Hospitals and psychiatric institutions
In this context, the NPM questioned the practice of admitting and treating
predominantly minor patients with psychiatric diagnoses (depressive phase,
ADHD, conduct disorder) in the psychosomatic sections of child and adolescent
psychiatric wards.
Psychosomatic sections
in psychiatric wards
Since further treatment in the event of an acute serious psychiatric disease that
requires forced placement and measures that restrict freedom is not possible in
these psychosomatic sections, the affected minors have to be accommodated
in a child and adolescent psychiatric ward. In Styria for example, this means
that such a transfer from the psychosomatic section of the Hochsteiermark/
Standort Leoben General Hospital and the University Hospital Graz, where
a child and adolescent psychiatric ward is already planned, to the Süd-West/
Standort Süd Regional Hospital is required. This transfer is undoubtedly
stressful for those involved and can also be perceived as punishment.
There is a similar problem in Carinthia because minor patients have to be
transferred to the child and adolescent psychiatric ward at the Klagenfurt
Regional Hospital in the event of massive crises during their stay in the
psychosomatic section of the paediatric ward in Villach Regional Hospital.
The situation in these wards is exacerbated by the fact that they are very
confined. The critical lack of space is also evident in the use of beds in
hallways and extra beds in shared rooms. This means that psychiatrically ill
children and adolescents with special needs are regularly placed in rooms with
somatically ill children.
The NPM thus considers it desirable that, as a first step, psychiatric beds are
clearly designated as such in psychosomatic sections and fully taken care of by
psychiatrically trained staff and medical specialists for child and adolescent
psychiatry. In the medium term, there are plans to set up a separate child
and adolescent psychiatric ward in both Villach Regional Hospital and
Hochsteiermark/Standort Leoben Regional Hospital. This would improve
regional care on the one hand, and help avoiding patient transports in the
interest of the affected children on the other.
XX
The intended increase in bed capacity in the child and adolescent psychiatry area
should be implemented quickly.
XX
Strengthening and the regionalisation of the structures for outpatient and day-care
clinic child and adolescent psychiatry are urgently required.
XX
Training capacity must be stepped up to meet increasing demand and expansion of
services in the area of child and adolescent psychiatry.
55
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