In order to restore the sewerage system of the hospital, several sewerage holes of sambo type have been dug in the territory and built from the inside with pipes. The units of the hospital and its administrative part had been heated with electric heaters for many years, which sometimes resulted in undesirable situations and caused power consumption in large quantities. Two boiling houses were built in the hospital within last two years and presently all buildings are heated by them. A lot of work has been done to improve the practice of providing patients with medicines and food, positive changes have been observed both in the provision of medicines and increase of their variety and presently there is no problem in this sphere. The problems that existed for many years in the sphere of provision of food to patients have been eliminated and patients are provided with quality food. Patients are also provided with hospital clothes and personal hygiene items. That certain boxes have been hung in each unit of the hospital for proposals and complaints and radio and TV sets have been installed in most units may be appreciated as a positive step toward the solution of living problems of patients. A consent form with treatment information for patients entering the hospital, a form reflecting information on the receipt of full treatment for patients leaving the hospital and a form about voluntary suspension of treatment have been prepared by specialists in compliance with international standards and at present are successfully applied in the hospital. It should also be mentioned that the overcrowding observed in several units during the visit was a result of the suspension of the operation of four units (No.9, 10, 11 and 12) with 80 beds each in connection with capital repairs to be performed there. At present the renovation works have been completed and the units have been put into operation. A follow-up visit has been conducted with the participation of the Commissioner to Republic Psychiatric Hospital No.1 of the MH to check the status of the implementation of the submitted proposals and recommendations and the performed work on the ground. During the visit the buildings of the hospital, including newly constructed and renovated buildings were examined, 74