[Treatment of insomnia in patients with borderline mental diseases]. / Lechenie insomnii u bol'nykh s pogranichnoi psikhicheskoi patologiei.

Zolpidem, non-benzodiazipine preparation, was used for therapy of 56 patients with insomnia. 4 groups of patients were treated: a) with a prevalence of asthenic symptomatology in psychogenic disorders; b) with polymorphic neurotic symptomatology and autonomic disorders; c) with affective pathology of neurotic level; d) with nervous anorexia and bulimia. Zolpidem was quite effective in all groups of patients in terms of normalization of falling asleep, improvement of quality of sleep without changing of daily activity. A good drug tolerance was found in elderly patients.

[Various problems of the reorganization of psychiatric services in the light of the economic aspects of physicians' activities]. / O nekotorykh voprosakh reorganizatsii psikhiatricheskoi sluzhby v svete èkonomicheskikh aspektov deiatel'nosti vrachei.

The data on indirect economic losses and direct economic expenditures related to mental diseases are provided. The authors suggest a model of servicing mentally ill patients, in particular, transition to the one-step servicing system. The new servicing model is based on economic criteria. The corresponding calculations are provided.

[One of the forms of operation of a day-night hospital complex (with a stage of round-the-clock hospital stays) at a psychoneurologic dispensary]. / Ob odnoi iz form raboty kompleksa dnevnoi--nochnoi statsionar (s étapom kruglosutochnogo prebyvaniia bol'nykh) pri psikhonevrologicheskom dispansere.

A variant of a diurnal-nocturnal inpatient complex on the basis of a psychoneurological dispensary involving a short period of round-the-clock hospitalization of patients is described. This proved advisable in the treatment of three groups of patients (n = 260): (1) those with acute manifestations of the disease (to carry out intensive therapy), (2) those with subacute paroxysms and prolonged psychotic states (to conduct arresting therapy), (3) with conflicts in the microsocial environment (with the aim of their temporary isolation). Such an organizational form makes it possible to expand intensive therapy and increase a number of patients with acute psychotic manifestations treated outside the settings of a closed hospital.