Results on sociological survey of healthcare specialists and consumers about their opinion on reforms of psychiatric service in Moscow, conducted in 2010–2017

Relevance. Since 2010, in Moscow a plan for the reorganization of the psychiatric service is carried out. In accordance with the WHO plans, reforms is including the reduction of inpatient types of care and expansion of the outpatient unit. Aim. The analysis of the specialists and users opinions of mental health service on its reform. Materials and methods. Specialists and users of mental health services opinions survey regarding the ongoing changes was conducted (900 respondents). Results. Most respondents gave a positive assessment of the reforms. Interviewees believe that reform was necessary, optimization of the number of psychiatric beds and expansion of community-based care were justified, the formation of territorial associations was appropriate, and that the quality of psychiatric care, the work of clinics and day hospitals, the amount of care provided by dispensaries, the territorial availability of outpatient psychiatric care, the availability of outpatient facilities, and the number of places in day hospitals increased. According to the survey, reorganization of the psychiatric service first of all should include the development of psychosocial rehabilitation and psychotherapy, a decrease in the level of hospitalizations, the development of inpatient technologies and continuity in the provision of care. According to respondents, the mental health service needed to improve funding and develop outpatient care. Conclusion: Respondents positively assess the mental health service reforms in Moscow. The psychiatric service reorganization should include the development of psychosocial rehabilitation and psychotherapy, reduction hospitalizations level, inpatient technologies and continuity care provision development. According to respondents, the mental health service needs to improve the funding and development of outpatient care.