Scientific bases of the organization of psychiatric care: the solution of practical problems in the framework of priority research

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Оbjective. A system analysis and modeling for important areas of research of the organization of psychiatric services in Russia in the study mental health of the population, identification of factors affecting the formation of the contingent of persons with mental disorders, organizational and functional structure of mental health services and mental health care. Material and methods. The authors analyzed scientific publications on the problems of psychiatric care organization as well as the results of own research over the last 25 years using system analysis. Results and conclusion. The approach that allows a creation of a range of population models to monitor the status of mental health based on medical, demographic and social factors (more than 60 factors) of life was suggested. The basic models and approaches for the evaluation of activity of divisions of mental health services at the macro and micro-social levels, taking into account expert information and individual characteristics of patients and relatives, were demonstrated. To improve treatment quality, the models of identification of the factors, which positively or negatively influenced the commitment to psychopharmacotherapy of patients with schizophrenia and their families, were developed.

Keywords:

mental health services

system analysis

analytic hierarchy process

population model

rehabilitation

compliance

Authors:

Iastrebov V.S.

Mitikhin V.G.

Solokhina T.A.

Mitikhina I.A.

Nauchnyĭ tsentr psikhicheskogo zdorov'ia RAMN, Moskva;
Sankt-Peterburgskaia psikhiatricheskaia bol'nitsa im. P.P. Kashchenko

List of references:

Gurovich IYa, Shmukler AB, Golland VB, Zaichenko NM. Psikhiatricheskaya sluzhba v Rossii v 2006—2011gg. M.: Medpraktika-M; 2012. (In Russ.).
2.Zdravookhranenie v Rossii. 2015: Stat.sb. M.: Rosstat; 2015. (In Russ.).
3.Rossiya v tsifrakh. 2015. Stat. sbornik. M.: Rosstat; 2015. (In Russ.).
4.Epidemiologicheskie pokazateli i pokazateli deyatel'nosti psikhiatricheskikh sluzhb v RF (2005-2013). Stat. spravochnik. Pod red. Kekelidze Z.I. i Kazakovtseva B.A. M. 2015. (In Russ.).
Solokhina TA, Mitikhin VG, Yastrebova VV, Alieva LM, Mashoshin AI Priverzhennost' rodstvennikov bol'nykh shizofreniei ikh lecheniyu i strategii ee povysheniya. Sovremennye kontseptsii reabilitatsii v psikhonevrologii: otritsanie otritsaniya. Materialy Vserossiiskogo kongressa s mezhdunarodnym uchastiem. Sankt-Peterburg, 9—11 iyunya 2016 g. Pod obshchei red. Neznanova N.G., Limankina O.V. SPb.: Al'ta Astra; 2016. (In Russ.). Ssylka aktivna na 04.07.16. Dostupno po: http://www.bechterev.ru/upload/kongress-9-11.06.2016.pdf
Yastrebova VV, Solokhina TA, Mitikhin VG, Alieva LM, Mashoshin AI. Priverzhennost' lecheniyu bol'nykh shizofreniei i razrabotka mer po ee povysheniyu. Sovremennye kontseptsii reabilitatsii v psikhonevrologii: otritsanie otritsaniya. Materialy Vserossiiskogo kongressa s mezhdunarodnym uchastiem. Sankt-Peterburg, 9-11 iyunya 2016 g. Pod obshchei red. Neznanova N.G., Limankina O.V. SPb.: Al'ta Astra; 2016. (In Russ.). Ssylka aktivna na 04.07.16. Dostupno po: http://www.bechterev.ru/upload/kongress-9-11.06.2016.pdf
Yastrebov VS, Mitikhin VG, Churkin AA. Metodologicheskie osnovy resheniya problem monitoringa i otsenki deyatel'nosti psikhiatricheskikh sluzhb: natsional'nyi i mezhdunarodnyi aspekty. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova. 2004;104(8):3-9. (In Russ.).
Yastrebov VS, Mitikhina IA, Mitikhin VG. By the methodology of medical-demographic models for dynamic assessment of mental health. Psikhiatriya. 2008;2(32):38-47. (In Russ.).
Mitikhina IA, Mitikhin VG, Tvorogova NA, Yastrebov VS. Effect of social-economic factors on mental health indices in the population of the Russian Federation in 1992—2008: epidemiological models. Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova. 2012;112(4):4-10. (In Russ.).
Mitikhina IA, Mitikhin VG, Iastrebov VS, Limankin OV. Mental health in the Russian Federation in 1992—2010 gg. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova. 2013;113(9):4-13. (In Russ.).
Mitikhina IA, Mitikhin VG, Iastrebov VS. Modelling the dynamics of suicides the population of the Russian Federation for the period 1992—2012 gg. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova. 2016;116:2:90-94. (In Russ.).
Mitikhin VG. On a counterexample for the Analytic Hierarchy Process. Control Sciences. 2012;3:77-79. (In Russ.).
Mitikhin VG. On the issue of multi-criteria decision problems based on the Analytic Hierarchy Process. Cloud of Science. 2015;2 4:519-529. (In Russ.).
Yastrebov VS, Mitikhin VG. Estimation of activity and prospective development of psychiatric services on the basis of hierarchic model principles. Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova. 2005;105(4):61-67. (In Russ.).
15.The European Mental Health Action Plan. EUR/RC63/11: WHO; Izmir, Turkey, 16—19 sept. 2013.
Kapitsa SP. Demograficheskaya revolyutsiya i Rossiya. Vek globalizatsii. 2008;1:128-143. (In Russ.).
Demcheva NK. Tendencies of prevalence of boundary mental frustration in the Russian Federation in 1999—2010 gg. Vestnik nevrologii, psikhiatrii i neirokhirurgii. 2012;9:22-29. (In Russ.).
Lorant V, Croux C, Weich S et al. Depression and socio-economic risk factors: 7-year longitudinal population study. British Journal of Psychiatry. 2007;190:293-298.
19.WHO. World Mental Health Surveys, 2008. Global Perspectives on the Epidemiology of Mental Disorders. Edited by: Ronald C. Kessler, Harvard Medical School. Edited by: T. Bedirhan Ustun, World Health Organization, Geneva. 698.
Saati TL. Prinyatie reshenii. Metod analiza ierarkhii. Per. s angl. M.: Radio i svyaz'; 1993. (In Russ.).
21.Mental health atlas 2014. World Health Organization, 2015, Geneva, 72.
Yastrebov VS, Mitikhin VG, Solokhina TA, Mikhailova II. The system-oriented model of psychosocial rehabilitation. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova. 2008;108(6):4-10. (In Russ.).
Kane JM, Kishimoto T, Correll CU. Non-adherence to medication in patients with psychotic disorders: epidemiology, contributing factors and management strategies. World Psychiatry. 2013;12:216-226. doi: 10.1002/wps.20060
Danilov DS. Terapevticheskoe sotrudnichestvo (komplaens): soderzhanie ponyatiya, mekhanizmy formirovaniya i metody optimizatsii. Nevrologiya, neiropsikhiatriya, psikhosomatika. 2014;2:4-12. (In Russ.).
Lutova NB, Bortsov AV, Vid VD, Vuks AYa. Metod prognozirovaniya medikamentoznogo komplaensa v psikhiatrii. Usovershenstvovannaya meditsinskaya tekhnologiya. SPb NIPNI im. V.M. Bekhtereva. 2006. (In Russ.).
Lutova NB. Medication compliance and psychodynamic parameters in mental ill patients. Obozrenie psikhiatrii i meditsinskoi psikhologii. 2013;1:49-55. (In Russ.).

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