National Preventive Mechanism Form is being revised In this regard, the medical facilities authority stated that the Intranet form entitled “Restrictions on freedom of movement” is currently being revised by the Tyrolean hospital operating company TILAK with respect to the electronic medical history. This form will, of course, also be used at Station A6. The form is supposed to mention milder measures. ¾¾ Strapping a patient to a hospital bed is only permitted when it is absolutely necessary due to the progression of the disease. ¾¾ The external conditions accompanying the restraint may not be frightening to the patient. ¾¾ During the period of restraint, this type of detention must be continually questioned. ¾¾ The form on “Restrictions on the freedom of movement”, recommended by the NPM, must be created. 2.5.7 Correct medication? - Garsten correctional institution Medication questioned In the summer of 2013, the commission found that 38 of the 64 inmates in detention for mentally ill offenders at Garsten correctional institution received 50 mg of Praxiten on the day of its visit. It was as difficult to understand this prescription as it was to understand why the anti-psychotic drug Zypadhera was being dispensed. Both were discussed with the institution’s psychiatrist. Medical superintendent visits institution At the recommendation of the NPM, the relevant department head at the prison administration and the medical superintendent made an inspection. The medical superintendent and the psychiatrist who worked at the institution discussed the prescriptions of psychiatric drugs criticised by the commission separately. As the Austrian Court of Auditors also concluded (Report 2014/15 Item 15.3), medication prescriptions can be verified in the future with the aid of the monthly controlling reports of Bundesrechenzentrum GmbH (the ITprovider for Federal Departments in Austria). On-site enquiries In this case, the medical superintendent was able to verify that the psychiatric drugs were prescribed on the basis of the specifically diagnosed psychiatric syndromes in accordance with ICD 10. Obligatory follow-up visits will review whether the patients respond to the medications. If necessary, the therapy will be changed. Final meeting with psychiatrist According to the medical superintendent, the administration of psychiatric drugs by the psychiatric service at Garsten correctional institution conforms to the principles of evidence-based medicine and has been discussed with the relevant professional bodies. In the opinion of the office of the medical superintendent, there were no identifiable irregularities. Nevertheless, the 160