Hospitals and psychiatric institutions The conversion of a ward at Hietzing Hospital with Neurological Rehabilitation Centre Rosenhügel into a transitional psychiatry ward for the care of adolescents and young adults between the ages of 16 and 25 in 2019 is thus a very welcome development. However, the NPM observed on a follow-up visit that the “Transitional psychiatry” project had not been implemented properly. Adolescent patients had been admitted to the said ward but the legal, structural and organisational principles and concept according to which the “Transitional psychiatry” project should be implemented has still not been regulated. It was also not possible to find out the staffing and qualifications, and which personnel development measures are required to carry out the transitional psychiatric care obligation in order to meet the relevant performance requirements. With regard to these basic questions, reference was merely made to a working group within the framework of a psychiatric and psychosomatic care plan as well as an internal departmental concept. As far as the adolescent patients are concerned, this results in a lack of specific therapeutic concepts and programmes that are tailored to the target group as well as a lack of competence in child and adolescent psychiatry on the part of the care staff. The lack of clarity surrounding the actual start of in-patient transitional psychiatric care was the cause of frustration and uncertainty among the nursing staff, thus resulting in high staff turnover. There was thus still no child and adolescent psychiatric ward concept (objectives, programmes, treatment models, care models) as well as specific specialised concepts (e.g. dealing with violence, coercive treatments, drug abuse and self-harming behaviour). Furthermore, there was no qualified staff for child and adolescent psychiatric treatment. The support services initially provided by the Rosenhügel Child and Adolescent Psychiatry department had been virtually stopped. The lack of adolescent psychiatric concepts in the ward was thus additionally worsened. Lack of concepts for the ward The Chief Executive Office of the City of Vienna conceded that the development of the “Transitional psychiatry” project was delayed due to the COVID-19 pandemic. The project was due to start with sufficient qualified staff in autumn 2020. A team training programme in the area of dialectic-behavioural therapy that had already started was also only continued in autumn 2020 due to the pandemic. However, only a “Draft concept for the transitional psychiatry pilot project” including the planned staffing was handed over to the NPM. The NPM thus pointed out once again that a detailed plan of the structural and organisational principles as well as of the staffing and personnel development measures is required. On a monitoring visit to the Department of Neurology and Psychiatry in Childhood and Adolescence at Clinic Klagenfurt, the NPM dealt with the psychiatric care of children and adolescents in Carinthia in closer detail. Care deficits in Carinthia The implementation of the Psychiatry Plan 2020 was delayed and is only due to start in 2021. The reason for this is that the out-patient clinics for child 54