National Preventive Mechanism in state residential institutions: “The state shall provide persons with disabilities with accommodation in accordance with an individual rehabilitation program.” During the monitoring, it became evident that employees of the institutions were often unfamiliar not only with the concrete method/process of rehabilitation/habilitation, but also with the main essence and aim of rehabilitation. A publication of the World Bank and World Health Organization, 2011, “World Report on Disability”133, gives the following explanation in connection with the concept of rehabilitation of persons with disabilities: “Rehabilitation outcomes are the benefits and changes in the functioning of an individual over time that are attributable to a single measure or set of measures. Traditionally, rehabilitation outcome measures have focused on the individual’s impairment level. More recently, outcomes measurement has been extended to include individual activity and participation outcomes [in social activities]. Measurements of activity and participation outcomes assess the individual’s performance across a range of areas – including communication, mobility, self-care, education, work and employment, and quality of life.” Creating the possibility of achieving rehabilitation outcomes, according to the aforementioned publication of the World Bank, requires the provision of minimum conditions and opportunities of rehabilitation: Rehabilitation medicine which, according to need, includes doctors with specific expertise in medical rehabilitation – Psychiatrists, pediatricians, geriatricians, dieticians, orthopedic surgeons, etc. Therapeutic service of rehabilitation: A psychologist, occupational therapy, physical therapy, speech therapy, art therapy, social therapy, ergo therapy, etc. Assistive technologies: Prostheses, orthoses, hearing aids, communication boards, white canes, Braille printers, software for screen magnification, etc. Multidisciplinary teams of rehabilitation: Coordinated assessment by rehabilitation and medical workers of different fields; Making a plan for (individual and/ or group) intervention; Reflecting theoretic outcomes in the immediate living/ working/educational environment of a beneficiary; Improved monitoring of the quality of a beneficiary’s life. The decisive role in the correct organization of the entire process of rehabilitation is played by the informed consent of the person him/herself and management of the entire process by him/her, which is only possible through an equal and partnership-based relationship with medical professionals. And adequately filled out rehabilitation documents and the degree of satisfaction expressed by the beneficiary constitute the main means for measuring the effectiveness of rehabilitation. Unfortunately, none of the aforementioned criteria were actually met in the institutions visited at the time of the monitoring. Most of the institutions did not employ any of the aforementioned staff, while documents they kept were of such a low quality that it was impossible to monitor the real outcomes. There is a serious lack of psychologists and other rehabilitation workers in the specialized public schools. This is confirmed by the scarcity of entries in children’s individual plans and the imperfection of rehabilitation programs. A psychologist employed in Public School No. 200 showed us very scarce information about rehabilitation works done. The institution does not carry out psychotherapeutic intervention with beneficiaries, despite the fact that the psychologist, in his/her own words, is informed about the psychological traumas sustained by children – mainly about domestic violence and other ill-treatment that takes place when beneficiaries are taken to their families. According to the information provided by the psychologist, beneficiary “T.M. returned from home to the institution on April 17, 2012, with a bruise on her face; her mother had beaten her because she had applied manicure”; “On December 5, 2011, S.M. came beaten from home – with bruises on his/her face and legs; M.K. is forced to work at 133 http://whqlibdoc.who.int/publications/2011/9789240685215_eng.pdf www.ombudsman.ge NPM Report