Protection of Healthcare in Penitentiary System and Torture Prevention Mechanisms At the same time it is necessary that juveniles at preliminary detention isolators were located on the territory of N11 establishment. Women prisoners We shall note that 5 women prisoners out of 7 interviewed describe facts of beating in the police department. One of them who applied to the prosecutor’s office describes a fact of beating in Zugdidi N4 establishment after which she suffered feats later and also had symptoms of post-traumatic stress disorder. With regards to healthcare mental health issues are problematic in the mentioned establishment since there are no psychiatric department for women prisoners. Apart from this, only several non-medical social programs operated in 2012 volume of which did not satisfy requirements with respect to social adaptation of inmates of the establishment. It is necessary to establish medical and psycho-social rehabilitation component through civil programs in women establishments as well as in other establishments. Persons in preliminary detention isolators The above-mentioned category is held in Kutaisi N2, Batumi N3, Zugdidi N4 and Tbilisi N8 establishments. Practically all interviewed inmates noted facts of severe ill-treatment, beating and in separate cases, torture, in these prisons. We have documented a well-known case of Malkhaz A.39 who describes in details various facts of beating and torture, including psychological torture, in the Zugdidi police department, in various places near Zugdidi, in Zugdidi prison and later, in N8 prison as a result of which both psychological and physical problems have developed, especially notable are syndrome of chronic spinal ache, headache and pains in neck area, symptoms of post-traumatic stress disorder that is characteristic of practically all individuals that suffered torture and that we have witnessed in many cases. Herewith we shall mention a problem that is extremely important given standards of torture prevention and which was acutely present in the penitentiary system of Georgia – violation of the right of access to independent examination - and, generally, medical forensic examination standards irrelevant to international standards of torture documentation and ineffective examination mechanisms, including irregular legislation. Given the international standards of torture documentation, it is necessary to carry out judicial and medical analysis of legislation regulations and existing practices and introduce relevant amendments within relevant pieces of legislation. Despite being declared as a priority mental health issue remains one of the main challenges in the penitentiary system. Against the backdrop of torture and inhuman treatment, self-harming and aggressive reactions, statistical data on personality disorders have reached catastrophic levels. This is aggravated by co-presence of post-traumatic stress disorder and results of frequent traumatic injury in the head and spine area. Results of the research carried out shows that completely inadequate method of treatment that was expressed in excessive prescription-consumption of psychotropic and painkiller medicines - was chosen as a way to overcome this problem. Namely, thousands of inmates take tens of pills of Diazepam, Zolomax, Optimal, Gabagamma and other similar medicines. Their number cannot be verified through reports of healthcare department of the penitentiary system. We shall note that psychiatric and behavioural problems caused by excessive and incorrect consumption of these medicines make it impossible to lower a medicine dose and that presents a dilemma to prison doctors and compels them, under threat of aggression or self-directed aggression prescribe and issue these medicines. According to lists 39 See the case of Malkhaz A. page 10 NPM Report 2012 Individuals with mental disorders and drug addiction problems in Georgia’s penitentiary system

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