 Instruct the State Regulation Agency for Medical Activities to examine the use of antipsychotic drugs and management of side effects in psychiatric institutions  Organize trainings for the staff of psychiatric institutions in psychiatric case management, by using the WHO training materials and national clinical practice recommendations (guidelines)  Make it mandatory for all psychiatric institutions to justify the need for rapid tranquilization, document patient's consent to tranquilization in writing, implement physical monitoring in accordance with national clinical practice recommendations (guidelines) and reflect the monitoring results in the medical documentation Psycho-social rehabilitation  In 2020, for the purpose of deinstitutionalization of psychiatric facilities, provide the assessment of  patients and transfer of those, who do not require inpatient treatment, to family-like services In 2020, through the multidisciplinary team, develop and update individual psycho-social rehabilitation plans and measure the results achieved  In 2020, organize trainings for all social workers employed in psychiatric hospitals, who do not have a bachelor's, master's/equivalent or doctor’s academic degree in the field of social work  Provide patients with unlimited access to telephone communication Somatic health  Make changes to the mental health programme and address the issue of treatment of patients of psychiatric hospitals for somatic health; prior to this, the Ministry should, as a temporary measure, provide access to a family doctor for patients placed at psychiatric hospitals and their transportation to the medical facility  Make changes to the health care programme and provide for the management of side effects of medicines through relevant examinations and consultations, in accordance with the guidelines applied in the country Physical environment  In order to ensure that psychiatric institutions meet the inpatient institution permit requirements, check in 2020: o The situation in the shelter of Academician Bidzina Naneishvili National Mental Health Centre, women's and men's units, as well as in the Psychiatric Hospital of Batumi Medical Centre, and respond appropriately State oversight and control  In 2020, ensure regular, systemic and proactive monitoring of psychiatric institutions, monitor the compliance of their conditions with standards set by the ordinance on issuance of licences for medical activities and permits for inpatient institutions. 119