National Preventive Mechanism no social worker in Bediani establishment; the administration clarified that one social worker died while another was passing entrance exams at the High School. The monitoring results revealed that State does not provide sufficient care for different needs of patients with mental disorders. There is no organized and unified system to respond their nonmedical needs. The activities of social workers are spontaneous and depend upon their personal enthusiasm and abilities. The procedures for recognition of a person as legally incapable violates rights of persons with mental disorders in certain cases; State has to ensure that persons with mental disorders are always represented in the court or any other instance to simplify the procedures for lodging an appeal against any decision and to abolish court fees for the mentioned persons. PERSONNEL During last several years, the government implemented measures for promoting activities aimed at improving knowledge and competencies of the personnel engaged in psychiatric health services. More precisely, the Ministry of Labour, Health and Social Affairs of Georgia concluded Memorandum of Cooperation with GIP-Tbilisi Foundation, thus agreeing coordination of qualification trainings for the personnel employed in Tbilisi mental health institutions in the first stage of reforms. Foreign and Georgian experts jointly developed 10 professional modules such as requalification of nurses, management of multidisciplinary group and the relevant medical cases, clinical psychiatry (2 modules), management of aggression and agitation and other modules. Trainings began in May 2011 and are still ongoing91. Approximately 1000 persons (psychiatrists, nurses, nurse assistants, psychologists and others) participated in the free of charge qualification trainings. Notwithstanding the aforementioned another important problem has emerged – applying the acquired knowledge in practice which means that relevant skills of using modern approaches in practice are not incorporated in a daily working routine. The trained psychiatric health specialists rarely request supervision and consultancy for implementation of new methods. It is obviously necessary to require the managers to translate theoretical knowledge in practice, for instance, case based management, suicide prevention and management rules and etc. In general only very few hospitals follow the new approaches in this very field (for instance introduction of multi-disciplinary group). The upcoming trainings should include training of managers based on modern service management technologies. M. Asatiani Psychiatry Institute nurse stated that he underwent several trainings on treatment of patient, the last one-week training was conducted approximately 3 months ago while the previous one – 5 years before. The nurse was taught how to treat the patient and fixate him/her. Rustavi – one of the nurse assistants noted that there were no incidents since they had moved to the new building. The Monitoring Group was informed that the personnel underwent reform-related trainings on Multidisciplinary group and medical case management in psychiatry and on management of aggression. Written information from Psychiatric Department of Hospital N5 administration states that “every employee attended all trainings recommended by the Ministry of Labour, Health and Social Affairs”. According to the onsite information, employees attended trainings on physical limitation procedures, however these trainings dealt only with legal provisions thereon. The trainings did not provide practical casework. Written information from Gudushauri Psychiatry Department administration states that doctors were trained in management of patient’s agitation and interviewing of patient. Nurses attended the training on Modern Ap91 In June 2012 seminars on Children and Juvenile Psychiatry is ongoing. www.ombudsman.ge NPM Report