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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