Correctional institutions
symptoms, the man, who was suffering from addiction, was administered
tablets which had been prescribed by an external doctor without having seen
the inmate. The response of the Federal Ministry of Constitutional Affairs,
Reforms, Deregulation and Justice was that the prison doctor was on holiday.
Innsbruck correctional
institution
The NPM also ascertained in Innsbruck correctional institution that, contrary
to the guidelines on the counselling, care and treatment of detainees suffering
from addiction who are awaiting trial as well as those who are convicted and
those who are mentally ill, no addiction screening was carried out either by
the medical or the social work service over a longer period of time.
Timely examination
The NPM repeatedly demanded that the initial examination should take place
as soon as possible, but within 24 hours at the latest (see NPM Report 2017,
pp. 124 et seq.). Following this, the NPM recommended that the individual
screening for substance use disorders shall take place on the day of arrival but
at the latest within 24 hours of admission to detention. This shall be performed
by the medical staff (general practitioner or consultant psychiatrist); this also
applies at weekends and on public holidays.
Acute health risk
Only in this way can health risk be mitigated that exists in cases of untreated
withdrawal or “cold turkey” and can be life-threatening with certain
substances. If there is no medical staff available in a suspected case, the
medical (emergency) service shall be notified or the detainee transferred to a
hospital (see NPM Report 2018, p. 111 et seq.).
Multi-professional
treatment called for
The NPM observed on focal visits once again that in some correctional
institutions no multi-professional treatment team has been set up for persons
with a substance use disorder or that such a team is not sufficiently manned
despite this being stipulated in the guidelines.
Vienna-Josefstadt,
Innsbruck, and St. Pölten
correctional institution
For example, no such team had been set up in Vienna-Josefstadt correctional
institution at the end of May. There was no multi-professional treatment team
in Innsbruck correctional institution in August 2017 either. The same was
found at St. Pölten correctional institution at the end of November 2018. The
NPM emphasised once again that the interdisciplinary cooperation between
internal and external specialists and the prison guards is a fundamental
condition for fulfilling the standards for counselling, care and treatment of
persons suffering from addiction.
The management of Innsbruck correctional institution reacted to the criticism
of the NPM and assured that addiction screening has been performed again
by the infirmary and the social work service in accordance with the decree
since the middle of 2018. Furthermore, the multi-professional treatment team
for persons with a substance use disorder in Innsbruck correctional institution
has been restructured. Monthly meetings are held at which the possibilities
of counselling and/or therapeutic treatment of those affected are discussed.
The results are documented in the enforcement plan. The other correctional
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