Aim. The aim of this study was to analyze the main problems of provision of mental health services in orphanages for children with neurodevelopmental disabilities in Russia.
Methods. A cohort cross-sectional study was conducted in 23 orphanages, in which 2853 pupils live.
Results. There was determined a structure of psychotic disorders among children of psycho-neurological orphanages. Prevalence of mental disorders among this group was: mild intellectual disability 56 (1.96%) people, moderate intellectual disability 967 (33.89%), severe intellectual disability 1079 (37.82%), profound intellectual disability 429 (15.04%). Clinical and psychopathological examination of 1730 pupils was carried out. The most prominent problems of psychiatric care in in orphanages for children with neurodevelopmental disabilities were identified as: inconsistency of the psychiatric diagnosis and the actual condition of the child 289 (16.71%), a mismatch between the prescribed psychopharmacotherapy and the clinical picture 378 (21.85%), polypharmacy 344 (19.88%, or 35.61% of all receiving psychopharmacotherapy).
Conclusion. The necessity of developing non-pharmacological approaches in tackling the problems associated with the provision of mental health services in orphanages was shown.
The Current Provision of Mental Health Services for Individuals with Mild Intellectual Disability: A Scoping Review
