ABSTRACT
The authors review the characteristic features of group formations, work patterns and the efficacy of the new organizational form of mental assistance to adolescents--the sanatorium health centre. Special emphasis is laid on the group of patients with border-line mental abnormalities of the residual organic genesis. The dynamics of those conditions is shown as related to the characteristic features of the structure of the treatment and health process. It is concluded that sanatorium assistance to adolescents turns out effective, provided there are new approaches to the group formation and a comprehensive differentiated structure of the treatment and health process.
Subject(s)
Adolescent Medicine , Brain Diseases/psychology , Hospitals, Psychiatric/organization & administration , Intellectual Disability/therapy , Mental Health Services/organization & administration , Neurocognitive Disorders/therapy , Schizotypal Personality Disorder/therapy , Adolescent , Brain Diseases/complications , Humans , Moscow , Neurocognitive Disorders/etiologySubject(s)
Adolescent Psychiatry/trends , Hospitals, Psychiatric/organization & administration , Mental Disorders/diagnosis , Mental Health Services/organization & administration , Outpatient Clinics, Hospital/organization & administration , Adolescent , Ambulatory Care/organization & administration , Day Care, Medical/organization & administration , Humans , Length of Stay , Mental Disorders/therapy , United StatesABSTRACT
Comparative investigation of hospitalized mentally ill adolescents in two cities and an adolescent cohort under treatment in a newly created semi-inpatient unit and a dispensary resulted in a conclusion that assistance provided by hospital, semi-inpatient and dispensary units does not fully embrace the adolescents in whom borderline disorders are detected. New institutional forms are necessary to introduce in order to improve the medical aid to these patients (sanatoria, health camps, boarding schools for patients with pathologic deviations of behavior).
Subject(s)
Hospitals, Municipal/organization & administration , Hospitals, Psychiatric/organization & administration , Hospitals, Public/organization & administration , Mental Health Services/organization & administration , Outpatient Clinics, Hospital/organization & administration , Adolescent , Female , Humans , Male , Mental Disorders/therapy , Moscow , Siberia , Urban PopulationABSTRACT
On the basis of records from psychiatric rooms for adolescents at 2 outpatient centres of Moscow the authors determined the place of neurosis-like states of residual-organic genesis in the structure of the contingent on records. They also elucidated the significance of age stages in the time-course of the given pathology and outlined the most rational approaches to the organization of medical care of such patients.
Subject(s)
Neurocognitive Disorders/diagnosis , Neurotic Disorders/diagnosis , Adolescent , Age Factors , Child , Child, Preschool , Enuresis/psychology , Humans , Infant , Infant, Newborn , Neurocognitive Disorders/psychology , Neurotic Disorders/psychology , Psychopathology , Stuttering/psychology , SyndromeABSTRACT
On the basis of analysis of the characteristics of patients registered in child psychoneurological rooms and in view of the necessity to ensure continuity in the work of children's and adolescents' psychiatrists the authors propose a system of follow-up of children with mental disorders which helps to ensure consecutive provision of the entire complex of therapeutic and roborant measures to such patients.
Subject(s)
Child Health Services/organization & administration , Mental Disorders/diagnosis , Mental Health Services/organization & administration , Child , Hospitals, Pediatric/organization & administration , Humans , Mental Disorders/therapy , Moscow , Psychiatric Department, Hospital/organization & administrationABSTRACT
The authors present a system of the screening of adolescents with mental aberrations which involves the identification of five groups of follow-up depending on the status of the patient on the one hand and the types of necessary therapeutic and roborant help on the other.
Subject(s)
Adolescent Psychiatry , Mental Disorders/prevention & control , Mental Health Services , Adolescent , Follow-Up Studies , Humans , Mass Screening , Mental Disorders/rehabilitation , Social Adjustment , USSRABSTRACT
A study of patients registered in the adolescent rooms of the psychoneurological outpatient centres of two districts of Moscow showed that the structure of psychic pathology of this population is characterized by a greater proportion, as compared with children, of psychotic forms, with non-psychotic psychic diseases and mental retardation still occupying the leading place. Almost one-third of patients (largely those with non-psychotic forms of psychogenic and exogenous-organic nature and a superficial level of disturbances observed) have good prognosis in terms of their cure including the discarding off the record in the relevant dispensary. Activation of extrahospital forms of care including improvement of the microsocial environment is required.