One recommendation to the Ministry concerned changes to the regulation of physical restraint. In particular, the Public Defender/Special Preventive Group requested amendments to the Instructions on the Rules and Procedures for the Use of Physical Restraint Methods towards Patients with Mental Disorders approved by a subordinate normative act,281 in order determine: the maximum duration of physical restraint; the obligation to record the bodily injuries sustained by a patient and/or staff during application of physical restraint in a special register; the form of a special register; detailed instructions for the application of physical restraint; specific characteristics of special equipment used during physical restraint; where physical restraint shall be used and who may be present; what requirements shall be met by a specialized isolation ward; issues related to the use of video surveillance system during the application of physical restraint and the obligation of the staff to talk to patients after the use of physical restraint and to inform them of their right to appeal. This recommendation has been endorsed by the Parliament of Georgia and has been reflected in its resolution. The recommendation has not been implemented so far. According to the reply received from the Ministry, changes are planned to be carried out in this direction. One recommendation issued to the Ministry concerned the introduction of multidisciplinary work in psychiatric institutions. In particular, the Public Defender/Special Preventive Group requested that the factors hindering multidisciplinary work be identified in all psychiatric institutions and a plan be devised for their elimination. This recommendation has not been implemented. The reply received from the Ministry reads that the Ministry plans to identify the factors hindering the application of a multidisciplinary approach in the fall of this year, with the technical and financial assistance of the French Development Agency. One of the recommendations issued to the Ministry called on the Ministry to study the issue of proper performance of duties of the supporter in psychiatric institutions. In particular, the Public Defender/Special Preventive Group demanded to study the proper performance of the duties of the supporter by former and current staff at Bediani Psychiatric Hospital, Acad. B. Naneishvili National Mental Health Centre (hereinafter referred to as the National Mental Health Centre) and Batumi Medical Centre and in the event of detecting improper performance of duties, to apply to the court with a request to dismiss the above persons and to assign the duties of the supporter to an authorized representative of the guardianship and custody authorities. We have not received a reply on the implementation of the recommendation even though the National Preventive Mechanism requested the relevant information. Consequently, it is impossible to assess the implementation of the recommendation. 281 Order No. 92/N of the Minister of Labour, Health and Social Affairs of Georgia, March 20, 2007. 100