 To ensure, in 2019, the inspection of all psychiatric establishments in accordance with Article 10 of the statute of the Ministry of Internally Displaced Persons from the Occupied Territories, Labour, Health and Social Affairs of Georgia as approved by resolution no. 473 of the Government of Georgia of 14 September 2018;  To ensure needs assessment of patients placed for more than 6 months in psychiatric establishments for discharging and referring them to community-based services; to elaborate a plan of setting up shelters based on an estimated number of potential beneficiaries;  To ensure the assessment of the effectiveness of the existing state supervision system of psychiatric assistance and monitoring the system of patients’ rights by independent experts;  To ensure regular, systemic and proactive monitoring of psychiatric facilities by the LEPL Agency of State Regulation of Medical Activity and the Agency of Social Services; to ensure the compliance of the conditions in psychiatric facilities with the standards approved by the Statute on the Procedure and Terms of Licensing Medical Activities and Issuing a Permit for Inpatient Facilities;  To determine the mandatory and uniform internal complaints and feedback procedure for all  psychiatric establishments by adopting a normative act to that effect; To establish a simple and accessible complaints procedure concerning psychiatric assistance and human rights violations;  For preventing violence among patients and maintaining safety, create a normative framework governing the following issues: implementation of an appropriate system of preliminary assessment of risks posed by an individual patient by personnel; multidisciplinary work, preventive measures to be taken for protecting patients from violence and ensuring security; appropriate supervision/observation of patients by personnel; adequate training of personnel; elaboration of standard operational procedures and de-escalation strategy; timely and adequate intervention immediately after a threat arises; documentation of incidents of violence and responses; and, accountability and responsibility of personnel;  To amend Instructions for the Rules and Procedures of the Use of the Methods of Physical Restraint against Patients with Mental Disorders as approved by Order no. 29/N of the Ministry of Labour, Health and Social Security of Georgia of 20 March 2007 to the effect of determining the following: maximum duration of physical restraint; the obligation of documenting physical restraint in a special register (a special logbook), including the injuries sustained in the process by a patient and/or personnel; layout of a special register (a special logbook); detailed instruction for using physical restraint; specifications of special means to be used during physical restraint; place where physical restraint should be used and who can be present during the process; requirements for a special isolation ward; issues related to the use of video surveillance during physical restraint; and, the obligation to consult a patient after the end of the measure and to inform him/her of the right to appeal;  To ensure the identification of the factors hindering multidisciplinary work in all psychiatric establishments, elaborate the plan for their eradication and notify the Public Defender about the outcomes of the assessment; and 88