PSYCHIATRIC CARE IN THE OMSK REGION
The article provides a detailed description of the structure of psychiatric care in the Omsk Region as a complete treatment and rehabilitation service. With the purpose of strategic developments and adequate accessibility of psychiatric care, the changes focus on patient routing, continuity of care and use of modern technologies and treatment and rehabilitation techniques, evaluation of effectiveness of care and quality control in all stages. Continuity happens to be a key factor for effectiveness and quality of health care for mental patients. Special attention is paid to development of care for crisis patients and introduction of such programs into practice, as well as development of care for persons with first psychotic episode, patients with frequent and long-term hospitalisations, patients who have lost social contacts and housing, patients prone to committing offences, children and the elderly with mental problems. Application of new approaches have led to better quality of care and decreased hospitalisation rate - with annual drop about 1000 admissions. During recent four years the number of long-term patients that stayed in the hospital for more than one year decreased by half. Repeated hospitalisations decreased from 16% to 14%.