Report on Conditions in Psychiatric Establishments in Georgia proaches in Psychiatry. All personnel attended the training on Principles of Work of Multidisciplinary Group and Management of Aggression. Written information from Qutiri Mental Health National Centre provides that 79 employees (11 doctors, 31 nurses, 3 social workers, 25 guards and 9 administration members) attended training on Medical and Social Aspects of Violence, Main Principles of Involuntary Psychiatric Treatment and Methodology of Risk Control, Management of Aggression and relationship with patients, Concept of Management in the Clinics of Involuntary Treatment, Developing Principles and Regulatory Documents for Protected Accommodations. In accordance with written information submitted by Khelvachauri Psycho-Neurologic Hospital: in 2011 2 doctors and 3 nurse assistants attended trainings. Director and deputy director attended the seminar in medical issues.92 Recommendations Proposal to the Parliament of Georgia To amend Article 18 of the Law of Georgia on Psychiatric Assistance in order to introduce an obligation to seek and consider opinion of an independent psychiatrist in the process of defining involuntary placement of a person with mental disorders. Recommendations to the Minister of Labour, Health and Social Affairs: In the framework of reform of psychiatric health system to develop an action plan specifying all activities, time-frames, implementing agency and performance indicators;. To draw more attention to active involvement of civil society and professionals in the reform process; To develop financing system responding to needs of psychiatric patients and personnel/ establishments through dialogue and consultations with stakeholders, establishments and healthcare and management professionals; To review existing state control system and establish a new system safeguarding effective control without prejudice to right of patients to confidentiality of personal and medical information; To ensure establishment and effective functioning of community-based services; To plan phased abolition of old and deprecated large hospitals after introduction of communitybased services. To provide financing of expenses for diagnosis and treatment of somatic diseases of patients with mental disorders in the relevant state programs; For the purposes of psycho-social rehabilitation of patients with mental disorders: To safeguard introduction and promotion of psycho-social rehabilitation programs in every establishment, including providing relevant financing; 92 The subject matter of seminars and trainings were not specified NPM Report 2012 To develop effective mechanisms of internal and external control to eradicate and prevent ill-treatment of patients, and to establish a system safeguarding adequate redress to any violation;