Correctional institutions needs to be optimised. In future, inmates who are classified as VISCI “red” at the time of admission will be sent to the psychiatrist directly after the health examination upon arrival. The recommendation of the NPM is also accommodated whereby there is a documented examination of the VISCI status as part of the health examination upon arrival when detainees are transferred from other correctional institution. X An examination of the VISCI status of every detainee shall be performed as quickly as possible after their transfer. This shall be documented. X Persons who are classified as VISCI “red” at admission should be sent to the psychiatric specialist service as soon as possible. 2.5.5.3 Deficits in acute psychiatric care - Innsbruck correctional institution Recurring theme The NPM has repeatedly highlighted the completely inadequate acute psychiatric care of inmates. In almost every meeting the management of correctional institutions complains that – although the law stipulates that public hospitals are obliged to admit inmates – they have reservations about the in-patient care of prisoners. Patients who need longer specialised treatment are only “patched up” as out-patients. The correctional institutions are not equipped to deal with persons who need nursing in addition to constant medical care. Nationwide bottlenecks in care That the problems are not only – as presented in NPM Report, p. 112 et seq. – limited to the east of Austria is confirmed in the reports of the responsible commission for Vorarlberg and Tyrol. The commission focussed on the living conditions and medical care of inmates of Innsbruck correctional institution who are suicidal and require acute psychiatric treatment and who are temporarily admitted by the association of Tyrolean hospitals tirol kliniken. Even though the willingness to cooperate by both institutions was good during the visit, there were still considerable difficulties until the commission received the requested documents (medical histories). These were only disclosed by tirol kliniken after intervention by the Federal Ministry of Justice. Different lengths of stay in hospital 115 The analysis of the documents confirms observations made by the experts on their monitoring visit to both institutions. Compared to Hall Regional Hospital whose forensic department, despite the responsibility of Innsbruck Regional Hospital, was willing to admit patients – insofar as occupancy levels permit, the duration of their stay in Innsbruck Regional Hospital was considerably shorter.