Modern scope of modification of psychiatric care in Moscow

Ter-Israelyan Alexey Yurievich

Topicality. Moscow public health service has been implementing reforms since 2010. One of the basic items is the observance of rights of patients with mental disorders, following the principles of socially oriented psychiatry. One of the main purposes of implemented reforms is supposed to be the increase of psychiatric care volume, with greater accessibility and priority given to provision of outpatient hospital-replacing care to the population. Purpose of research. To analyze the activities of in-patient structural divisions of State budgetary healthcare institution “Psychiatric Hospital No 13 of the Healthcare Department of Moscow” in 2015-2017, by retrorpective research of documentation on in-patient care. Results. The analysis of in-patient level patients structure and the effectiveness of their treatment have been conducted and researched. The article displays the results in-patient care organization on the basis of State budgetary healthcare institution “Psychiatric Hospital No 13 of the Healthcare Department of Moscow” for the researched period, the analysis of the key indicators of the hospital’s in-patient sector. It reflects the analysis of in-patient psyshiatric service financing and shows the main directions of psychiatric care provision. Conlusions. The article reflects the evident dynamics of in-patient care activity in Moscow, and, at the same time, the remaining need to conduct further reforms of the service.

Keywords:paradigm, personal and social restoration, deinstitualization, hospitalizm, nosological reforms, psychiatric hospital.