Correctional institutions The hospital stay was often just a few days. After direct suicidality could no longer be determined and acute symptoms had subsided, the inmate was transferred back to the correctional institution. Frequently the symptoms reappeared quickly once the effect of the acute medication had worn off, the consequence of which was another transfer to Innsbruck Regional Hospital. The constant change of location is not only detrimental to the state of health of the patient. Since the transport is often during a critical phase, it is associated with a considerable risk to all involved. The commission also observed that there are no long-term treatment plans for prison inmates at Innsbruck Regional Hospital. Potentially dangerous transport Overall, the commission concluded that patients who are transferred from the correctional institution to an in-patient stay in a psychiatric department are suffering predominantly from serious mental illnesses of the schizophrenic group or from severe personality disorders. The disorders require psychiatric treatment that goes beyond the possibilities of the consultant psychiatric and psychological service in the correctional institution. By contrast, in the forensic ward of the department of psychiatry at Hall Regional Hospital patients who are transferred from Innsbruck correctional institution are observed for longer and receive long-term therapy concepts. This results in longer stays on the one hand, but also to more sustainable treatment results. Better treatment in Hall Regional Hospital As the commission aptly highlighted, the principle of equal treatment shall prevail, namely that detained persons shall not receive inferior treatment to those living in freedom. This also includes that patients who are the inmates in a correctional institution are further treated in the open area of the psychiatric department and, in particular, are offered psychotherapeutic care after an acute stay in a closed area of a psychiatric clinic. Human rights relevance The NPM is aware that a meeting took place between tirol kliniken and Innsbruck correctional institution in 2018 at which the main points for a standardised procedure for in-patient admissions of patients from the correctional institution were defined. However, the NPM considers the psychiatric care needs after a stay in the acute ward as currently not sufficiently covered. The Federal Ministry of Justice responded that the medical superintendent had been at tirol kliniken several times and addressed the issue of adequate treatment for patients in the psychiatric department who are transferred from Innsbruck correctional institution. It was emphasised that the cost is covered by the Federal Government and the medical requirement is in focus. Admission to in-patient care not a question of cost As the general directorate concluded, scaling up the psychiatric service is not feasible due to the lack of suitable permanent positions. Innsbruck correctional institution has just 0.8 FTEs and an additional contracted psychiatrist when required for the psychiatric area. The prison administration thus relies on tirol 116