Correctional institutions XX  The in-patient acute psychiatric care of detainees awaiting trial and convicts must be expanded urgently. 2.5.3.3 Staff shortages in the medical area Ongoing problem As requested time and again in past years, solutions have to be developed on a nationwide basis, such as the problem of the tight personnel situation in the medical area (see most recently NPM Report 2018, p. 114 et seq.). What is missing above all is a financial incentive to attract medical experts to work in prisons and detention centres. Vacancies remain unoccupied for a long time because no doctors apply due to the low remuneration. Salaries should thus be increased substantially in order to guarantee medical care in the middle and long term and to remove existing bottlenecks. Stein correctional institution As in the previous year, Stein correctional institution can once again be mentioned as an example of massive staff shortages in the medical area. The fulltime positions in both the psychiatric and general practitioner service are still vacant. Vienna-Favoriten correctional institution Medical staff is also missing in Vienna-Favoriten correctional institution. A mere four hours per week have been manned in the psychiatric area since 2018. Considering that Vienna-Favoriten is a therapeutically oriented institution where prison inmates, who require detoxification (Section 68a Penitentiary Systems) and others, who require detoxification (Section 22 Austrian Criminal Code) are detained, the inadequate psychiatric care of the detainees has a particularly grave effect. Only consultant psychiatrists and consultant neurologists with sufficient time for diagnostic appointments can perform a comprehensive diagnosis of the mental illnesses. International studies verify that the mental comorbidity of persons administered substitute substances is particularly high. Inadequate psychiatric care results in an increased risk of relapse as well as the illegal consumption of additional substances. The psychiatric service should actively address the group of persons suffering from addiction. That, however, requires sufficient human resources. St. Pölten correctional institution 113 In St. Pölten correctional institution, three consultant psychiatrists and neurologists provide office hours alternately once a week. A general practitioner comes to the institution on Mondays and Wednesdays from 7.30 a.m. to 3.00 p.m. As there is no medical staff in the correctional institution from Wednesday afternoon until early Monday morning, the health examination upon arrival including addiction screening in St. Pölten court prison cannot be carried out within 24 hours of arrival of a detainee. For the NPM, there are also doubts as to whether adequate care of the detainees at St. Pölten correctional institution can be guaranteed with the current staffing levels.