Analysis of the dynamics of repeated admissions of patients to inpatient compulsory treatment in Moscow

Berezkin A.S.; Popova E.M.; Simbirtsev A.A.; Buravtsov K.A.; Kozlov T.N.; Chernyaev M.I.; Shmakova E.V.

doi:https://doi.org/10.17116/jnevro202012006299

Berezkin A.S.

Psychiatric Clinical Hospital No. 5;
Peoples’ Friendship University of Russia

Popova E.M.

Psychiatric Clinical Hospital No. 5

Simbirtsev A.A.

Psychiatric Clinical Hospital No. 5

Buravtsov K.A.

Psychiatric Clinical Hospital No. 5

Kozlov T.N.

Psychiatric Clinical Hospital No. 5

Chernyaev M.I.

Psychiatric Clinical Hospital No. 5

Shmakova E.V.

Psychiatric Clinical Hospital No. 5

Analysis of the dynamics of repeated admissions of patients to inpatient compulsory treatment in Moscow

Authors:

Berezkin A.S., Popova E.M., Simbirtsev A.A., Buravtsov K.A., Kozlov T.N., Chernyaev M.I., Shmakova E.V.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2020;120(6‑2): 99‑104

DOI: 10.17116/jnevro202012006299

Read: 2223 times

Download PDF (RU)

Contact the author

Table of contents

To cite this article:

Berezkin AS, Popova EM, Simbirtsev AA, Buravtsov KA, Kozlov TN, Chernyaev MI, Shmakova EV. Analysis of the dynamics of repeated admissions of patients to inpatient compulsory treatment in Moscow. S.S. Korsakov Journal of Neurology and Psychiatry. 2020;120(6‑2):99‑104. (In Russ.)
https://doi.org/10.17116/jnevro202012006299

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова. Спецвыпуски (S.S. Korsakov Journal of Neurology and Psychiatry (special issues))

Использование инфографики авторами научных работ

Close metadata

Abstract:

OBJECTIVE

To explore the dynamics of admission of patients for repeated compulsory treatment to a medical setting providing general and specialized psychiatric care.

MATERIAL AND METHODS

The dynamics of admission of patients for repeated compulsory treatment in the «Moscow Psychiatric clinical hospital No5» for the period 1991—2019 was analyzed based on medical records of two groups of patients: the main group (n=1325) and the comparison group (n=15 100).

RESULTS AND CONCLUSION

Over the past 5 years, there is a decrease in repeated admissions of patients to compulsory treatment who have committed a new socially dangerous act. This positive dynamic is due to compliance with the principles of continuity and phasing between inpatient and outpatient units of compulsory treatment. The transition of patients from inpatient compulsory treatment to compulsory treatment in outpatient settings is an effective measure to prevent patients from committing repeated socially dangerous acts.

Keywords:

socially dangerous act

risk factors for dangerous behavior

prevention of public danger

secondary prevention of a new socially dangerous act

Authors:

Berezkin A.S.

Psychiatric Clinical Hospital No. 5;
Peoples’ Friendship University of Russia

Popova E.M.

Psychiatric Clinical Hospital No. 5

Simbirtsev A.A.

Psychiatric Clinical Hospital No. 5

Buravtsov K.A.

Psychiatric Clinical Hospital No. 5

Kozlov T.N.

Psychiatric Clinical Hospital No. 5

Chernyaev M.I.

Psychiatric Clinical Hospital No. 5

Shmakova E.V.

Psychiatric Clinical Hospital No. 5

Received:

26.03.2020

Accepted:

13.04.2020

Close metadata

References:

