 To determine in the legislation the alternative methods (de-escalation technique) to physical and chemical restraint;  To amend the Law of Georgia on Psychiatric Assistance to the effect of defining chemical restraint, grounds for its exceptional use and procedure; to determine the obligation of the Ministry of Internally Displaced Persons from the Occupied Territories, Labour, Health and Social Affairs of Georgia to approve detailed instructions for the use of chemical restraint;  To amend Article 16 of the Law of Georgia on Psychiatric Care to the effect of determining the following: maximum duration of physical restraint; obligation of documenting physical restraint in a special register (a special logbook); requirements to be met by a special isolation ward; issues related to the use of video surveillance during physical restraint; obligation to consult a patient after the end of the measure and to inform him/her of his/her right to appeal; and  To amend Article 16 of the Law of Georgia on Psychiatric Care to the effect of determining that means of restraint should not be applied vis-à-vis formally voluntary patients unless there is an extreme urgency of resorting to physical restraint; if it is deemed necessary to restrain a voluntary patient, the procedure for re-examination of his/her legal status (voluntary/involuntary) should be initiated immediately. Recommendations To the Government of Georgia:  To ensure that, in 2019, the amount of daily expenditure for a shelter beneficiary is, at least, set equal to the cost of a bed-day for patients receiving long-term treatment in an inpatient facility;  In accordance with Article 3.a-h) of the Law of Georgia on State Procurement, to approve the special procedure of procuring medicines by psychiatric establishments (LTD), in which more than 50% of shares are owned by the state, and to determine that these establishments are allowed to use a simplified procurement procedure for these medicines; and  To amend the Mental Healthcare Programme and, in accordance with the guidelines existing in the country, to provide for the management of side effects of medicines through relevant examinations and consultations. To the Minister of Internally Displaced Persons from the Occupied Territories, Labour, Health and Social Affairs of Georgia:  To ensure the eradication of risks against unimpeded services in the Bediani Psychiatric Clinic in shortest terms possible;  To ensure that risks hindering the uninterrupted provision of medical services are eradicated in shortest terms possible in the Bediani Psychiatric Clinic; 87