National Preventive Mechanism have a noticeable effect on the atmosphere between the children and between members of staff. The NPM sees an urgent need for action on the part of the competent authorities for child and youth welfare and protection to ensure full employment in the facilities and to improve the working conditions for the socio-pedagogical personnel. XX Solutions for preventing high personnel fluctuation have to be found in order to avoid the frequent change in contact persons that is harmful for the children’s well-being. XX An improvement in working conditions must be implemented in order to fill all of the vacant positions. 5.3.4 Abrupt breaks in relationships after stays in psychiatric hospitals Breaks in relationships have negative effects on minors After examining the documentation in several Tyrolean facilities, Commission 1 found entries describing the change of care givers after stays in psychiatric institutions. Since the facility refuses to accept the adolescents again after they were discharged, they had to be housed in other facilities. In the opinion of experts, the situation for the children and adolescents deteriorates even more after every broken relationship. The unresolved problems reappear with intensity after some time in the new support system. Crisis management for stabilisation For this reason, facilities in which severely traumatised children and adolescents live have developed crisis management concepts. These are designed to avoid an escalation of the situation and that there will be no return both for the affected adolescents and the socio-pedagogical personnel afterwards. The concepts are based on the idea of the attachment theory and involve cooperation with an emergency shelter, a partner shared accommodation or psychiatric facility. The partner facility takes the minors for a short period. This change of setting can help to avoid losing the minor’s place in their shared accommodation if the contact to the child is not broken off during this time. The basis of these models is the finding that no bond has been established between the care givers and the child or adolescent in the partner facility and that there will therefore be no escalation during the phase of apparent adaptation. If the care giver with whom the child has a bond maintains contact to the child at the same time, it is possible to return the child to their own facility as soon as the crisis situation ceases to exist. In 2016, Commission 6 visited a facility in Burgenland that implements this model very successfully. 144

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