National Preventive Mechanism among others suffers from the permanent high stress levels of the personnel. Adolescents are often placed in adult wards. This grossly inadequate care is exacerbated by the absence of contracted medical specialists for child and adolescent psychiatry in Styria. There is only an outpatient range of services for minors without deductible in the day-care clinics in Graz Süd-West/Standort Süd Regional Hospital and in Hochsteiermark/Leoben Regional Hospital. Massive adverse effects can thus arise for children, because they cannot receive competent professional treatment quickly and are only admitted to inpatient care when a severe mental illness occurs. Prevention, early detection and treatment of children and adolescents in particular is of key importance in order to avoid mental illnesses from further deteriorating or becoming chronic. The use of psychotropic medication is often used in child and adolescent psychiatry, although many of these medications were not approved for minors meaning that there is no standardised product-related risk information from the manufacturers. The principle “Children are not small adults, and adolescents are not big children” applies without restrictions. Therefore, the peculiarities of the child and adolescent organism must be considered both for understanding psycho-pathological symptoms typical for the relevant age and level of development, and for the use of psychotropic medication. There were thus increased requirements for doctors in the field of the “offlabel use“ of psychotropic medication both in terms of acquiring information prior to medication-based therapies and in terms of informing the patients. In some child and adolescent psychiatry wards, information about possible risks and side effects, therapeutic alternatives and risks related to the dosage form is provided on off-label forms in individual cases. The patient is also informed that the medication is not approved for the relevant indication and the written consent of the treated person or their legal guardian is sought. According to the observations made by the commissions, the lack of pertinent professional child and adolescent psychiatry expertise in other wards means that there are often no off-label forms, and psychotropic medication that is not approved for minors is also prescribed for off-label use without special professional explanation or documentation or without the express consent of the patient or legal guardian. An increase in bed capacity as quickly as possible is thus in the interest of the children and adolescents requiring treatment. The outpatient and day-care clinics should be strengthened by way of regionalisation. The efforts of the NPM have at least brought about the commitment to set up a chair of child and adolescent psychiatry at the University Clinic Graz for the first time. However, it is still not clear how much resources will be made available to the allocated clinical ward. 124