Protection of Healthcare in Penitentiary System and Torture Prevention Mechanisms With regard to professional competence, more or less lack of awareness regarding healthcare regulation normative acts and laws currently in force in Georgia was revealed in the majority of establishments of the penitentiary system of Georgia, except for N5 women establishment. The issue of awareness of standards of the medical ethics, playing the decisive role in raising of interpersonal conflicts between a doctor and a patient, is also very problematic. A problem arises also with attitude of medical personnel towards disclosure, documentation, diagnostics and treatmentrehabilitation of facts of torture and level of their awareness of this in the majority of establishments. It needs to be noted that even after the events when inmates openly and without concealment stated about torture and presented various healthcare-related complaints prison doctors still failed to record such information in medical cards. To our question why inmates’ stories and complaints were not recorded in the medical history, we were told at one of the establishments that” such issues do not concern doctors”. The level of qualification when it comes to mental health issues is very low among penitentiary system doctors, including psychiatrists. The above is confirmed by results of the monitoring of those inmates suffering from psychosis that were discovered by us in the penitentiary system and who before were diagnosed with nervous and other disorders of non-psychosis type. During the monitoring we discovered 9 such inmates. On this background, we believe, that necessity of transfer of the penitentiary healthcare system of Georgia to civil sector is of utmost importance. Also it is very important to urgently plan and implement a set of professional trainings within the complex module program to acquaint prison doctors with torture prevention, documentation, as well as ethical and international standards of penitentiary healthcare system. 2012 NPM Report

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