National Preventive Mechanism provided by penitentiary establishments, 1337 inmates take the above-mentioned medicines, but in reality this figure must be much higher. Thus we are dealing with a narcological problem in the penitentiary system. We believe that implementation of systematic changes and in separate cases introduction of component of non-voluntary treatment is needed to solve this problem as often we are dealing with the combined narcological-psychiatric diagnosis that in separate cases makes it impossible to find an outpatient solution to this problem. Simultaneously, implementation of individual, individual-orientated rehabilitation projects that are based on multidisciplinary approach in the penitentiary system as well as with a purpose of starting of problem-overcoming for released prisoners. Adequate diagnostics and treatment of persons suffering from psychosis register disorder, mental retardation and dementia remains a problem in the penitentiary system and that violates equivalent healthcare principles. In this regard, conclusions issued by the Psychiatric department of the Samkharauli Forensic National Bureau in some cases are problematic and inadequate. As a result of monitoring and individual intervention a group of experts in almost every prison witnessed persons with severe psycho iatric disorder whose presence in the penitentiary system is impermissible. In three cases conclusions issued by the Samkharauli Forensic examination were inadequate. According to alternative expert evaluation, in two cases a schizophrenic diagnosis was made while in one case dementia was diagnosed. Another case: V. N. was found in N18 medical establishment, he remains in conditions of inadequate medical care. This person is diagnosed with epilepsy together with obvious mental retardation and behavioural violation. And in N18 establishment he is called “simulator” and is diagnosed of emotionally unstable personality disorder syndrome. We have met persons with severe mental problems in Geguti N14, Batumi N3, Kutaisi N2, Tbilisi N8 and women’s N5 establishments. Despite the fact that in October 2012 Georgia practically lost the case “Nachkepia against Georgia” in the European Court of Human Rights that concerned mentally ill woman prisoner under the article 3 (friendly settlement was reached) and it recognized necessity of implementation of psychiatric reform in the penitentiary system, the said reform still remains at the stage of a statement. Given the above, as an immediate measure, we believe it necessary to separate a group of experts from civil healthcare sector and implementation of large-scale monitoring with the purpose of disclosure of other inmates with severe psychiatric pathologies and consecutive intervention. Simultaneously, a plan of long-term reform shall be presented which will aim at development of strategy of joint approach towards standards of listed in illnesses for release from sentence and standards of medical forensic examination and psychiatry. Particularly dangerous are infectious diseases, their management and prevention Despite identification of this direction as a priority in the penitentiary system and given the loss of the case in the European Court for Human Rights or, taking into account the precedent, array of potentially losable cases, there was no progress noted in this direction in 2012. Namely, it concerns strategy of disclosure of virus hepatitis, its treatment and prevention, implementation of which though connected to expenses, is still necessary and not that hard to carry out. Screening and diagnostics for the above disease is not carried out upon admission of an inmate into the penitentiary system of Georgia, thereof there is no statistical data about cases of hepatitis-suffers upon entering the penitentiary system and those contracting the disease there. As to AIDS/HIV the program is carried out partially and only some cases are diagnosed and treated. According to Table N2 (illness) of 2012 33 patients were involved in the above program. www.ombudsman.ge NPM Report