Psychiatry in Russia

2014 ◽  
Vol 11 (01) ◽  
pp. 51-55 ◽  
Author(s):  
V. N. Krasnov
Keyword(s):  
Psychiatric Care ◽  
Transition Period ◽  
Team Work ◽  
Psychiatric Services ◽  
Transitional Stage ◽  
Structural Reforms ◽  
Stage Of Development ◽  
Work Involvement ◽  
Medical Institutions ◽  
Russian Psychiatry

SummaryRussian psychiatry has dramatic history, and till now is at a transitional stage of development. It is facing the problems not only common in world psychiatry, but also specific for the Eastern Europe, in particular for Russia. Starting from the beginning of 1990s considerable changes have occurred in psychiatry, especially after 1992 when “The law on psychiatric care and guarantees of citizens rights in its provision was adopted”. It became the ideological and legislative basis for reforms. However there are the definite obstacles for structural reforms in psychiatry. They are as follows: unfavourable technical conditions in many psychiatric clinics, hypercentralization of psychiatric services, shortage of clinical psychologists and social workers in psychiatry, some difficulties in cooperation between psychiatric and general medical institutions. Economic difficulties of the transition period of Russia’s social development prevent overcoming these problem. They are being actively discussed and part of them is being gradually solved, e.g. organization of team work in mental health services, increasing number of specialists on social work, involvement of NGO’s in psychosocial rehabilitation.

scholarly journals Telepsychiatry adoption across hospitals in the United States: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zhong Li ◽  
Sayward E. Harrison ◽  
Xiaoming Li ◽  
Peiyin Hung
Keyword(s):  
Continuity Of Care ◽  
Psychiatric Care ◽  
The United States ◽  
Psychiatric Services ◽  
Linear Regression Models ◽  
Cross Sectional ◽  
Promising Alternative ◽  
American Hospital ◽  
American Hospital Association ◽  
Inpatient Psychiatric Care

Abstract Background Access to psychiatric care is critical for patients discharged from hospital psychiatric units to ensure continuity of care. When face-to-face follow-up is unavailable or undesirable, telepsychiatry becomes a promising alternative. This study aimed to investigate hospital- and county-level characteristics associated with telepsychiatry adoption. Methods Cross-sectional national data of 3475 acute care hospitals were derived from the 2017 American Hospital Association Annual Survey. Generalized linear regression models were used to identify characteristics associated with telepsychiatry adoption. Results About one-sixth (548 [15.8%]) of hospitals reported having telepsychiatry with a wide variation across states. Rural noncore hospitals were less likely to adopt telepsychiatry (8.3%) than hospitals in rural micropolitan (13.6%) and urban counties (19.4%). Hospitals with both outpatient and inpatient psychiatric care services (marginal difference [95% CI]: 16.0% [12.1% to 19.9%]) and hospitals only with outpatient psychiatric services (6.5% [3.7% to 9.4%]) were more likely to have telepsychiatry than hospitals with neither psychiatric services. Federal hospitals (48.9% [32.5 to 65.3%]), system-affiliated hospitals (3.9% [1.2% to 6.6%]), hospitals with larger bed size (Quartile IV vs. I: 6.2% [0.7% to 11.6%]), and hospitals with greater ratio of Medicaid inpatient days to total inpatient days (Quartile IV vs. I: 4.9% [0.3% to 9.4%]) were more likely to have telepsychiatry than their counterparts. Private non-profit hospitals (− 6.9% [− 11.7% to − 2.0%]) and hospitals in counties designated as whole mental health professional shortage areas (− 6.6% [− 12.7% to − 0.5%]) were less likely to have telepsychiatry. Conclusions Prior to the Covid-19 pandemic, telepsychiatry adoption in US hospitals was low with substantial variations by urban and rural status and by state in 2017. This raises concerns about access to psychiatric services and continuity of care for patients discharged from hospitals.

