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Achievements and problems of psychosocial rehabilitation: Results of sociological research in the volga federal district

Published online by Cambridge University Press:  13 August 2021

V. Mitikhin*
Affiliation:
Department Of Mental Health Support Systems Research Centre, Mental Health Research Centre, Moscow, Russian Federation
T. Solokhina
Affiliation:
Department Of Mental Health Support Systems Research Centre, Mental Health Research Centre, Moscow, Russian Federation
G. Tiumenkova
Affiliation:
Department Of Mental Health Support Systems Research Centre, Mental Health Research Centre, Moscow, Russian Federation
V. Yastrebova
Affiliation:
Department Of Mental Health Support Systems Research Centre, Mental Health Research Centre, Moscow, Russian Federation
*
*Corresponding author.

Abstract

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Introduction

The active development of psychosocial rehabilitation (PSR) has been taking place in Russia within latest two decades. In this regard, analysis of the accumulated experience and problems’ identification in the PSR field is relevant.

Objectives

Conducting a sociological study in the Volga Federal District (VFD) to work out measures for further PSR system development.

Methods

Sociological, statistical, original semi-structured questionnaire on PSR application, including 26 questions.

Results

63 institutions providing psychiatric care in 14 large regions of the VFD participated in the study. Achievements in the field of PSR include: introduction of new forms of rehabilitation care, modern psychosocial interventions; development of the volunteer sector and others. A number of systemic problems were also identified: more pronounced decrease in the availability of psychiatrists in VFD compared to the Russian Federation (RF) as a whole (in the VFD 0.76 psychiatrists per 10 thousand population in 2017 and 0.74 per 10 thousand population in 2018; in RF: 0.83 psychiatrists per 10 thousand population in 2017, 0.82 per 10 thousand in 2018); insufficient provision with psychotherapists, psychologists, social workers, which varies considerably in different territories (up to 10 times); insufficient use of non-profit organizations’ (NPOs) potential; lack of a unified system for assessing PSR effectiveness.

Conclusions

Measures for development of PSR were proposed: improving staffing levels and qualifications of employees, introducing psychosocial interventions with proven effectiveness; dissemination of successful experience of NPOs, development of methodological tools for assessing effectiveness of PSR, its standardization and others.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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