Correctional institutions therapeutic care. Reports in previous years already highlighted that the material conditions at Göllersdorf correctional institution cannot be improved to the extent that the quality standards of a therapeutic centre can be achieved. In this respect, the request for a new building or extension remains (see NPM Report 2017, pp. 104 et seq.). XX  The lawful detention of mentally ill offenders is not possible without modern infrastructure. XX  Persons who were previously in a facility for persons with disabilities tend to be at a particular disadvantage in detention for mentally ill offenders. Without specialised follow-up care facilities, there is a considerable risk that they will be detained for excessively long periods of time. 2.5.11.2 Fixation straps attached to patient beds Pavilion 23/2 at Otto Wagner Hospital On the visit to Pavilion 23/2 of Otto Wagner Hospital, the NPM criticised that fixation straps are permanently attached to the patient beds and only covered with a sheet. The patients are thus forced to lie and sleep on top of the wide straps with buckles. The medical staff justified this situation by saying that the straps have to be close at hand in acute cases; they are thus permanently attached to the beds. Practice changed XX The NPM is aware of the need to have the fixation straps immediately available. Nevertheless, the straps shall be attached to the patient bed in a such a way that they are not uncomfortable or do not cause pressure when lying on the bed. Fortunately, there is feedback that since the NPM visit the fixation straps are removed directly after the restraint is ended.  Fixation straps should be removed from the bed directly after the restraint is ended. 2.5.11.3 Documentation of restraints Mostviertel AmstettenMauer Regional Clinic 147 The meticulous documentation of restraints is of particular importance from a preventive point of view, as experience has shown that this results in a decrease in the deprivation of freedom. A large number of restraint logs were only partially filled out on a visit to the forensic department of Mostviertel Amstetten-Mauer Regional Clinic. They often contained only diagnoses and referred to the danger to the person themselves and to third parties without detailing the specific situation.

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