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]. 456 457 133

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