The new stage in the development of a system for the treatment and rehabilitation of patients with schizophrenic spectrum disorders

Abstract

Aim. Evaluation of statistical data on the prevalence of patients with schizophrenic spectrum disorders in Moscow, to substantiate a new stage of the development of out-patients system of treatment and rehabilitation of this category of patients. Methods. There is considered trend of the accounted contingent of patients with schizophrenic spectrum disorders in Moscow for fifteen years (2004-2018). Results. There is a decrease in the number of patients with schizophrenic spectrum disorders (from 0.53% to 0.44% of the permanent population of Moscow) under observation in the state health care system, which is explained by the processes of deinstitutionalization and a shift in emphasis towards the outpatient level of psychiatric care. From the standpoint of the biopsychosocial approach, the tendency to change the ratio of observed male and female patients (increase in the proportion of male patients and decrease in female) over the specified period is discussed. The article analyzes the draft of the new version of the international classification of mental and behavioral disorders (ICD-11) in terms of schizophrenic spectrum disorders in terms of optimizing psychiatric care for this contingent of patients. Conclusion. The observed changes in the considered contingent of patients and the introduction of new approaches to the diagnosis and therapy of patients with schizophrenic spectrum disorders indicate the onset of a new stage in the development of out-patient treatment and rehabilitation system based on the latest achievements of psychopharmacology and the development of social support systems for patients with mental disorders.