Hospitals and psychiatric institutions
general shortage of staff. There is also no psychiatrist who is permanently on
location.
In light of these circumstances, the NPM strongly recommended discontinuing
the subsidisation of the long-term accommodation of persons with chronic
mental illnesses in large institutions (in the form of the so-called psychiatry
supplement) in the medium term and creating suitable types of housing and
care structures in its place.
Demand for creation of
smaller types of housing
These demands were also included in the recommendations of the Styrian
Monitoring Committee for Persons with Disabilities in February 2020. This
committee advocates a long-term deinstitutionalisation of persons with
mental impairments (see statement of opinion of the Styrian Monitoring
Committee for Persons with Disabilities on the topic of psychiatry supplement
and housing offers for persons with mental impairments: “Psychiatriezuschlag
– Wohnangebote für psychisch beeinträchtigte Menschen”, February 2020).
Desinstitutionalisation
as long-term objective
X
The subsidisation of the long-term accommodation of persons with chronic mental
illnesses in large institutions in the form of the so-called psychiatry supplement should
be discontinued. Suitable types of housing and care structures shall be created instead.
X
The goal must be a long-term deinstitutionalisation of persons with mental
impairments.
2.2.2
Register for documenting measures that restrict freedom
A longstanding demand of the NPM was met within the framework of the
2018 amendment to the Hospital and Convalescent Homes Act (Bundesgesetz
über Krankenanstalten und Kuranstalten) which stipulates that psychiatric
hospitals and wards shall maintain a register for documenting measures that
restrict freedom.
Pursuant to Section 38d of said Act, this electronic documentation should
contain current information including the name of the person placed under
such measures, any other restrictions pursuant to the Hospitalisation of
Mentally Ill Persons Act (Unterbringungsgesetz), the starting and end time
of the placement and any other restrictions, the prescribing doctor and any
injuries suffered by the patient or the staff. The documentation must facilitate
statistical analyses. The NPM as well as international monitoring mechanisms
(CPT and CAT) are permitted access to the documentation.
Electronic
documentation of
measures that restrict
freedom
The registers should guarantee rapid availability of the data on prescribed
measures that restrict freedom. The legal entities responsible for the hospitals
can analyse how restrictions to freedom are handled, in particular the causes
Preventive effects
46
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