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Facilitating mental health lessons learned from monitoring of human rights in closed institutions

Dr Nino Makhashvili

The paper describes experience of regular field study resulted in evidence-based recommendations for reforming a current mental healthcare system of Georgia; and the process facilitated by this evidence and proper lobbying.

The monitoring of human rights practices in closed psychiatric institutions of Georgia revealed the general fact that the degree of human rights protection is directly proportional to the quality of mental health care and the patients’ treatment merit; or, on the contrary, the more the rights of people having mental disorders are violated in the psychiatric hospitals, the less is the quality of medical service, treatment and care standards. Thus advancement of human rights of people with mental disorders (PMD) can foster the improved mental health care delivery.

The paper provides the data from international (CPT) and local monitoring studies (PDO + NPM), illustrates the additional traumata of inhuman conditions and treatment administered and describes the steps taken to change the situation.

ISSHR Conference, 6- 8 October 2011, Tbilissi, Georgia.
Health and Human Rights: Doing Justice, Building Capacity
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Nino Makhashvili
Nino Makhashvili
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Dr Nino Makhashvili

Has done extensive work in the field of psychosocial rehabilitation and psycho-traumatology (with refugees, prisoners, victims of violence). Nowadays she, together with GIP-Tbilisi team, works on structural changes of mental health field in Caucasus. She has written and edited a variety of books and articles in her primary fields of interest. Nino also serves as Coordinator of the Public Monitoring Council of Human Rights Practices in Psychiatric and Social Care Institutions of Georgia and Chairperson of the Georgian Society of Psychotrauma.


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