where the period of active therapy ...

Where the period of active therapy is desirable daily monitoring of the patient. In 1997 at the Moscow Institute of Psychiatry, Russian Ministry of Health initiated the development program nauchnoprakticheskoy Detection and treatment of depression in primary care network [2]. This is a new medicine for the national approach to the organization of consultative and therapeutic care to those suffering from depression, outside the traditional mental health institutions (hospitals, dispensaries), namely in terms of territorial polyclinics. The purpose of this program reduce the risk of disability (loss of working capacity) due to depression. The Programme is currently implemented in several regional clinics in Moscow, Dubna, Yaroslavl, Tomsk, Tula and Tver. Based on a real-time data can be said about the high detectability of both affective disorders spectrum (approximately half of circulating in the territorial polyclinics) and the actual clinical forms of depression (about 25%, with a 1520% clinical assessment of depression allows us to consider the advisability of appointing anti-depressants ). It is possible to note a significantly higher kurabelnost depression during their therapy in clinics (probably due to moderate severity and uncomplicated), as compared with depression, which psychiatrists usually deal in psychiatric institutions. While for a normal patient population of psychiatric institutions kurabelnost, as we know, does not exceed 7,080%, treatment of depression in outpatient amounted to more than 95%. Besides the immediate effect of treatment of depression is certainly and humanizing meaning of the sentence and to provide timely and adequate assistance to patients suffering from depression, the most accessible, familiar and not stigmatizing conditions. References: 1. Goldberg D., Huxley P. Common mental disorders: biosocial model, Ed. from English. Kiev: Sfera, 1999 2. Krasnov VN Nauchnoprakticheskaya program ? Detection and treatment of depression in primary care network ?. Social and Clinical Psychiatry, 1999, v.9, B.4, pp. 59 3. MKB10. Section D version of the primary health care. Mental disorders in general practice. Diagnosis and lechebnoprofilakticheskie event. Trans. from English. M. Phoenix .1997 4. Angst J. Epidemiologie der Depression: Resultate aus der ZurichStudie Depressionen. Therapiekonzepte in Vergleich. BerlinHeidelberg: SpringerVerlag, 1993, s.312 5. Brundtland G.H. Editorials: Mental health in the 21st century Bulletin of the World Health Organization, 2000, N 78, p.411 6. Burton S.W., Akiskal H.S. (Eds.) Dysthimic Disorder. London, Gaskell, 1990 7. Desjarlais R., Eisenberg L., Good B., Kleinman A. World mental health. Problems and priorities in lowincome countries. NY: Oxford University Press, 1995 8. Glassman A.H., Shapiro P. Depression and course of coronary artery disease.Am. J. Psychiat., 1998, vol.155, N1, p. 411 9. Kessler R.C. at al. Lifetime and 12month prevalence of DSMSHR psychiatric disorders in the United States.