Assuntos
Controle de Medicamentos e Entorpecentes , Educação Médica , Internato e Residência , Transtornos Relacionados ao Uso de Opioides/psicologia , Psiquiatria/educação , Especialização , Ensino/tendências , Currículo , Humanos , Medicina/tendências , Psiquiatria/tendências , Ensino/métodos , U.R.S.S.Assuntos
Transtornos Mentais/diagnóstico , Transtorno da Personalidade Antissocial/diagnóstico , Diagnóstico Diferencial , Humanos , Transtornos Mentais/classificação , Transtornos Mentais/reabilitação , Transtornos Neurocognitivos/diagnóstico , Prognóstico , Reabilitação Vocacional , Esquizofrenia/diagnóstico , Avaliação da Capacidade de TrabalhoRESUMO
In conditions of a wide use of psychopharmacological drugs the main trend in the activities of a day hospital is prevention of admissions to a mental hospital by elimination of relapses and exacerbations in these patients. Partial hospitalization and consolidation of the results of hospital treatment (stabilization of remissions in the patients, treated in a hospital) must be accomplished with the aid of a complex of psycho-social influences against the background of psychopharmacotherapy. In order to stabilize remissions patients with different types and depths of remissions may be transferred from a mental hospital to a day hospital. To eliminate relapses and exacerbations patients with different types of remissions may be referred to a day hospital. A day hospital functioning in the framework of the team-territory system is a leading organizing link in rehabilitation of mental patients.
Assuntos
Hospital Dia , Hospitais Psiquiátricos , Transtornos Mentais/reabilitação , Humanos , Reabilitação Vocacional , Ajustamento SocialRESUMO
The paper deals with the organization of a system of rehabilitative treatment of mental patients in conditions of a large and industrially developed region. It is stressed that in order to organize a wide range of readaptation measures it is necessary to have material security, an expedient distribution of hospital beds, a high standard system of a continuity between the in-patient and out-patient (including day hospitals and occupational shops) services. In this light it is very important to know the general principals of treatment by social methods and a correct succession of therapeutical measures and a gradual readaptation, adequate to the mental condition of the patient. The effectiveness of the mentioned measures is confirmed by figures.