Institutions for persons with disabilities XX  Preventive measures should avoid escalations of violence and police intervention in institutions and facilities as much as possible. The conditions for this are general and individual crisis intervention plans as well as specialised staff that is trained in violence prevention. XX  If a barring order is imposed, the Laender shall continue to honour their responsibility for the housing and care of persons with disabilities even if legal representatives are entrusted with the task of “finding a place to live”. XX  To this end, a sufficient number of crisis places for persons with disabilities shall be provided. The continued housing and care of such persons shall be guaranteed with immediate effect through a coordination centre and a 24-hour emergency hotline. 2.4.8 Positive observations An important aspect of the work of the NPM is the identification of good practice models. Fortunately, the commissions can report about such institutions and facilities more and more frequently. Needs of the clients in focus For example, a facility for persons with multiple disabilities in Vienna could be assessed by Commission 5 as a model facility in many respects. The facility is consistently designed to meet the needs of the clients whereby assisted decision-making and a dedicated care system play a significant role. The deescalation management includes a ten-step scale for each person displaying challenging behaviour. De-escalating measures and instructions are assigned to each step on the scale. This system provides security for the care staff. Inclusion fostered In a pilot project, clients were introduced to operations in the primary employment market with the help of the care staff. The objective was not the integration of the affected persons in the employment market because this did not seem realistic for those with multiple disabilities. Rather it served to enable them to encounter the “real” world for a few hours or a day and thereby foster inclusion. The comprehensive measures for Augmentative and Alternative Communication as well as informing the clients about their rights and complaint management were considered very positive by the commission. Planned decisionmaking process for the choice of where to live In a facility for fully-assisted living, Commission 4 observed that a concept of person-centred work was being implemented. The wishes and needs of the residents are the focus of personal meetings and routines are adapted accordingly. Generally speaking, the free choice of where to live is guaranteed in the best possible way by a planned and accompanied decision-making process. It is possible to get to know one another in advance or to spend a few trial days in the facility. Self-determination in old age is facilitated by allowing the residents to remain in the facility during the day meaning that they are then not cared for in a daily structure. Furthermore, the facility stood out thanks to a well-developed approach to topics such as sexuality and violence. 103

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