Correctional institutions In addition to medical care and time-consuming diagnostics, resources for maintaining the cooperation and exchange with other specialist services are required. In light of the rigid timeframe, it would appear questionable whether and to what extent consultant psychiatrists and consultant neurologists cooperate with other specialist services. In May 2018 only one general practitioner as well as one consultant psychiatrist/neurologist were employed for five hours per week respectively at Wiener Neustadt correctional institution. The presence of the psychiatrist and the general practitioner once a week is not sufficient to adequately care for all of the detainees requiring treatment in a timely manner. The magnitude of the need for care is evident from the fact that 35 detainees were categorised as suicidal in Wiener Neustadt correctional institution in October 2018. Wiener Neustadt correctional institution In addition, only the prison psychiatrist has a qualification in drug substitution. This poses the question of who writes the prescriptions for the substitutions used in the treatment of substance abuse disorders or cares for the patients in his absence. The Federal Ministry of Constitutional Affairs, Reforms, Deregulation and Justice assures that the psychiatrist can also be reached by telephone outside of his working hours. Emergencies are transferred to the Psychiatry Department of the Regional Clinic Lower Austria after clearance with him. A deputy is ensured in such a way as the medical superintendent of the Federal Ministry of Constitutional Affairs, Reforms, Deregulation and Justices writes the prescriptions for substitutions and takes care of the patients during this time. The prison psychiatrist is also represented by a colleague during sick leave and holidays. In May 2019 the Federal Ministry of Constitutional Affairs, Reforms, Deregulations and Justice informed that the Federal Ministry for the Civil Service and Sport was working on improving the special contracts concluded with doctors. The remuneration rates are to be increased substantially compared to the old contracts. This hope was (also) shattered in December. Remuneration rates as key factor Furthermore, the Federal Ministry for the Civil Service and Sport only approves the conclusion of special contracts for medical management services. There will therefore be no new medical guideline. Doctors will be engaged by the recruitment agency for justice supporting staff exclusively; admission of general practitioners as well as psychiatrists under the terms of a civil service contract is not (no longer) possible. 114