Reaction: The previous sequential ordering of the wings had been given up because of the lack of constancy in relationships which it entailed. What had been retained was a reception wing (2A), where all new patients arrive. It was said to serve at the same time as a crisis intervention wing, particularly for patients where the placement of offenders with mental disorders was to be finished. After a short familiarisation and diagnostic phase, the patients were transferred to one of the three therapy wings (2B, 2C, 2D), where as a rule they remained until their release. These parallel wings providing further therapy had a uniform wing concept in principle, but could also form specific foci of treatment. According to the prison plan, Parsberg II district hospital is a mixed-sex facility. However, according to the medical director, there were only a very small number of female patients accommodated there at any one time. Two women were in the clinic on 24 November 2011. The advantages of mixed-sex therapy disappear quickly, and are even reversed, if the quantitative ratio is so massively unequal, as is the case in this facility. Such a ratio of female patients to male ones (roughly 2:50) is problematic in several respects. The question as to the continuation of mixed-sex work in Parsberg should be re-considered once more. Reaction: Gender-specific treatment for women could not be maintained since the share of female patients had fallen considerably in recent years and would also remain low in future because of the special services offered in Taufkirchen district hospital. What was more, the scattered treatment of a small number of patients had always caused considerable problems in terms of group dynamics in the past. For these reasons, the clinic for young drug addicts was not to take in any more female patients. The neighbouring Clinic for Forensic Psychiatry and Psychotherapy (Parsberg III) spotlighted the treatment of drug-addicted women whose average age was not much higher than that in the drug clinic. Where necessary, female patients who were allocated could be treated here. The programme took the interests of young drug patients into account. Because of a shortage of staff, there were some considerable delays in acute medical care by external physicians. According to the patients, this also applied to cases of acute pain, such as toothache. With acute pain attacks, treatment should take place on the next working day at the latest. There were also complaints of delayed medical care in other cases. One patient reported to the Joint Commission for instance that he had been waiting for two months for an eye-test to check his poor vision. Reaction: The senior medical officer stated in this regard that acute medical care was, as a matter of principle, initially provided by the doctors in the clinic and primarily by external doctors only when there was an urgent indication. If the therapy that could be provided in the clinic was not sufficient, an appointment 85

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