Dmitriev AS, Vinnikova IN, Laz’ko NV. Core principles of psychopharmacotherapy in a compulsory treatment setting. Rossiiskii Psikhiatricheskii Zhurnal. 2006;2:46-52. (In Russ.).
Makushkina OA, Mugantseva LA. Sistema kompleksnoi otsenki obshchestvennoi opasnosti lits, stradayushchikh psikhicheskimi rasstroistvami. V kn.: Sudebno-psikhiatricheskaya diagnostika. Pod red. Makushkina E.V., Tkachenko A.A. M. 2017. (In Russ.).
Ipatov MYu. Clinical and social characteristics and forensic psychiatric significance of abnormal sexual behavior in patients with schizophrenia Rossiiskii Psikhiatricheskii Zhurnal. 2000;6:35-43. (In Russ.).
Kondrat’ev FV, Oskolkova SN. Ogranichennaya vmenyaemost’ pri ekspertnykh otsenkakh shizofrenii i shizotipicheskom rasstroistve. Ogranichennaya vmenyaemost’. 2-e izd. Pod red. Dmitrievoj T.B., Shostakovicha B.V. M. 2005. (In Russ.).
Makushkina OA, Buravtsov KA, Durneva MYu. Clinical and social characteristics and aggressive behavior of patients with long term of execution of compulsory measures of a medical nature. Obozrenie Psikhiatrii i Meditsinskoi Psikhologii im. V.M. Bekhtereva. 2017;1:45-52. (In Russ.).
Kondrat’ev FV, Kotova TA. Profilaktika povtornykh postuplenii na prinuditel’noe lechenie. Aktual’nye voprosy prinuditel’nogo lecheniya psikhicheski bol’nykh, sovershivshikh obshchestvenno opasnye deistviya. M. 1983. (In Russ.).
Mal’tseva MM, Kotov VP. Opasnye deistviya psikhicheski bol’nykh. M. 1995. (In Russ.).
Trieman N, Leff J, Glover G. Outcome of long stay psychiatric patients resettled in the community: prospective cohort study. British Medical Journal. 1999;319:13-16.
Kostyuk GP, Berseneva YuA, Gatin FF. Foreign experience in dealing with mentally ill offenders. Vestnik Nevrologii, Psihiatrii i Nejrohirurgii. 2015;1:6-22. (In Russ.).
Dmitrieva TB, Shostakovich BV. Agressiya i psikhicheskoe zdorov’e. SPb.: Yuridicheskii tsentr Press; 2002. (In Russ.).
Kostyuk GP, Masyakin AV. The reform of psychiatric services in Moscow: current state and prospects of development. Psihicheskoe Zdorov’e. 2018;143:3-9. (In Russ.).
Kazakovcev BA, Kostyuk GP, Plotniku-Delesk M, Auzir S, Pak MV. Reorganization of psychiatric care in Rouen (France) and Moscow (Russia). Vestnik Nevrologii, Psihiatrii i Nejrohirurgii. 2016;12:3-9. (In Russ.).
Bukreeva ND, Merzlikin AD. Problems of organization of compulsory treatment of patients with mental disorders in the context of health care reform. Rossiiskij Psikhiatricheskij Zhurnal. 2006;4:83-87. (In Russ.).
Yakhimovich LA, Shapkin YuA. The basic principles underlying the use of therapeutic-rehabilitation programs for compulsory treatment of patients with paranoial disorder. Rossiiskij Psikhiatricheskij Zhurnal. 2006;2:52-56. (In Russ.).
Spitzer C, Dudeck M, Liss H, Orlob S, Gillner M, Freyberger HJ. Post-traumatic stress disorder in forensic inpatients. The Journal of Forensic Psychiatry. 2001;12(1):63-67.
Makushkina OA, Golland VB, Yakhimovich LA. The importance of medical measures in the system of prevention of socially dangerous actions of mentally ill people. Rossiiskij Psikhiatricheskij Zhurnal. 2013;4:20-26. (In Russ.).
Morozov GV, Shostakovich BV. Teoreticheskie i metodicheskie voprosy profilaktiki obshchestvenno opasnykh deistvii psikhicheski bol’nykh. Mery meditsinskogo kharaktera v sisteme profilaktiki obshchestvenno opasnykh deistvii psikhicheski bol’nykh. M. 1987. (In Russ.).
Makushkina OA, Yakhimovich LA. Basic principles of health services for prevention of socially dangerous acts of mentally ill persons. Sibirskij Vestnik Psikhiatrii i Narkologii. 2012;6(75):35-40. (In Russ.).
Makushkina OA, Buravtsov KA, Berezkin AS. Ensuring the effectiveness of administering mandatory medical treatment in a psychiatric inpatient facility. Rossiiskij Psikhiatricheskij Zhurnal. 2018;3:25-32. (In Russ.).
Bulygina VG, Makushkina OA, Belyakova MYu. Social apperception disturbance as a risk factor for committing recurrent SDA in persons with psychic disorders (part 1). Rossiiskij Psikhiatricheskij Zhurnal. 2014;4:4-10.