scholarly journals Psychiatric Services in Saskatchewan under Medicare*

1970 ◽  
Vol 15 (1) ◽  
pp. 63-72 ◽  
Author(s):  
Wilfred A. Cassell ◽  
Colin M. Smith ◽  
Maggie Grandy Rankin
Keyword(s):  
Private Practice ◽  
Urban Areas ◽  
Psychiatric Care ◽  
Psychiatric Treatment ◽  
Psychiatric Patients ◽  
Treatment Session ◽  
Psychiatric Services ◽  
Treatment Services ◽  
Hospital Visits ◽  
To Receive

This study has examined the nature and extent of services provided to psychiatric patients under ‘Medicare’. An analysis of the records of 864,128 residents of Saskatchewan revealed that in 1965, 13,950 males and 27,009 females received a psychiatric diagnosis from physicians in private practice. Psychoneurotic conditions were frequent. General practitioners provided the majority of treatment services for this group. Physicians practising in urban areas were found to complete more psychiatric treatment than their rural counterparts. Female patients were found to receive relatively more psychiatric care than males. The latter obtained more consultations, hospital visits and somatic investigations. Lastly, the rate of service was infrequent, averaging less than one treatment session per patient.

Information and analytical monitoring system as the main tool for organizing the activities of a medical institution

2020 ◽  
pp. 123-127
Author(s):  
A.V. Vasiliev ◽  
◽  
S.A. Sheptunov ◽  
Keyword(s):  
Main Tool ◽  
Healthcare Facility ◽  
Facility Management ◽  
Medical Systems ◽  
Analytical Monitoring ◽  
Stage Of Development ◽  
Medical Institutions ◽  
The Hierarchical Structure ◽  
Analytical System

The article is devoted to the role of the information and analytical system in the activities of medical institutions. The functional generalized model of the system for providing diagnostic services to medical institutions is analyzed with the indication of specialized studies, as well as some private processes of working with patients based on IDEF-0 diagrams. The hierarchical structure of storing data about patients of medical institutions in information and analytical medical systems is presented. The resulting data concludes that at this stage of development of the organization of health care institutions necessary to improve the quality of services through the development of requirements to information and analytical systems, which should cover nearly all aspects of healthcare facility management.

Costs and outcome of care in subjects with a severe mental disorder

2003 ◽  
Vol 12 (3) ◽  
pp. 175-186 ◽  
Author(s):  
Mauro Percudani ◽  
Simone Gerzeli ◽  
Raffaella Massagrandi ◽  
Claudio Jommi ◽  
Giovanni Fattore ◽  
...  
Keyword(s):  
Psychiatric Care ◽  
Working Condition ◽  
Public Health System ◽  
Psychiatric Services ◽  
Severe Mental Disorders ◽  
Lombardy Region ◽  
Flow Of Funds ◽  
Initial Score ◽  
First Contact ◽  
Yearly Cost

SummaryObjective – The objectives of the paper are the following: i) to describe the activities and the costs of care for patients with severe mental disorders; ii) to evaluate the association between costs, clients' characteristics and outcome measures. Methods – Patients were administered the following instruments twice a year: BPRS, GAF, HoNOS, DAS II, VSSS-54, QPF. Use of psychiatric services and other resources were collected for each patient over a two-year period. Results – The average yearly cost per patient is Euro 3,300. First-contact patients cost twice as much as patients already in treatment. Service costs are associated to patients' age, marital status and working condition. Annual costs are also associated with the initial score of BPRS, GAF, DAS and HoNOS. In multiple regression analysis age, initial BPRS and DAS scores, as well as being a first-contact patient, are strongly positively associated to annual costs. Conclusions – These results highlight the importance of monitoring routine activities of psychiatric services and the flow of funds for psychiatric care in the Italian public health system.Declaration of Interest: the research project was funded by a grant from the Lombardy Region Health Authority.

