CONSOLIDATED REPORT natural products, for example, instead of sour cream “sour cream containing product”, instead of juices there is a soft drink with an apple flavor, instead of milk “milk containing product”, instead of cheese - “melted cheese sausage”, etc. There are some positive changes in the equipment of healthcare institutions with infrastructure for people with special needs: separate rooms were equipped and routes were established for wheelchair users. At the same time healthcare institutions in the majority of cases have not responded to the recommendations of NPM members on the establishment of a relevant entity for people with special needs. Narcological organizations for mandatory treatment Overall the situation with medical services in this type of institutions is considered satisfactory. Monitoring of narcological institutions, conversations with the personnel and the patients make is possible 125 to conclude that there are systemic problems in the treatment approaches to people with dependencies. There is no individualized approach to the treatment of patients, and the psychological treatment approach is a formality. Priority attention is given to drug-based treatment. It is necessary to expand the application of ergotherapy, psychotherapy, social work with the patients, in other words, rehabilitation activities, as it was noted in the recommendations of 2017, but the situation still did not change for the better. In 2018 the process of combining psychotherapy and drug treatment has begun, centers for the rehabilitation of people with mental health issues are starting to be established, which ultimately should lead to a new level in working with patients. Based on the comments, the following narcological institutions may be noted: City Narcological Center of Social and Medical Correction, Almaty. As before,