4. Psychiatric institutions 4.1. Implementation of recommendations In the 2018 Report of the National Preventive Mechanism, the Public Defender of Georgia offered 19 recommendations for the prevention of torture and other cruel, inhuman or degrading treatment or punishment in psychiatric institutions. 7 of the recommendations have been endorsed in the resolution of the Parliament of Georgia.261 None of the 5 proposals issued to the Parliament of Georgia has been implemented. Out of 3 recommendations made to the Government of Georgia, 1 was implemented and 2 were not implemented. Out of 11 recommendations made to the Ministry of Internally Displaced Persons from the Occupied Territories, Labour, Health and Social Affairs of Georgia (hereinafter - the Ministry), 2 were implemented, 8 were not implemented, while the implementation of one recommendation could not be assessed.262 In 2019, the Public Defender's Office/National Preventive Mechanism had active communication and dialogue with the Ministry. We positively assess the practice of timely submission of various data by the Ministry. The readiness of the Ministry to conduct a constructive dialogue is welcome. A number of working meetings were held to discuss the situation in psychiatric institutions. The purpose of the present chapter is to review the recommendations offered in the report of the National Preventive Mechanism and their implementation. Information on these issues is additionally presented in the relevant thematic chapters. Proposals to the Parliament of Georgia None of the 5 proposals issued by the National Preventive Mechanism to the Parliament of Georgia was implemented in 2019. The reply received from the Ministry says that measures are being taken to carry out the mentioned changes.263 One proposal to the Parliament of Georgia concerned the establishment of complaints system and external state oversight/control mechanism. In particular, the Public Defender demanded to explicitly define at the legislative level the procedure for reviewing complaints, as well as the grounds for 261 Resolution of the Parliament of Georgia of September 20, 2019 on the Report of the Public Defender of Georgia on the Situation of Human Rights and Freedoms in Georgia in 2018. 262 We have not received information on the implementation of two recommendations in response to our letter N 03-3/12528 sent to the Ministry of Internally Displaced Persons from the Occupied Territories, Labour, Health and Social Affairs of Georgia on November 19, 2019. 263 Letter No. 01/20057 of the Ministry of Internally Displaced Persons from the Occupied Territories, Labour, Health and Social Affairs of November 27, 2019. 95