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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