orientatted in a dissturbance-s specific ma nner tions s, which ob bviously classhed with the t aim for wom men. of placing fema ale inmates near their homes. It had however happily beeen possible to form pecialised ward w for fem male patien nts with a sp borderline symptoms at LLippstadt clinic. c A realis stic improvement of tthe spatial accommodation conditions was ssaid not to be possible e until plans s for the aboovemention ned new repla acement bu uilding had been carrried out (currrently foreca ast for mid-22014). Immedia ately after its visit, the e Commisssion of the Länder rec ceived a nuumber of additional indicatio ons from pa atients at LWL L Lippsta adt Centre for Forensic Psychiatrry. It therefo ore supplementted its visitt report to include i an expanded enquiry and asked foor informatio on to be provided d on the following topic cs: x ssuicides an nd self-injuriies from 20 005 to the end e of September 201 1 and conc crete infformation on o the circum mstances s urrounding the incidents; x a list of the e number of o patients who had been b placed d in an “inteensive care e room” ssince 2005, as well as s precise in nformation on o the dura ation of acccommodatio on (start a and end) and a the rea ason for the e accommo odation. The term “inteensive care e room” may be missleading. Ac ccording to our observ vation in Lip ppstadt, thee room roughly corrresponds to o what in prrisons is the e specially-s secured cell containingg no dangerrous objjects. Since th he reply to the enquiry y of the Co ommission of o the Länd der had not yet been re eceived after the e time of th he Annual Report R goin ng to print, iti cannot be e reproduceed until the Annual Report o of 2012. The Co ommission of o the Länd der once m ore submittted separatte observattions on 4 January J 2012 re egarding ind dividual points of the rreaction of the North Rhine-Wes phalian Min nistry of Health, Equalities, Care and Ageing. A The e Ministry’s s reply will be b included in the Ann nual Report of 2 2012, since it is after time of going g to print of this Reportt. 2. P Parsberg II district hospital in n Novemb ber 2011 On 24 N November 2011, 2 the Commission C n of the Län nder visited Parsberg III district ho ospital, a specialist clinic witth 56 treatm ment placess for young g, drug-addicted criminnal offenders. A fopsychiatric expert e acco ompanied th he Commission of the Länder. 51 places were occurensic-p pied on the day of the visit. The Co ommission inspected th he following g sub-areas s in particu ular: the acccommodatio on area, the rece eption depa artment, the e release wi ng, the worrkshop, the isolation ceell, the grou up therapy room m and the visiting v area a. It consul ted with pa atients of va arious winggs and with the patients’ rrepresentatiives, staff members m o of the long--term care service, thee chair of the staff council and the hea ad of Wing C. Since th he response of the supervisory a authority to the visit report of the Commissio on of the Länder was not ye et available within the short perio od of time of o the Annuual Report going to nly the reco ommendations of the Commissio on of the Länder L listedd below arre reproprint, on 57

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