in all psychiatric establishments whenever Clozapine is used; staff should be trained to recognise the early signs of the potentially lethal side effects of Clozapine.339 In view of the above, it is important that the issue of somatic (physical) health of patients placed in psychiatric hospitals be considered within the framework of the state programme. Through cooperation with psychiatric institutions, it is important to ensure timely referrals, including by providing access to a family doctor and covering transportation costs, as well as to manage the side effects of medicines through appropriate examinations and consultations, in accordance with the guidelines applied in the country. 4.6. Material conditions Compared with previous year, some steps have been taken in 2019 to improve the physical environment and sanitary-hygienic conditions in psychiatric institutions,340 however, conditions in a number of psychiatric institutions still need to be significantly improved and brought in line with international standards.341 During visits paid to the National Mental Health Centre on April 22-25, 2019 and the Psychiatric Hospital of Batumi Medical Centre on September 18-19, 2019, the infrastructure and sanitary-hygienic conditions were significantly different in old and renovated wards. New building of Acad. B. Naneishvili National Mental Health Centre 339 Causing death. The new building of the National Mental Health Centre was put into operation, repairs were launched in Psychiatric Hospital of Batumi Medical Centre in 2017, which continued during the visit of the Special Preventive Group as well. 341 Standards of the European Committee for the Prevention of Torture, available at: <https://bit.ly/33Ki4EY> p. 80. 340 111