hours. They attend activity therapy for approximately half the day on the other weekdays. This is the entirety of the treatment offered during this phase. The Commission considers there to be a need to review this concept since the initial motivation of patients should be particularly and intensively taken advantage of. Moreover, the communications from the medical director and the documents submitted gave the impression that the therapeutic plan of Parsberg district hospital should be brought in line with the latest state of the research. Major research results for effective therapies have been presented in the last 20 years in this field, in particular for the clientele being discussed here. 5. Each of the three treatment wings has unchanging therapeutic staff, whilst patients change wings, and are thus assigned to a new therapist three times during the comparatively short duration of their stay. With regard to the constancy of treatment and the concomitant success of the therapy, changes of therapist are problematic and are only justifiable in exceptional cases. Changes of therapist can endanger the success of the therapy and cost valuable time. 6. According to the prison plan, Parsberg district hospital is a mixed-sex facility. However, according to the medical director, there are only a very small number of female patients accommodated there at any time. Two women were in the clinic on 24 November 2011. The advantages of mixed-sex therapy disappear quickly, and are even reversed, if the quantitative ratio is so massively unequal, as in this facility. Such a ratio of female patients to male ones (roughly 2:50) is problematic in several respects. The question as to the continuation of mixed-sex work in Parsberg should be re-considered once more. 59