The Nottingham Acute Bed Study: Alternatives to acute psychiatric care

1997 ◽  
Vol 170 (3) ◽  
pp. 247-252 ◽  
Author(s):  
A. Beck ◽  
T. J. Croudace ◽  
S. Singh ◽  
G. Harrison
Keyword(s):  
Resource Use ◽  
Psychiatric Care ◽  
Community Support ◽  
Decision Makers ◽  
Psychiatric Services ◽  
Community Based ◽  
Residential Community ◽  
Acute Psychiatric Wards ◽  
Population Ratio ◽  
Acute Psychiatric Care

BackgroundAlthough modern psychiatric services seek alternatives to hospitalisation wherever appropriate, the national trend toward higher bed occupancies on acute psychiatric wards has refocused attention on community-based alternatives and methods of assessing reed for acute care.MethodWe surveyed key decision makers in a community-oriented district service with a low acute psychiatric bed to population ratio, in order to examine alternatives to hospitalisation in a cohort of consecutive admissions over a six-month period.ResultsAlternatives to acute ward hospitalisation were identified for 29% of admissions, and for 42% of those with an admission duration of more than 60 days. Residential options were chosen more often than intensive community support. Simulated bed day savings were considerable.ConclusionsIn a community-oriented service, key decision-makers could identify further alternatives to acute ward hospitalisation, although relatively few non-residential, community support options were chosen. Although this methodology has limitations, data based upon keyworker judgements probably have greater local ‘ownership’, and the option appraisal process itself may challenge stereotyped patterns of resource use.

scholarly journals KAJIAN FENOMENOLOGI MAKNA SIKAP KERJA BAGI APOTEKER DI RUMAH SAKIT UMUM DAERAH KOTA MATARAM

2019 ◽  
Vol 8 (4) ◽  
Author(s):  
Pathiatul Hasanah ◽  
Thatok Asmony ◽  
Dwi Putra Buana Sakti
Keyword(s):  
Public Hospital ◽  
Research Question ◽  
Phenomenological Approach ◽  
Research Problem ◽  
Team Work ◽  
Meaning Of Work ◽  
Work Attitude ◽  
Pharmaceutical Service ◽  
Work Involvement ◽  
Study Results

Pharmacutical service for outpatient that held by pharmacist have not fulfilled the indicator standard of quality service related to quening, waiting time for receiving medicine, the availability of medicine and officers attitude. The research question according to the research problem is how is the pharmacist’ work attitude in doing pharmaceutical service in Region Public Hospital of Mataram City. This study is  a qualitative research by phenomenological approach to  understand the meaning of pharmacist’s work attitude in doing pharmaceutical service in the Region Public Hospital of Mataram City. There were two qualified and competent key informants provided explanation of work attitude meaning of pharmacist’s in terms of outpatient. The study results showed that the pharmacist’s work attitude on outpatient was reflected by four themes, namely : organization commitment, work satisfaction, team work involvement and the perceived organization support. Key words  : Phenomenology, the meaning of work attitude, pharmacist

scholarly journals Understanding Unemployment Normalization: Individual Differences in an Alternative Experience With Unemployment

2020 ◽  
Vol 11 ◽  
Author(s):  
Claude Houssemand ◽  
Steve Thill ◽  
Anne Pignault
Keyword(s):  
Emotional Regulation ◽  
Transition Period ◽  
Well Being ◽  
Self Esteem ◽  
Vocational Counseling ◽  
Subjective Well Being ◽  
Psychological Variables ◽  
Differential Approach ◽  
Work Involvement ◽  
People’S Perceptions

Unemployment is a major concern of societies and people around the world. In addressing this phenomenon, the literature has suggested a change in unemployed people’s perceptions of this transition period. In this paper, we apply a differential approach to explore the concept of unemployment normalization, an individual emotional regulation process. The results show how the global socioeconomic context and some individual and psychological variables influence the normalization of unemployment. Thus, the age of the person but also work involvement, coping strategies, locus of control, and level of self-esteem have indirect differential effects, mediated by unemployment normalization dimensions, on unemployed people’s perceived health. Only neuroticism has a direct link to subjective well-being. These results offer a new understanding of the perception of unemployment and are also discussed in the area of career and vocational counseling.

scholarly journals Some complications of the transitive society in the sphere of legal education

2019 ◽  
Vol 70 ◽  
pp. 11003
Author(s):  
Anastasia Kovaleva ◽  
Victoria Rodina ◽  
Olga Volkonskaya
Keyword(s):  
Irreversible Process ◽  
Transition Period ◽  
Objective Assessment ◽  
Legal Education ◽  
Transitional Period ◽  
State Development ◽  
Long Period ◽  
Stage Of Development

