National Preventive Mechanism Hospital and Klagenfurt Regional Hospital. The implementation of this project seemed to be all the more urgent to the NPM, as completion of the new psychiatry construction and reconstruction in Villach and Klagenfurt is expected in 2020/2021 at the earliest. However, the Operating Company of the Carinthian Hospitals, KABEG (Krankenanstalten-Betriebsgesellschaft) questioned the setting up of an additional area pursuant to the Hospitalisation Act in Villach Regional Hospital for financial reasons at the end of November 2016. The NPM will therefore strongly emphasise to the Land Carinthia that the realisation of an extended ward in Villach Regional Hospital is urgently required to improve the care situation for patients, which is unacceptable from a human rights perspective. Styria - transfers as a result of centralising psychiatry There are similar problems with transferring patients in Styria, because inpatient psychiatry is centralised in Graz. This is critical from a human rights perspective, insofar as it greatly limits the opportunity for families to visit patients, which is very stressful for mentally ill persons in particular. The Psychiatry Report Styria 2009 states that local care should be guaranteed for patients through the decentralisation of inpatient psychiatry. The regionalisation of the acute inpatient area should go hand in hand with the construction and extending of outpatient and day-care clinics. This will facilitate offering cross-sector, coordinated, outpatient care and reducing inpatient hospital stays – insofar as this is reasonable and possible. To date, however, psychiatric outpatient facilities have only been created in the hospitals in Hartberg and Bruck an der Mur. There are no inpatient services outside Graz even though systematised beds are planned for the area of Hochsteiermark Regional Hospital in the Regional Health Care Structure Plan for Styria. The problem of currently centralised inpatient psychiatric care in Styria can be illustrated using the collaboration between the Bad Aussee Clinic with the hospitals in Graz as an example: Since acute psychiatric treatment is not permitted in the Bad Aussee Clinic, patients have currently to be transferred via patient transport to Graz SüdWest/Standort Süd Regional Hospital without qualified personnel. The journey of some two hours alone makes these patient transport trips potentially precarious. They should be avoided in the interest of the patients. Transport is thus often carried out at night accompanied by the police. The NPM has emphasised to the Land Styria that, in the interest of the patients, decentralisation and regionalisation should be pushed in the planned redesign of the psychiatric services. 132

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