Hospitals and psychiatric institutions The NPM has repeatedly pointed out in the past that private nursing homes and clinics do not offer the affected group of persons any realistic chance of a self-determined way of living or the possibility of professional and social integration. The facilities visited by Commission 3, put their main focus on the care aspects for chronically mentally ill persons s. Needs-related care concepts, on the other hand, are not applied. Large care facilities are often located in very remote areas, which means that those affected lose their social contacts over time and any future prospects they might have go astray. When it comes to the type of care, there can thus be no question of the right to choose pursuant to Article 19 of the UN CRPD. It is true that the competent social department created a needs and development plan with regionally differing service offers in 2013. Nevertheless, there is still a lack of supply in the full and partial in-patient psychiatric residential offers. The direct consequence is the misplacement of mentally ill persons in private clinics and nursing homes, as is constantly observed by the commission. In the meantime, the Austrian Court of Audit also demonstrated in a report published in March 2019 that the structural requirements of nursing homes despite “psychiatry supplement” are comparatively low. For example, psychiatrically trained care staff does not have to be deployed in nursing homes. The standard of care thus varies greatly from the fully assisted residential facilities provided by the services for persons with disabilities. NPM determines maladministration The misplacement of young psychiatrically chronically ill persons in particular in private medical facilities and nursing homes thus constitutes structural maladministration in the opinion of the NPM. The NPM therefore recommended surveying the wishes and needs of the residents of private medical facilities and nursing homes under the age of 40 in particular in relation to the meaningful organisation of their daily structure. At the same time, the NPM directed a recommendation to the regional government of Styria to create a staged financing plan for the expansion of adequate living arrangements and care structures for persons with chronic psychiatric illnesses and mental impairments. XX  The wishes and needs of the residents of nursing homes and private medical facilities under the age of 40 in particular in relation to the meaningful organisation of their daily structure shall be surveyed. XX  A staged financing plan shall be developed for the creation of adequate living arrangements and care structures for persons with chronic psychiatric illnesses and mental impairments as soon as possible. 59