dynamics of prisoner’s health condition during the year, as well as his/her consultations, referrals, examinations, diagnoses, treatment and its results o  Introduce an electronic information system for medical staff and the penitentiary system in general in order to eliminate deficiencies related to medical documentation Take all measures to ensure that the term of regular outpatient referral does not exceed one month, the term of regular inpatient referral does not exceed 4 months185 and urgent referral does not exceed - 5 days186 Mental health care Recommendations to the Minister of Justice:  Develop a strategy for attracting mental health service providers   Introduce periodic mental health screening in penitentiary facilities Ensure that the number of patients consulted per day does not exceed 15, by increasing the number of full-time and visiting psychiatrists  Ensure adequate frequency of psychiatrists’ visits to the facilities in accordance with the number of patients on the waiting list so that the waiting time does not exceed 2 weeks  Due to the peculiarities of penitentiary facilities, specify at the normative level the composition of a psychiatric multidisciplinary team, the functions of each member and the procedure for organizing and delivering psychiatric care  Develop crisis prevention and management guidelines and train the facilities’ medical staff in crisis prevention and management  Ensure that the multidisciplinary team assesses the needs of patients with mental health problems who do not need inpatient treatment, develop an individual plan of biopsychosocial assistance based on the needs identified by them and provide appropriate assistance  Ensure clinical-laboratory dynamic assessment and control of the risks of developing agranulocytosis,187 metabolic processes and especially hyperglycemia,188 in order to manage drug side effects  Ensure that the practice of dispensing psychotropic drugs is studied by the Medical Services Quality Management Division of the General Inspectorate and measures are taken to prevent the misuse of psychotropic drugs. 185 Medical service standards for penitentiary facilities, approved by Order No. 381 of February 15, 2019 of the Minister of Justice of Georgia, additional medical care standards for persons with special needs, list of essential medicines and preventive health service package for the penitentiary system, Article 8, subparagraph 4. 186 The rules of transfer of untried/convicted persons to a civil sector hospital, Medical Facility for Untried and Convicted Persons and Tuberculosis Treatment and Rehabilitation Centre, approved by Order No. 55 of April 10, 2014 of the Minister of Corrections of Georgia, Article 21, subparagraph 8. 187 To reduce the number of leukocytes (white blood cells) in the blood, see the link <http://www.medgeo.net/2009/06/30/agranulocytosis/> [last accessed 17.02.2020]. 188 High blood sugar, see the link <http://gh.ge/ka/disease/900/> [last accessed 17.02.2020]. 70