A transitive society is a special stage of its development, which is influenced by various factors that ultimately affect the direction of development of the society, whether it is positive or negative, will move to a new higher stage of development or an irreversible process of degradation will begin. The transition period in Russia has its own peculiarities, largely due to the original historical path and profound transformations that took place one after another for a long period. However, the formation of these institutions is impossible without legal education, the highest degree of which provides access to higher legal education. The aim of this research is to make an objective assessment of the situation in the system of higher legal education, to analyse its problem areas and to assess their impact without overcoming the transitional period of State development.

The Belmarsh Scheme a Prospective Study of the Transfer of Mentally Disordered Remand Prisoners from Prison to Psychiatric Units

1995 ◽  
Vol 166 (6) ◽  
pp. 802-805 ◽  
Author(s):  
Sube Banerjee ◽  
Kiki O'Neill-Byrne ◽  
Tim Exworthy ◽  
Janet Parrott
Keyword(s):  
Prospective Study ◽  
Black Men ◽  
Psychiatric Care ◽  
Psychiatric Services ◽  
Mentally Disordered ◽  
Psychiatric Units ◽  
Transfer Group ◽  
A Prospective Study ◽  
Transfer Times

BackgroundContracting in psychiatric services from the NHS into prisons has been advocated to improve the care of the mentally disordered in custody. The Belmarsh Scheme is such a service.MethodA prospective study investigating the characteristics of a six-month cohort of remand prisoners requiring transfer to hospital and evaluating the service's effectiveness.ResultsFifty-three (4.3%; 95% CL 3.2% to 5.6%) of the 1229 new remands required transfer to hospital; all were accepted. The transfer group contained a higher proportion of black men (51%) than all other remands (30%) (difference 21%; 95% CL 8% to 35%, P = 0.002). Transfer times were lower than those reported for a neighbouring prison.ConclusionsThe Belmarsh Scheme secured in-patient psychiatric care rapidly for all those identified as needing it.

Patients’ and relatives’ satisfaction with psychiatric services in a large catchment area in Rome

2002 ◽  
Vol 17 (3) ◽  
pp. 139-147 ◽  
Author(s):  
Antonella Gigantesco ◽  
Angelo Picardi ◽  
Elvira Chiaia ◽  
Andrea Balbi ◽  
Pierluigi Morosini
Keyword(s):  
Inpatient Care ◽  
Catchment Area ◽  
Psychiatric Care ◽  
Psychiatric Services ◽  
Treatment Programme ◽  
Information Giving ◽  
Lack Of Information ◽  
Validated Questionnaire ◽  
Large Catchment ◽  
Satisfaction With Services

SummaryObjectiveTo assess the satisfaction of patients and their relatives with psychiatric care and to identify variables associated with any dissatisfaction.MethodsThe study was performed in a defined psychiatric catchment area in south Rome, Italy. All eligible patients and relatives who had contacts with services during a predefined period were asked to participate. Satisfaction with psychiatric services was measured with a previously validated questionnaire.ResultsA total of 890 patients were asked to participate in the study and 855 (96%) accepted. Also, 270 relatives were asked to participate and 265 (98%) agreed. The satisfaction with services expressed by outpatients and their relatives was fairly good, with the exception of poor satisfaction with information about treatment and involvement in the treatment programme. The satisfaction of inpatients and their relatives was significantly lower, with the issue of information-giving by staff appearing particularly critical. Among patients, variables associated with dissatisfaction were being an inpatient, having a diagnosis of psychosis, being in contact with services for more than 6 years, and being single. Among relatives, being female and being the relative of an inpatient were associated with dissatisfaction. For both patients and relatives, receiving inpatient care was the strongest predictor of dissatisfaction.ConclusionsThe results suggest that inpatient care, especially for psychotic patients, needs to be improved and that special attention should be devoted to inform adequately and to engage in treatment both patients and their relatives. Lack of information appears to be a crucial determinant of dissatisfaction with psychiatric care among both patients and their relatives.

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