Current problems of improvement of psychiatric care for patients with disorders of schizophrenic spectrum in conditions of modernization of public health system
The article discusses the issues of improving the provision of psychiatric care to patients with schizophrenic spectrum disorders in the context of the modernization of psychiatric service (on the example of Moscow). There is a slight decrease in the proportion of patients with schizophrenic spectrum disorders who are under surveillance in the public health system (in relation to the permanent population), which is explained by the shift in emphasis towards outpatient and non-state forms of mental health care. The tendency to increase the specific weight of male patients and decrease of female patients over a 15-year period of time is discussed. From the standpoint of optimizing mental health care for this group of patients, the draft of a new version of the international classification of mental and behavioral disorders (ICD-11) is analyzed. The role of prolonged injection antipsychotics in the development of community-based treatment and rehabilitation of patients with schizophrenic spectrum disorders is considered.