Wards at LTD Tbilisi Mental Health Center Proper protection of personal hygiene is problematic in the institutions. Damaged infrastructure as well as the problem of organizing and promoting personal hygiene by staff are challenge in terms of hygiene protection. The showers and toilets in the LTD Tbilisi Mental Health Center and the LTD Mental Health and Drug Prevention Center need to repair damaged faucets and to install caps on toilets. In these institutions, patients do not have the opportunity to take a shower with sufficient frequency for proper protection of hygiene.436 In addition, as revealed in the LTD Tbilisi Mental Health Center, staff did not regularly distribute personal hygiene items437 and they are given to patients only upon request. Some patients in the same facility do not have personal soap and it is problematic for female patients to receive menstrual products. Some patients do not know, if necessary, how and with whom to request the hygiene items. Patients in the facilities do not have clothes and linens for individual use.438 Patients' clothes are washed together and at the same time, patients are given someone else's used clothes, socks, underwear and linen (washed), which, according to the Public Defender, poses a risk of spreading contagious diseases. These conditions complicates protection of patients from various infections and parasites. Head lice in patients' is widespread in LTD "Tbilisi Mental Health Center". The institution tried to solve this problem by shaving patients' hair along with an anti-lice spray. According to the Public Defender, shaving hair can be offensive for the patient and negatively affect his self-estimation. 4.7. Nutrition Under the State Psychiatric Care Program psychiatric institutions have an obligation to provide nutrition to patients.439 However, no uniform nutrition standard has been developed for psychiatric institutions, determining the institution's duty to provide patients with appropriate products and calories. Number of patients at the LTD Tbilisi Mental Health Center and the LTD Senaki Mental Health Center complained Patients at LTD Tbilisi Mental Health Center are given the opportunity to take a shower only once a week. Soap, shampoo, toothbrush and paste, hygienic diapers. 438 According to the standards of the European Committee for the Prevention of Torture, individual clothing is an important component for therapeutic purposes. Extract from the CPT general report CPT/Inf(98)12-part. para 32. 439 Resolution №674 of the Government of Georgia of December 31, 2019. Mental Health, (Program Code 27.03.03.01) Article 6 (A.D.A.), available at: <https://bit.ly/2Lb1hGa >, [last visited: 07.01.2021] 436 437 129