Hospitals and psychiatric institutions in psycho and socio-therapeutic programmes, the inclusion of peer groups, support in integrating into the workforce and support of training objectives. Internationally recognised models indicate that cooperation between specialists in child and adolescent psychiatry, in adult psychiatry as well as in different health professions (psychologists, psychotherapists, specially trained care staff but also social pedagogues, occupational therapists, physiotherapists and music therapists) is required. A key demand of the NPM remains to create top-quality in-patient transitional psychiatric programmes in Austria as well. In 2019 a ward at Hietzing Hospital – Neurological Rehabilitation Centre Rosenhügel was converted into a transitional psychiatric ward for the care of adolescents between the ages of 16 and 25. This project is an important step towards professional psychiatric care that should cater to the needs of adolescents and young adults. On its visits to this ward, however, Commission 4 found that the structure, staffing and concept did not meet the requirements of professional transitional psychiatry. The fulfilment of substantive requirements in particular, such as the development of care concepts and further education of the staff, is essential in this context. Inadequate structure and staffing Furthermore, the specialist care is inadequate. Child and adolescent psychiatrists were only regularly involved in the introductory phase of the project. Thereafter, care was provided almost exclusively by adult psychiatrists. It is not acceptable that no child and adolescent psychiatrists are available for the adolescents. No social pedagogues have been assigned to the ward to date. However, it can be assumed that the need for diagnosis by psychologists will increase and an intensification of social work measures will be required for the follow-up care of the adolescents to secure the therapy goals (e.g. support in finding a suitable job and/or housing alternatives, cooperation with the Youth Welfare Offices, involvement of the parents). Sufficient financial resources are vital here. The existing system of hospital billing should be reassessed, as patients from 18 years of age can currently only be billed within the framework of adult psychiatry. However, this does not take account of the increased care effort necessary for the special requirements of transitional psychiatry. The NPM recommends implementing plans and concepts as quickly as possible to meet the basic, professional and human rights requirements of adequate transitional psychiatry. It is essential to provide the dedicated team with sufficient financial resources and to considerably increase the existing human resources both in the medical and therapeutic area. 62