duced. The response of the Bavarian State Ministry for Labour and Social Affairs, Families and Women will be included in the 2012 Annual Report. Recommendations of the Commission of the Länder 1. The Commission of the Länder complains of the inadequate resources available to the specialist psychotherapeutic-psychological service of Parsberg district hospital. The personnel documents show four full-time posts for psychologists and educationalists. However, only one of these positions is occupied, namely with two part-time psychologists: A half-time post is occupied with a licensed psychologist who acts as a psychological psychotherapist and who, however, according to the medical director, exclusively carries out test diagnoses. The second half-time post is occupied by a psychologist (who is not licensed) who is said to be employed only in out-patient follow-up care, other than when she deputises. Accordingly, there is no psychologist with clinical training in Parsberg district hospital continually providing psychotherapy to the patients. Test diagnostic tasks do not require any additional clinical training; out-patient follow-up care is carried out by social educationalists in many comparable facilities. Three psychologist/educationalist posts also apparent from the personnel documents are occupied by two educationalists and one theologian. It was not possible to clarify in the talk with the medical director to what degree the medical staff members have psychotherapeutic training. It should however be particularly stressed that the long-term care service staff in the sociotherapeutic area have a high level of commitment. However, this group of individuals should receive specialist guidance. 2. Because of a shortage of staff, there are some considerable delays in acute medical care by external physicians. According to the patients, this was also the case in cases of acute pain, such as toothache. With acute pain attacks, treatment should take place on the next working day at the latest. There also were complaints of delayed medical care in other cases. One patient reported to the Commission of the Länder for instance that he had been waiting for two months for an eye-test to check his poor vision. 3. The group therapy rooms available are completely inadequate: According to the information provided, only one single group therapy room is available. The latter is evidently has inadequate resources (furniture, technical equipment). What is more, the Commission of the Länder learned that it had rained into the room and that this room could therefore only be used to a restricted degree. The Commission of the Länder recommends the installation and appropriate equipment of further group therapy rooms. One group room per wing for roughly 15 patients would be desirable. 4. The therapeutic services offered are inadequate, particularly in the reception phase. According to the clinic management, the patients spend an average of 13 weeks in the reception wing. During this time, they work once per week in the clinic’s own workshop for four 58

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