A vision for the development of mental health care centers
The article highlights the psychiatric care organization improvement strategies. The presented concept corresponds to the modern vector of development of psychiatric care and is based on the international recommendations for mental health protection. The improvement of the outpatient services through the foundation of mental health centersutilizing the combination of institutional and non-institutional forms of care allows to develope the prophylaxis area and to expand the population coverage. The pilot project, implemented for 4 years on the basis of one of the psycho-neurological dispensaries of St. Petersburg, has demonstrated the high relevance and effectiveness of medical, social and psychological careas a result of expanding the specter of preventive and rehabilitation services, which shows the urgency and importance of the development of psychiatric care in that direction. Such experience in optimization, at no additional cost for organizational and staff changes, allows to prevent stigmatization, to solve the problem of availability of the specialized care for the population, and serves for the early detection and treatment of mental disorders, including psychosomatic disorders, the initial forms of schizophrenia and other diseases.