National Preventive Mechanism
Hospital and Klagenfurt Regional Hospital. The implementation of this
project seemed to be all the more urgent to the NPM, as completion of the
new psychiatry construction and reconstruction in Villach and Klagenfurt is
expected in 2020/2021 at the earliest.
However, the Operating Company of the Carinthian Hospitals, KABEG
(Krankenanstalten-Betriebsgesellschaft) questioned the setting up of an
additional area pursuant to the Hospitalisation Act in Villach Regional
Hospital for financial reasons at the end of November 2016. The NPM will
therefore strongly emphasise to the Land Carinthia that the realisation of an
extended ward in Villach Regional Hospital is urgently required to improve
the care situation for patients, which is unacceptable from a human rights
perspective.
Styria - transfers as a
result of centralising
psychiatry
There are similar problems with transferring patients in Styria, because
inpatient psychiatry is centralised in Graz. This is critical from a human rights
perspective, insofar as it greatly limits the opportunity for families to visit
patients, which is very stressful for mentally ill persons in particular.
The Psychiatry Report Styria 2009 states that local care should be guaranteed
for patients through the decentralisation of inpatient psychiatry. The
regionalisation of the acute inpatient area should go hand in hand with
the construction and extending of outpatient and day-care clinics. This will
facilitate offering cross-sector, coordinated, outpatient care and reducing
inpatient hospital stays – insofar as this is reasonable and possible.
To date, however, psychiatric outpatient facilities have only been created
in the hospitals in Hartberg and Bruck an der Mur. There are no inpatient
services outside Graz even though systematised beds are planned for the area
of Hochsteiermark Regional Hospital in the Regional Health Care Structure
Plan for Styria.
The problem of currently centralised inpatient psychiatric care in Styria can
be illustrated using the collaboration between the Bad Aussee Clinic with the
hospitals in Graz as an example:
Since acute psychiatric treatment is not permitted in the Bad Aussee Clinic,
patients have currently to be transferred via patient transport to Graz SüdWest/Standort Süd Regional Hospital without qualified personnel. The journey
of some two hours alone makes these patient transport trips potentially
precarious. They should be avoided in the interest of the patients. Transport is
thus often carried out at night accompanied by the police.
The NPM has emphasised to the Land Styria that, in the interest of the patients,
decentralisation and regionalisation should be pushed in the planned redesign
of the psychiatric services.
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