Psycho-social rehabilitation
The UN Convention on the Rights of Persons with Disabilities (2006)320 obliges States Parties to
organize comprehensive rehabilitation and habilitation services and programmes in the areas of health
care and social services in such a way that these programmes begin at the earliest possible stage, and
are based on the multidisciplinary assessment of individual needs and strengths, and support inclusion
and participation in all aspects of public life. To this end, the States Parties shall promote the
development of initial and continuing training for professionals and staff working in habilitation and
rehabilitation services.321
According to Georgian legislation,322 one of the components of psychiatric care is psycho-social
rehabilitation, which aims to maintain the patient's social and employement contacts and to develop
the skills that determine his/her ability to live independently in the community.
Despite the requirements set by international standards and legislation, biopsychosocial rehabilitation
measures at the psychiatric hospitals of the Mental Health Centre and Batumi Medical Centre are
extremely scarce. There is no practice of drawing up or implementing individual rehabilitation or
recovery plans based on multidisciplinary approach and assessment of patients' needs. The institutions
lack material resources and properly qualified staff.
It should be noted that in fact no rehabilitation process was ongoing in the National Mental Health
Centre due to the shortage of staff working in the direction of psycho-social rehabilitation.323 According
to the reply received from the Centre, various activities were introduced in divisions I and III.324 It is
important that psycho-social rehabilitation programmes be accessible to all patients in the facility,
especially to long-term inpatients, and that they be not fragmented.
As for Batumi Medical Centre, during the visit, the clinic had eight people working in the direction of
psycho-social rehabilitation,325 however, according to the interviews and examination of the
rehabilitation space and documents, it can be said that they fail to ensure psycho-social rehabilitation
of patients. It should be noted that the professional qualifications of social workers do not meet the
requirements set by the legislation of Georgia,326 in particular, the social workers do not have bachelor's,
320
Took effect in Georgia on April 12, 2014.
United Nations Convention on the Rights of Persons with Disabilities, 13 December 2006, Article 26.
322 Law of Georgia on Psychiatric Care, Article 21.
323 During the visit to the National Mental Health Centre, there were vacancies for 3 psychologists and specialists
of the psycho-social rehabilitation team. According to the administration of the institution, despite their efforts,
they were not able to staff the institution with necessary specialists. Consequently, only one psychologist and one
social worker had to work with 116 patients placed in the clinic.
324 Units I and III mainly serve acute patients.
325 2 psychologists, 2 social workers, 4 occupational therapy instructors.
326 Law of Georgia on Social Work, Article 42
321
108
Select target paragraph3
Connect to a paragraph
Connect to an entity
Disable highlights
Add to table of contents