found in the fact that individual smaller hospitals are responsible for
psychiatric care for a relatively large catchment area and the available
capacity is small. In the case of a high number of acute emergency
admissions, bottlenecks can occur; regular beds alone do not provide
much help in this regard. Furthermore, the commissions often found
that restraining straps on beds were constantly visible to patients and
no arrangements were made so that the restraints could not be seen
by uninvolved third parties. This promotes the feeling of being helpless
and at the mercy of the institution, creates a permanent threatening
scenario and is perceived by the person affected as humiliating and
shameful.
It must be strongly demanded that these practices cease. The use of
alternative measures and the careful planning of a constant
expansion of resources within the scope of existing financial
possibilities can make a considerable contribution to this.
The operators of hospitals have reacted to reproaches by the
commissions insofar as restraints are now covered up and the use of
beds in the hallways is being reduced to a minimum. As the example
of the Wels-Grieskirchen Clinic shows, moving into a new, modern
building may be necessary to fulfil current standards of psychiatric
care.
Staffing and spatial framework conditions for therapeutic treatment must be created in
accordance with current standards.
Restraint of patients must take place out of sight of third parties; use of restraints can only
be used with constant and direct supervision in the form of a watch by an attendant.
2.2.2.2 Use of net beds in Austria is about to end
Since 1999, the CPT has unambiguously reiterated that “net beds be
withdrawn from service as a tool for managing agitated persons in all
psychiatric/social welfare institutions and facilities in Austria”. This has
not been realised in Vienna and Styria. The NPM, as well as the
Human Rights Advisory Council, have repeatedly addressed this
problem area in the last two years and have highlighted it publicly
with the goal of pushing through the implementation of international
human rights standards. This has been effective.
Clear violation of human
rights standards
In July 2014, taking into consideration the protection of human dignity
and the obligations of the Republic of Austria under international law,
the Federal Ministry of Health, as mutually agreed with the Federal
Ministry of Justice, issued a decree to all Governors that the use of
psychiatric intensive beds (net beds) as well as other “cage-type beds”
no longer corresponds to European standards and is therefore not
permitted. In light of the necessary concomitant measures, the
operators of medical facilities and nursing and group homes were
Use of net beds
prohibited as at
1 January 2015
43
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