medical care needs to be available Austria-wide.  Further developments in assistive technologies would be very useful; they should be made available Austria-wide. 2.4.2.5. Living with mental illness The reforms in psychiatry that have taken place over the past few decades have been aimed at creating new care structures for persons with mental illnesses after long stays in psychiatric hospitals. Criticism It is undisputed that dehospitalisation is an important objective 85