Issue: 2016, Vol. 21, No. 2

Ruzhenkaya E. V.

SOCIOREHABILITATION ORGANIZATION IN PERSONS WITH PSYCHIC DISORDERS: MODERN APPROACHES

Keywords

psychiatric aid, sociorehabilitation, organizational grounds

Abstarct

Objective - to substantiate the modern approaches to the development of sociorehabilitation organizational model at the regional level with due regard to the experience of Ivanovo region. Material and methods. Legal standards and laws for psychiatric aid amdinistration were analyzed by the author, current problems were studied and the special complex of medical organizational measures was developed. This complex allowed to introduce modern system of sociorehabilitation as a trend of psychiatric aid. Results . Medical workers of Ivanovo region kept the course of precise correspondence to the order and standards of psychiatric aid rendering and followed previous techniques of sociorehabilitation, strived for wider involvement of social services to the above mentioned problem solution along with the decrease of psychiatry responsibility zone. Sociorehabilitation was performed at all stages of psychiatric aid administration. Specialized structural divisions of extrahospital service were organized namely psychiatric rehabilitation units, psychological laboratory for the whole regional service, social legal aid consultation office. The consciousness of the fact that physician assistants and nurses were proved to be the important link of the rehabilitation process; it was the innovation of this organizational form. The introduced organizational techniques increased the efficacy of psychiatric service work to the considerable extent: within last three years the frequency of primary retirement due to invalidism and the quantity of socially dangerous actions of psychiatric patients were decreased, the number of patients with III invalidism group was increased. The problems to be solved were as follows: to develop therapeutic work shops and medical rehabilitative unit for the formation of self service life skills in patients who lost social connections. Conclusions . The organization of sociorehabilitation in Ivanovo region corresponds to the model the structure of which is based upon law in force, the trends of which are in accordance with the standards of psychiatric aid administration and the concrete techniques rest upon the last experience of psychiatric service and innovations.

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