Report on Conditions in Psychiatric Establishments in Georgia The Order of the Minister of Labour, Health and Social Affairs #112/n on approval of Standards of Psycho-Social Rehabilitation provides rules regulating psycho-social rehabilitation in Georgia. According to Article 1.1. of this order, every institution notwithstanding its ownership and organization form shall observe the abovementioned standards on psycho-social rehabilitation. Despite the decisive importance of psycho-social rehabilitation component in the treatment process and their binding nature as confirmed by the Order of the Minister of Labour, Health and Social Affairs; as of today in absolute majority of the psychiatric establishments the rehabilitation programs either do not exist or function in limited manner and do not apply to every patient. Psychologist or psychotherapeutic is not employed in some facilities (e.g. Senaki). The individual treatment plans for every patient is not developed in the majority of the institutions. The treatment process usually is limited only with medical treatment, i.e. provision of particular medicines. Non-availability of psycho-social rehabilitation programs especially affects so called chronic long-term patients as they do not continue medicament-based treatment and so the rehabilitation measures are the only available method to help them to integrate into the society. As the representatives of some institutions explained, the Ministry of Labour, Social and Health Care plans to introduce binding psychosocial rehabilitation without allocating additional finances. Further research should be conducted concerning this issue. The only entertainment activities available for the patients are watching the TV or some table games. Books, newspapers or magazines are less available. The government has to ensure that psycho-social rehabilitation as an integral part of treatment of persons with mental disorders. Nowadays the treatment basically implies provision of medicine that is not sufficient and adequate. Generally, the psychiatric sphere has lack of psycho-social rehabilitation programs. The personnel of Rustavi psychiatric health establishment noted, that they develop individual treatment plans for patients – multidisciplinary group (psychiatrist, psychologist, nurse and social worker) identifies the needs of patient and records the progress. For this very purpose, the psychiatrist, nurse and patient fill in the special evaluation questionnaires for each patient once in every 2-3 months or 6 months; based on these questionnaires the multi-disciplinary group evaluates the result of treatment and identifies the needs. The psychologists of the Rustavi Establishment noted that efforts were made to improve social skills of patients. The patients are given simple tasks, according to their abilities. For example, some of them help the cook, clean their room, and do laundry twice a week. These works are monitored by the nurse. The patients are also taught management of their pension. Psycho-social rehabilitation programs and individual treatment plans do not exist in Senaki psychiatric establishment, Referral Hospital, M. Asatiani Psychiatry Institute, Psychiatric Department of Hospital N5, Psychiatric Department of Gudushauri Hospital, Senaki psychiatric establishment, Kutaisi Mental Health Centre. In Surami Psychiatric Hospital the occupational instructor is employed; however rehabilitation activities are extremely limited in this establishment. In Bediani establishment art-therapy courses operate since 2009. The art-therapy and work-therapy instructors are employed. The trainings take place in specially allocated building where patients paint, sculpture and knit (12-15 NPM Report 2012 According to statement of social worker s/he has to fill in “Evaluation form of adults mental health” provided by the Social Workers’ Association. The representative of this organization was present during the monitoring process. The social worker noted that the representative of Social Worker’s Association assists the social worker of the establishment to better understand his/her functions.