Ngo, kwakukho enjalo clinics endaweni ezikhoyo kwi
Kusenokuba nzima kuba zethu i-american kwaye European nabo ukuba qinisekisa miqobo phantsi apho Russian psychiatrists senzoKwi-Russia, unyango lwe psychiatric bonke kukuthi ngomhla inceba karhulumente kunye nemibutho yoluntu.
Kweli nqaku, siza kunikezela glimpse kwi-Russian psychiatry ukususela incopho ka-okubonakalayo Elizimeleyo Psychiatric Association of Us (a elinolwazi yamalungelo oluntu umbutho).
Ukumiselwa abafundi ukuba iindlela ezahlukeneyo ka-mental health services kwi-Russia kuya kuvumela kwabo ukwenza uthelekiso kunye mental health services kulo ilizwe labo. Soloko inkxaso-mali nje ukuba verge ka-wisa, isirussian psychiatry ngu kokudlula a buhlungu bunzima. Constant nzame e iindleko ekugcineni esi sicwangciso mentally ill, abamele ngokubanzi waqwalasela njengokuba mthwalo ngomhla society okanye njengoko efihlakeleyo ingozi, kwaye zabo amalungelo ingaba elubala sukuyihoya.
Yesininzi ufumana ukuba ngenxa ukusuka umthetho"Kwi Psychiatric Uncedo kwaye Iziqinisekiso ka Abemi' Amalungelo yakhe Ulungiselelo"apho guaranteed nokukhathalelwa psychiatric inpatients kuba thatha diminished.
Ukusukela ngo, kukho wenziwe ukuba akukho ukuthobela inqaku yalo mthetho, ngaphandle iimfuno ukususela psychiatric zoluntu. Kwi, urhulumente isiqinisekiso,"ukunikezela kuba phezulu-umgangatho mental health care"waba abolished. Ngaphezu koko, Psychiatric Uncedo Umthetho akakwazi kubonelela na iziqinisekiso okanye sanctions kuba ukusilela kusebenzisa. Umzekelo, ukuya kwi- inpatients musa bafumane ulwazi oluchanekileyo malunga zabo diagnosis okanye unyango, nakwenza banako ukufikelela kwezabo zonyango iimbali. Ngexesha kwangoko iminyaka ukuba abalandela enactment ye-Psychiatric Uncedo Act, inani abantu subjected ukuba involuntary nakwiimviwo ukwanda ngendlela ehambelanayo kunye involuntary hospitalization. Ukusukela ngo, nangona kunjalo, opposite trend wenziwe ebone (Table) (Involuntary nakwiimviwo khusela unreasonable involuntary hospitalization, ngakumbi ezinzima sesihloko wenkululeko.) Nciphisa kubangelwa ukuba psychoneurological dispensaries (ukutsho oko, outpatient clinics) ikhethe ukuphepha involuntary iimviwo ezifuna inkundla yogunyaziso kwaye endaweni ngoko nangoko thumela patients ukuya esibhedlele citing imminent ingozi. Kanye kwi-esibhedlele, patients kunye psychosis okanye dementia ingaba coerced (yi-deception okanye****) umqondiso a imvume ifomu kuba hospitalization kwaye unyango. Nangona kunjalo, kubalulekile kakuhle kwazeke ukuba malunga ne- patients awukwazi kunika ezifanelekileyo imvume ngenxa yabo mental imeko, apho testifies ukuba falsification. Ezi amazinga ibonakalisa itshintshe izikhokelo kunye musa abonise a real reduction. Likhokelwa iindleko kugcinwa (nkqu xa urhulumente kokuba imali eyaneleyo) kwaye hiding ngasemva rhetoric ka-deinstitutionalization ngexesha erroneously icingela ukuba institutional nomonde care ufumana okuninzi ngakumbi expensive, Nesebe Lezempilo sele lotshintsho curtailed umandlalo isithuba ngo kwikota (ngaphezu, beds). beds ngamnye, abantu, kodwa akukho amanyathelo kuba wathatyathelwa ukulungisa entsha kumaziko kuba outpatient iinkonzo. Inani outpatient clinics devoted ukuba injongo ephambili care abantu kunye mental-ngqondweni lumisiwe ukwanda kwi. Jikelele imisebenzi ka-psychiatrists, kuquka forensic psychiatric ingcaphephe, sexologists, kwaye psychotherapists, kwehla ukusuka kwi- nge- ukusuka, ukuba, ezikhokelela ukuya noticeable nokungabikho ngabasebenzi lowered umgangatho mental health care. Concurrently, kwabakho dramatic nciphisa kwi-inani psychologists, nentlalo-ntle ingcaphephe, kwaye lwezentlalo abasebenzi, egama iinkonzo azifumaneki kuzo territories. Inani psychiatrists sele decreased yi-ngaphezu kwe- kwi-yokugqibela iminyaka: ngo, kwakukho, practicing psychiatrists kuzo zonke Saserashiya. Akuyi kuba kanjalo ukuba reductions kwi-inani umgangatho medications ezifumanekayo patients kunye psychiatric illnesses. Ukongeza, ixesha ezikhoyo ukuhlola patients wenziwe ukuphumela njengoko sele ixesha eliqhubekekayo inpatient hospitalizations.
