National Preventive Mechanism Furthermore, the Styrian Hospital Limited Liability Company (Krankenanstaltengesellschaft or KAGES) is considering centralising child and adolescent psychiatric care, primarily in day-care clinics or the external area within the framework of a project. An increase – even if a minor one – in inpatient beds is also planned centrally in Graz Süd-West/Standort Süd Regional Hospital. In the view of the NPM, medical specialists for child and adolescent psychiatry, who are contracted by the public health insurance, should be integrated in this care structure to facilitate local care and promote the de-stigmatisation of the psychiatric treatment of children and adolescents in the interest of the patients. In this respect, decentralised inpatient beds should be made available that could be set up in Hochsteiermark/Leoben Regional Hospital in addition to the already existing day-clinic places for example. This would secure full regional coverage and avoid transfers to inpatient accommodation in Graz Süd-West/Standort Süd Regional Hospital. Taking the standards from the Austrian Health Care Structure Plan 2012 into account, the capacity required for Vienna would be 128 to 208 inpatient beds in the field of child and adolescent psychiatry. Insufficient capacity also in Vienna However, even the capacity of 106 beds set down in the Regional Health Care Structure Plan is far from being achieved. The child and adolescent psychiatry in the Neurological Rehabilitation Centre Rosenhügel and Vienna General Hospital had a mere 56 beds available in 2016. For this reason, the currently planned capacity extension of the child and adolescent psychiatry ward in the Neurological Centre Rosenhügel should be implemented quickly, because additional care services can only be expected in the Vienna North Hospital in 2018 at the earliest. The low care density resulted in 191 children and adolescents having to be admitted to adult inpatient psychiatry in Vienna in 2015. There is an upward trend in these admissions. On average, two minors between the ages of 12 and 17 had thus to be treated in the Viennese adult psychiatry per day. As the observations of the commissions indicate, the treatment of children and adolescents in the area of adult psychiatry is however a general problem. This is because the wards for child and adolescent psychiatry cannot deal with acute cases due to a lack of adequate bed capacity. Being confronted with mentally ill adults is extremely stressful for minors, because their needs cannot be adequately catered to in this environment. There is no suitable care for each age group, no pedagogical service and the children or adolescents have not contact to peers of the same age in adult psychiatry. Care in adult psychiatry The separation rule for adolescents in medical facilities is thus emphasised in jurisdiction. The CPT also stressed in its last country report to the Federal Government of Austria in autumn 2014 that placing adolescent psychiatric 125