National Preventive Mechanism To oblige every establishment to develop and dully implement individual treatment plans after relevant trainings and preparation; To provide state-sponsored regular trainings and other activities for improving qualifications on treatment of patients, physical restraint procedures, the rights of patients for the psychiatric hospitals personnel, and especially for the low and middle level medical personnel; To identify the minimum number of medical personnel for the certain number of patients; To introduce state control system over adequate remuneration and other social guarantees of personnel; To develop an action plan for assisting psychiatric establishments in implementation of recommendations elaborated by Public Defender. Recommendations to directors of Psychiatric hospitals: To introduce active control over personnel’s treatment to patients; every case of ill-treatment shall be responded immediately and effectively, including informing relevant agencies; To apply to physical restraint procedures as a means of last resort in very exceptional and emergency situations. In addition the following shall be taken into account when resorting to physical restraint procedures: To observe national legislation and international standards; Special room and special equipment; Relevant registry indicating decision-maker, justification of application of physical restraint, time of fixation, and every manipulation and medical check-up underwent by the patient subjected to restraint, also information on the beginning and the end of the procedure; To eradicate resort to physical restraint procedures as punishment. To provide appropriate living conditions for patients in every establishment, including: Sufficient ventilation, including natural; Creation of living conditions as close as possible to family conditions Creation of privacy in bedrooms, as well as in toilets and bathrooms; Development and implementation of entertainment measures and activities; Ensure that patients spend enough time outside/on fresh air; Library; To implement measures to ensure different forms of contact with outside world: Allocation and equipment of a special meeting room on the territory of a facility; Access to telephone for patients; Ensure receipt and sending correspondence; www.ombudsman.ge NPM Report