Report on the State of Human Rights in Institutions for Persons with Disabilities Daniel Mgeliashvili – The Office of Public Defender of Georgia; Ana Arganashvili – The Office of Public Defender of Georgia; Ana Abashidze– The Office of Public Defender of Georgia; Kakha Mikadze – expert of the National Preventive Mechanism, psychologist; Irma Manjavidze – expert of the National Preventive Mechanism, physician; Maia Kiknadze – expert of the National Preventive Mechanism, psychiatrist; Koba Nadiradze – NGO The Youth Center for Independent Living; Eric Mathews – international organization Disability Rights International; Larry Kaplan – international organization Disability Rights International. During the monitoring, members of the group inspected the infrastructure and interviewed the directors, medical staff, physicians, and social workers of all the afore-mentioned institutions. They also interviewed beneficiaries in a confidential environment. In the process of the monitoring, the group members checked the documents and logs kept in the institutions. It should be assessed positively that in the process of the monitoring the members of the Special Preventive Group did not encounter any obstacles created by the administrations of the institutions. The monitoring was carried out in partnership with international organization Disability Rights International and with the financial support of Open Society – Georgia. THE MAJOR FINDINGS OF THE MONITORING In the process of the monitoring, the Special Preventive Group revealed violations in all the institutions for persons with disabilities. Violations were of systemic as well as of individual character. The Special Preventive Group documented ill-treatment in the institutions for both children and adults with disabilities. Facts of physical restraint of persons with disabilities, contradicting with the norms established by Georgian legislation was observed. The service of psycho-social rehabilitation was restricted in absolutely all the institutions. In fact, none of the persons with disabilities is given the opportunity to develop his/her functional abilities and skills of independent living. Disabled persons’ rights to legal assistance and private and family life are restricted. They cannot maintain contact with their children and other members of their families. The global restriction of access to the outside world prevents them from living a full life even in the environment of an institution for persons with disabilities. The sharp storage of staff, the lack of relevant professional methods of approach and qualification creates a danger of violence among beneficiaries which can be followed by severe damage of health and other lethal consequences for disabled persons. NPM Report 2012 Particularly serious violations were documented in terms of restriction of medical service for children with disabilities. Among these violations, particular attention should be paid to refusal to carry out medical intervention and to provide palliative care for children diagnosed with hydrocephaly.