patients' somatic (physical) health problems. In case the patient needs additional examinations and longterm treatment they have to seek it themselves,476 which is especially problematic for patients who are placed in a psychiatric hospital for a long time and are unable to leave the institution independently. Patients admitted to a psychiatric hospital are involved in a universal health care program. However, patients are not capable to benefit from the planned medical care because it needs co-financing, which is an additional cost for patients, this coupled with the problem of patient transportation, including for dental care, which is also associated with additional costs and human resources. Psychiatric institutions say that it is virtually impossible to allocate additional funds from the insufficient funding of a psychiatric hospital to provide physical health and the necessary laboratory tests at the institution level. In many cases, patients are placed in a psychiatric hospital for a long time so that they cannot leave the facility. Also, they do not have the financial means and the provision of medical services to them is associated with significant costs. In view of the above, it is important that the Ministry take all necessary measures to make scheduled medical care available to patients admitted to a psychiatric hospital in the presence of somatic health problems.477 Recommendations: Ill-treatment Recommendations to the Minister of Internally Displaced Persons from the Occupied Territories, Labor, Health and Social Affairs of Georgia:  The Ministry should develop and implement a rule on reporting to the independent bodies the detection, documentation, investigation and monitoring of acts (torture, cruel or inhuman, degrading treatment or punishment, exploitation, violence and insults) referred to in Articles 15 and 16 of the Convention on the Rights of Persons with Disabilities.  The Ministry should develop and implement a strategy for the prevention and response to conflicts between patients, which will also include the obligation to document in a special journal of violence and provide appropriate psychological assistance to patients who are victims of violence.  The Ministry through monitoring in psychiatric facilities should identify and prevent violence against patients by staff, including involuntary forced injections and medications.  The Ministry should develop and implement detailed instructions for staff communication with patients in psychiatric institutions, which should include standards for the protection of patients' rights and the provision of quality psychiatric care. For example, one patient had long-term arterial hypertension and was symptomatically given antihypertensives, although no further examination has been performed on the causes of the hypertension. 477 The European Committee for the Prevention of Torture also points out this problem in its report on its visit to Georgia on 10-21 September 2018. The Committee does not accept that the inpatients with mental health problems who do not have the financial means should take care of their somatic health and calls on the government to take immediate action to resolve this challenge. Report on the visit of the European Committee for the Prevention of Torture to Georgia (CPT/Inf (2019) 16), para. 128, Visit of September 10-21, 2018. 476 137