National Preventive Mechanism
patients a day). The work therapy courses include planting and growing of greenery and vegetables. The director
of the facility mentioned that he and employees of the institution do not have possibility to undergo the trainings
in psycho-rehabilitation that would have positively influence implementation of different psycho-social rehabilitation programs. He also noted that he introduced the art and work therapy courses based on the experience of
his colleagues and it would have been better if he had special knowledge on this subject.
Tbilisi Mental Health Centre provides for the art-therapy, cognitive therapy, ergo-therapy and individual psychotherapy. According to the documents, 116 patients were recorded to attend the therapy courses, however according to the information obtained on spot currently much less number of patients are able to undergo the
mentioned therapy courses due to the lack of facilities and financing. There are specially designated rooms to teach
patients painting, to sculpture, to knit, etc. In the same rooms the works of patients are exhibited. Teacher noted
that the patients are very talented and some of them are even quite famous. However due to the lack of financing
it is impossible to ensure participation of every patient in the art-therapy programs. The psychotherapist of the
institution works with patients individually and in groups.
In Kutaisi Mental Health Centre are psycho-social rehabilitation courses; however only 5-6 patients participate in
the courses and there are no individual plans for them.
In Qutiri Mental Health National Centre some rehabilitation activities are implemented however they lack the structure and regulation and, accordingly, they hardly meet the real needs of patients. In addition there are no individual
treatment plans for patients.
The Qutiri Establishment provides art-therapy courses – paint-therapy, music-therapy, dance-therapy, dramatherapy, phototherapy, ergo-therapy. Only 45 patients attend the courses (according to the administration). It is a
positive development that the drama circle of the institution stages performances with patients as actors. For this
reason the establishment has special performance stage in the building. The administration also noted that patients
might play football and basketball in the courtyard of the facility.
It shall be noted that the involuntary forensic psychiatric patients are not involved in the psycho-rehabilitation
programs that constitutes a serious gap in their treatment.
In Khelvachauri Psycho-Neurologic Hospital there is a multi-disciplinary group in charge of implementation
of relevant standards of psycho-social rehabilitation. Patients of every unit participate in occupational therapy.
During the monitoring 12 patients were working in the special therapy room. They painted, knitted, sewed, etc.
Nevertheless the rehabilitation activities are not structured – the schedule of activities is not publicly posted, the
records are not made concerning the individual success of patients. 10 patients are daily involved in different rehabilitation activities however it is a small amount taking into account the capacity (140 patients) of the establishment.
The individual plans for patients are not used in the hospital.
The psychiatrist and psychologist conduct the courses of cognitive therapy for 8 patients. Some discharged patients
regularly visit cognitive or occupational therapy courses.
CARE FOR NON-MEDICAL NEEDS OF PATIENTS
Social workers are responsible to assist patients in acquiring /restoring their personal documents. Basically it means
assistance to acquire ID or pension book. Social workers clarified that there are no interconnected electronic
data-base shared and used by Civil registry Agency and psychiatric institutions; therefore in every specific instance
they have to take patients to the House of Justice or other relevant institution.
None of social workers could explain to the representatives of the National Preventive Mechanism what happens
if a patient cannot move independently. They mentioned that there were no such cases and could not recall to the
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NPM Report
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