Outpatient Psychiatric Care (Historical and Modern Aspects)
Abstract
Here a review of modern approaches to outpatient psychiatry care is represented and dynamics of problems and achievements in remodeling the “psychiatric hospital - branch of psychiatric hospital (psychoneurologic dispensary)” are analyzed. In particular, the dynamics of shifting psychiatry care from hospitals to their branches (psychoneurologic dispensaries), combined with the decrease in bedspace during the last 7-8 years is shown.
The positive sides and perspectives of therapy and rehabilitation of mental patients in day patient facilities and by using patronage in modern conditions are described. The arguments supporting feasibility and advisability of giving priority to the outpatient psychiatry services during the last decades (pathomorphism of psychic disorders, implementing new generations of medicines, developing the methods of social-activating rehabilitation) are analyzed. Also the concept, according to which in case of spending as little time in psychiatric hospital as possible the self-conscience of mental patient changes less, which provides higher chances for one to see oneself as a full-fledged member of society, is reflected. Consequently, therapy and rehabilitation in case of outpatient care get a social motivation, which increases their efficiency.
Several modern approaches to psychiatry care are represented in historical aspect of succession of Old Russian territorial (local) psychiatry.
About the Authors
M. V. Pak
ПКБ № 4 им. П.Б. Ганнушкина г. Москвы
Russian Federation
Russian Federation
Park Marina Vitalievna - Deputy Chief Physician PKB № 4 named after P.B. Gannushkin
Moscow
V. M. Kumechko
PKB № 4 named after P.B. Gannushkin, Head of Dep. PND № 5
Russian Federation
Russian Federation
Kumechko Vadim Mikhailovich - Deputy Chief Physician
Moscow
S. V. Oskolkova
GBU "Institute of Social and Forensic Psychiatry named after V.P. Serbsky Russian Ministry of Health
Russian Federation
Russian Federation
Oskolkova Sophia Nathanovna - leading researcher
Moscow
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For citations:
Pak M.V., Kumechko V.M., Oskolkova S.V. Outpatient Psychiatric Care (Historical and Modern Aspects). Yakut Medical Journal. 2014;(4):79-83.
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