Actual problems of practical psychiatry: will the new Order of medical care for mental disorders and behavioral disorders solve them?
https://doi.org/10.47093/2713-069X.2023.4.1.48-54
Abstract
The article contains examples of the impact of changes in the legislative provision of psychiatric care on the performance indicators of the psychiatric service and the mental health of the population. We analyze optimization of psychiatric care for patients with severe mental disorders, enabled by the legislation of hospital substitution, as well as existing barriers of providing care to patients with non-psychotic mental disorders. Such barriers include the stigmatization of psychiatry, on the one hand, and the lack of legislative support for the provision of medical care to patients with nonsevere mental disorders by non-psychiatrists, on the other hand. Such legislative peculiarities lead to a constant decrease in the detection of mental disorders, while the level of disability due to mental disorders remains stable in the population. In addition, the article provides a brief overview of the key changes in the Order of medical care for mental disorders and behavioral disorders implemented in 2022.
About the Author
G. P. Kostyuk
Sechenov First Moscow State Medical University (Sechenov University); Mental-health Clinic No 1 named after N.A. Alexeev of the Department of Healthcare of the City of Moscow
Russian Federation
Russian Federation
Georgiy P. Kostyuk – Dr. of Sci. (Medicine), Professor, Department of Psychiatry and Pychosomatics, Chief
Physician
Trubetskaya str., 8/2, Moscow, 119991
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Review
For citations:
Kostyuk G.P. Actual problems of practical psychiatry: will the new Order of medical care for mental disorders and behavioral disorders solve them? National Health Care (Russia). 2023;4(1):48-54. (In Russ.) https://doi.org/10.47093/2713-069X.2023.4.1.48-54
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