safety of both patients and staff.302 The process of application of restraint should not be degrading and should not be attended by other patients. The supervisor staff continue to be involved in the process of the use of chemical and physical restraints at the National Mental Health Centre. There are also cases of the use of physical restraint in the presence of other patients, which is contrary to the instructions approved by the order on the use of methods of physical restraint.303 It is important to continue the use of de-escalation methods during physical restraint in order to minimize the duration of the restraint and ensure continuity of the therapy.304 According to the standard proposed by the European Committee for the Prevention of Torture (CPT), the decision on the use of the restraint method shall be made only by a psychiatrist, who shall individually assess the patient's condition and circumstances. This decision shall be made in writing and shall be duly (not only formally) substantiated,305 shall be attached to the patient's personal medical records and shall be reflected in a special register.306 Proper documentation is important not only for the purposes of the monitoring, but for doctors as well, who should take into account the previous experience, if the use of restraint will be needed again. Examination of the documentation produced by the National Mental Health Centre shows that the institution does not provide adequate justification (complete description of causes and circumstances) for the use of physical restraint, thus violating the instructions for the use of physical restraint methods approved by the minister’s order.307 The cases of isolation are not documented and the documentation of the use of chemical restraint is also faulty. The recommendation issued by the European Committee for the Prevention of Torture to Georgia stresses that if it is deemed necessary to restrain a voluntary patient, the procedure for re-examination of his/her legal status should be initiated immediately.308 The monitoring visits to the National Mental 302 Revised Standards of the European Committee for the Prevention of Torture on Means of restraint in psychiatric establishments for adults, paragraphs 3.1. and 3.2. 303 Order No. 92/N of the Minister of Labour, Health and Social Affairs of Georgia on the approval of instructions on the rules and procedures for the use of methods of physical restraint towards patients with mental disorders. 304 Revised Standards of the European Committee for the Prevention of Torture on Means of restraint in psychiatric establishments for adults, para.3.3. 305 Recommendation REC 2004 (10) of the Committee of Ministers of the Council of Europe on the protection of human rights and persons with mental health problems, Article 27, available at: < https://bit.ly/2vFPiIS > [last accessed: 17.02.2020]. 306 The report of the European Committee for the Prevention of Torture on its visit paid to Georgia on September, 10-21 2018, para: 134, available at <https://rm.coe.int/1680945eca> [last accessed 22.01.20]. 307 Order No. 92/N of the Minister of Labour, Health and Social Affairs of Georgia on the approval of instructions on the rules and procedures for the use of methods of physical restraint towards patients with mental disorders, para. 6, Tbilisi, March 20, 2007, available at: <https://matsne.gov.ge/ka/document/view/69838?publication=0> [last accessed: 22.01.20]. 308 The report of the European Committee for the Prevention of Torture on its visit paid to Georgia on September, 10-21 2018, para: 136. 105