National Preventive Mechanism Public Defender of Georgia addresses the Minister of Education and Science of Georgia and the State Care Agency with recommendations to: Ensure that the program of medical and psychosocial diagnostics and reha bilitation, the multidisciplinary team approach are introduced and supported in all institutions, together with allotment of corresponding financial and human resources; Correct the shortcomings of regulation of psychosocial rehabilitation and of the work of the multidisciplinary teams; Ensure that rehabilitation specialists of the institutions are retrained through corresponding training courses; Task all the institutions with the development and due fulfillment of individual plans for rehabilitation/habilitation of beneficiaries. PROTECTION OF THE RIGHTS OF THE STAFF In all the reports of the National Preventive Mechanism that deal with social houses, Public Defender of Georgia has paid particular attention to the protection of labor rights of the staff who are responsible for exercising care in institutions. As early as in 2010, the monitoring in the institutions for persons with disabilities revealed a lot of problems that prevented the staff from fulfilling their obligations effectively. These problems included inappropriate working conditions, low salaries, and the need to enhance qualifications. Problems related to the protection of the rights of the staff are still important, according to the results of the monitoring of 2012. The inadequately small number of the staff is the main shortcoming that may pose a danger not only to the exercise of care towards beneficiaries, but also to their safety. THE ISSUE OF SAFETY IN THE MARTKOPI BOARDING HOUSE The Martkopi Boarding House for Persons with Disabilities, which houses 65 beneficiaries with mental health problems (moderate, profound, and severe mental retardation), employs only 13 care-givers and four assistants. However, only three female care-givers stay in a single shift to take care of 65 beneficiaries (one male care-giver controls the yard area, so that beneficiaries do not go out without supervision). During night hours, only one care-giver stays on a single floor in the four-store building of the boarding house. When beneficiaries have episodes of psychic agitation, one female care-giver is often unable to cope with their provocative behavior, and beneficiaries carry out physical violence towards other beneficiaries and the staff, which lasts until a psychiatrist’s intervention. An explanatory note given to a representative of Public Defender on June 23, 2012, which was signed by six members of the staff of the Martkopi Boarding House, reads: “In April, M.S. was hit hard in the head by M.L.; in May s/he bit him/her twice and hit him/her in the head… S/he was kicked hard by S.G. and M.G….” This year, L.P. (care-giver) sustained a concussion during one of such incidents, due to which it became necessary to carry out a clinical intervention. “N.T. kicked D.Ch. several times, tearing her dress away entirely… The beneficiaries living in the boarding house are aggressive towards one an- other. N.T. throws everything and everyone that gets into his/her hands. L.M. tries to subdue beneficiaries who are weaker than him/her, and has tried to choke another person (beneficiary K.M.). R.A. is aggressive; s/he tries to jump out of the window and hits the bed with his/her head. N.T. breaks the doors and hits other beneficiaries (throws a chair at them)…” According to the staff, when beneficiaries start to act aggressively towards one another on a floor for which a concrete care-giver is responsible, the care-giver cries loudly for help (because there is no other means of communication that ensures security, www.ombudsman.ge NPM Report

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