INTERNATIONAL EXPERIENCE OF PSYCHIATRIC REFORM AND FURTHER DEVELOPMENT OF THE RUSSIAN PSYCHIATRIC CARE
This article presents an analysis of a large-scale reform in the psychiatric care systems in developed countries that has been taking place since middle 20th century till now, and emphasize its positive and negative effects and consequences, which should be taken into account in the development of Russian psychiatric care. The authors focus on two developments in psychiatric care abroad, specifi cally, integration of psychiatry in general medicine and community-based psychiatry. They use in their analysis the publications from the countries concerned on both specifi c (as examples) and global issues, thus covering both general tendencies and evolvement in all main sections of psychiatric care. From this perspective, the authors consider the deinstitutionalization (diminished hospital capacity) stage and challenges in current Russian psychiatric care, as well as directions for its further development