   2.5.7 The external conditions accompanying the restraint may not be frightening to the patient. During the period of restraint, this type of detention must be continually questioned. The form on “Restrictions on the freedom of movement”, recommended by the NPM, must be created. Correct medication? – Garsten correctional institution 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. Medication questioned 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 IT-provider for Federal Departments in Austria). Medical superintendent visits institution 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. On-site enquiries 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 NPM is of the opinion that the meeting with the physician contributed to sensitising her and making her aware of the problem. Final meeting with the psychiatrist    Anomalies in the prescription of psychiatric drugs can be quickly detected with the aid of the “Medication Management” controlling module. The monthly reports are to be screened for prescription practices. If necessary, the office of the medical superintendent must ask the institution’s physician for clarification. 109