Ngenxa yoko, recidivism ngu phezulu, kwaye physicians ingaba penalized.
Recurrent admissions ngo- liwudlule (umz, wonke wesithathu nomonde kunye schizophrenia ngu readmitted kulo nyaka). Nangona iinkonzo ingaba ukuphumela, kagqirha' igama elichwetheziweyo kwaye kufuneka kuba uxwebhu ingaba ukwanda. Reimbursed prescriptions ingaba ngoko ke, kunokuba nzima ukufumana ukuba abantu abaninzi bakhetha ukuthenga nokulawulwa kwamayeza namachiza kwi kwezabo. Ngenxa ye-inshorensi yezempilo ngu flawed, i-mali mthwalo ngu shifted largely kwi nomonde abantu behlabathi. Physicians nabasebenzi umsebenzi kufuneka, ubuncinane, ixesha. Kwi-avareji wonke u kwi-wonke kwicandelo psychiatry lilawula iilwandle patients ngexesha elinye kwaye ufumana umvuzo we-US $ ukuba $ ngenyanga.
Imivuzo kwi-Moscow kwaye abucala zi- ukuya ku- phinda-phinda kakhulu, kwaye psychiatrists khangela abangaphantsi patients malunga nama- ukuya ku- patients.
Obukhulu nomonde ukufaka sele adversely ezichaphazelekayo psychiatrists' nako ukubonelela umgangatho care. Eziqhelekileyo clinical udliwano-ndlebe unxibelelwano kunye nomonde ukuze encompass clinical kwaye psychopathological uhlalutyo endiwunike indlela esenziwe lula zichaziwe nemigaqo-nkqubo kwaye questionnaires. Ukususela ngowama, omnye-wesithathu ka-inpatient psychiatric kumaziko zithe ifumanise ukuba abe unsuitable ngenxa unsanitary iimeko. Ngexesha Soviet era, psychiatric lwezibhedlele baba rhoqo ebekwe kwi-yangaphambili barracks, monasteries, kwaye nkqu ubalo camps. Nangona kunjalo, deinstitutionalization alifumanisanga ezichaphazelekayo abaninzi kubo, kwaye abantu? kutshabalala kwezi izakhiwo. Ngo, ngaphandle nje Moscow kwaye Novgorod, abanye abantu bafa umlilo. Iimeko abaphila ingaba imibuzo inadequate kwaye ngamanye amaxesha gruesome: patients kwi omkhulu igumbi, akukho bedside uluhlu lophinda-phindo, ibar kwi-windows, azanelanga toilets, kwaye rhoqo akukho izahlulo kabini. Nangona kukho iimeko ezinzima kwaye izithintelo kwi kukhuselwa inkululeko zabo, abanye zonyango abalawuli bakhe la maziko ukulawula ukubonelela decent psychological atmosphere kwaye okulungileyo psychiatric nomonde care kule zabo iziko. Ugqr Savenko ngu Mongameli we-Geqe Psychiatric Association of i-Russia, ilungu Lebhunga ka-Ingcaphephe ye-Russian Commissioner for Amalungelo Oluntu, Umhleli Oyintloko we-Geqe Psychiatric Ijenali. Ugqr Perekhov ngu usekela kamongameli-Mongameli we-Geqe Psychiatric Association of i-Russia, kwaye Associate Unjingalwazi ka-Psychiatry ye-Rostov Imeko Yezempilo Ngezifundo kwi-Rostov, i-Russia. Bathi ingxelo akukho kongquzulwano inzala ngokunxulumene nomcimbi mba eli nqaku. Ngoku imo psychiatric iinkonzo kwi-Russia: ngakulo yokuseka psychiatry.
