weeks in the reception wing. They work once per week in the clinic’s own workshop for four hours during this time. They attend activity therapy for approximately half the day on the other weekdays. This is the entirety of the treatment offered during this phase. The Commission considers there to be a need to review this concept since patients’ initial motivation should be taken advantage of particularly and intensively. Moreover, the communications from the medical director and the documents submitted gave the impression that the therapeutic plan of Parsberg II district hospital should be brought in line with the latest state of the research. Major research results for effective therapies have been presented in this field in the last 20 years, in particular for the clientele being discussed here. Reaction: The current treatment concept was orientated towards drug therapy, and also had a considerable pedagogic emphasis. It broke the course of the treatment into four consecutive sections, corresponded to by four wings (A-D) to be gone through in sequence. The advantage of this was the creation of relatively homogeneous groups of patients in the wings (measured by the state of the development of the therapy and the relaxation of regime). The disadvantage was the caesuras in the constancy of relationships necessitated by changing wings. The treatment concept should be partially refined. A working party had now developed the new therapy concept. Parallel to this, a transfer group had explored the implementation of the new concept in detail. Inspections had already taken place to develop reconstruction measures on the basis of the new therapy concept, and these were also important from a security point of view. Overall, each proposal of the Anti-Torture Commission had been taken into account. The psychotherapeutic treatment approach would be more at the centre of the therapy concept in future. Psychotherapy was said to take place in the context of a joint, clinic-wide treatment concept spanning professional groups. In order to compile the therapeutic teams in the form intended, further psychological psychotherapists had to be recruited. Each therapy wing should have two therapists, including a psychologist. Furthermore, there was a need for systematic further training courses (preferably for the whole wings). Each of the three treatment wings had unchanging therapeutic staff, whilst patients changed wings, and were thus assigned to a new therapist three times during the comparatively short duration of their stay. With regard to the constancy of treatment and the concomitant success of the therapy, changes of therapist were problematic and are only justifiable in exceptional cases. Changing therapist several times can endanger the success of the therapy and cost valuable time. 84