2.3
2.4
2.5
Institutions and facilities operated by child & youth welfare authorities ........................... 52
2.3.1
Introduction ......................................................................................................... 52
2.3.2
System-related problem areas .......................................................................... 56
2.3.2.1
Prevention of violence – a monitoring priority................................... 56
2.3.2.2
Barrier-free accessibility..................................................................... 57
2.3.2.3
Handling of medication ..................................................................... 57
2.3.2.4
Expansion of assistance for young adults necessary....................... 58
2.3.2.5
Problems at the interface between institutions operated
by child and youth welfare authorities and care for
persons with disabilities .................................................................... 60
2.3.2.6
Facilities for unaccompanied minor refugees and asylum
seekers ............................................................................................... 60
2.3.2.7
Placement of children in other Laender ............................................ 63
2.3.3
Structures in homes hamper pedagogical work ............................................... 64
2.3.4
Sexual self-determination requires protection .................................................. 66
2.3.5
Positive findings .................................................................................................. 67
Institutions and facilities for persons with disabilities......................................................... 68
2.4.1
Introduction ......................................................................................................... 68
2.4.2
System-related problem areas .......................................................................... 71
2.4.2.1
Age-atypical restrictions of freedom of mentally disabled
or mentally ill minors.......................................................................... 71
2.4.2.2
Deinstitutionalisation.......................................................................... 73
2.4.2.3
No care home agreements for persons with disabilities ................. 75
2.4.2.4
Occupational therapy workshops ..................................................... 76
2.4.2.5
Efficient representation of interests requires resources.................... 78
2.4.3
Isolation of a resident ......................................................................................... 80
2.4.4
Use of “time-out rooms” ..................................................................................... 81
Correctional institutions ....................................................................................................... 83
2.5.1
Introduction ......................................................................................................... 83
2.5.2
System-related problem areas .......................................................................... 83
2.5.2.1
Personnel shortages and their consequences – long
hours held in inmate cells and sparse employment
opportunities ...................................................................................... 83
2.5.2.2
Depressing incident triggers special audit and reform of
detention of mentally ill offenders ..................................................... 86
2.5.2.3
Healthcare and medical care in prison............................................. 90
4