The Public Defender points out in numerous reports that456 The use of drug "Zopin" (active ingredient
"Clozapine") in combination with other antipsychotic and different groups of psychotropic drugs, as well
as monotherapy needs to be paid adequate attention. Besides, the European Committee for the
Prevention of Torture in its report457 underlines the need for regular blood tests when prescribing
clozapine. On their recommendation, the Georgian authorities should immediately ensure that regular
blood tests are performed in all psychiatric institutions in case of clozapine use. Also, train the staff of the
institution so that they can identify the side effects of "clozapine", which may have fatal consequences.
In view of all the above, the special preventive group concludes that there is no adequate management
of the psychiatric case. The services provided are not focused on cure/recovery and are not based on
respect for personal autonomy. Moreover, in some cases, the intervention performed causes significant
harm to the patient.
4.9.2. Psycho-social rehabilitation
Psycho-social rehabilitation is an integral part of psychiatric care.458 The 2006 UN Convention on the
Rights of Persons with Disabilities obliges Member States to provide comprehensive rehabilitation and
habilitation services and programs in the field of health and social services in such a way that these
programs are implemented at the earliest possible stage, taking into account individual needs and
strengths. Their involvement in all spheres of public life.459 According to the Strategic Document for
Mental Health Development and the Action Plan for 2015-2020, one of the priority areas of psychiatry is
psycho-social rehabilitation, which involves the development of a multidisciplinary network of patient care
and support services for people with mental disabilities to help in reaching the level of independent life
in society.“460 In addition, according to the state program of mental health, the provider of inpatient
psychiatric services is obliged to carry out psychosocial rehabilitation intervention during long-term
treatment..461
National Preventive Mechanism 2019 Report, p. 78, see the link: https://bit.ly/38nTDAV [Last visited 30.12.2020].
European Committee for the Prevention of Torture report on the visit to Georgia on September 10-21, 2018. See the
link: https://rm.coe.int/1680945eca [Last visited 30.12.2020].
458
Excerpt from the European Committee for the Prevention of Torture General Report CPT/Inf(98)12, para. 37. The
European Court of Human Rights in Rooman v. Belgium, in finding a violation of Article 3 of the Convention, took into
account one of the factors that the applicant was not provided with an appropriate psycho-social therapeutic component
because he could not communicate with the staff of the institution due to his lack of language knowledge. Available at:
<https://bit.ly/399eAPs [Last visited: 28.12.2020].
459 UN Convention on the Rights of Persons with Disabilities, 13 December 2006, Article 26.
460 Ordinance #76231/12/2014 of the Government of Georgia on the approval of the Strategic Document for Mental Health
Development and the Action Plan for 2015-2020 is available: https://matsne.gov.ge/ka/document/view/2667876 { Last
visited: 28.12.2020].
461 State Program of Mental Health approved by the Ordinance №674 of the Government of Georgia (Program Code 27
03 03 01), Article 6, a.d.b. subparagraphs. Available: http://ssa.gov.ge/files/01_GEO/JAN_PROG/SXVA-JAN-PROG/674.pdf
[Last visited: 28.11.2020].
456
457
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