Patients are assigned a variety of ...

Patients received various types of psychosocial treatment, depending on the availability of evidence to them. Formulated the goal of each intervention with the definition of the time period during which specified target is supposed to achieve. The choice of interventions for specific patient in accordance with the features of its social maladjustment. Upon completion of each phase is taken into account the need to support psychosocial impacts. Comprehensive implementation of aid treatment of patients in the clinic of the first psychotic episode is based on an integrated approach, implying the unity of pharmacotherapy and various methods of psychosocial treatment and psychosocial rehabilitation. Assistance is Multiprofessional team of experts (involving a psychiatrist, psychologist, therapist, social worker), each of which has svoizadachi, coordinated with the other members of the team. " Middle and junior medical staff, as members of therapeutic teams are actively involved in this work, motivating patients and their relatives to a positive attitude toward therapy, creating a psychotherapeutic environment in the department, supported psychotherapeutic community of patients, monitor and reinforce the results of group and individual forms of work. In addition, junior and nursing staff will organize leisure patients. The results of the work in respect of each patient are discussed at weekly meetings of all members of the brigade, which produced a joint tactics for the future. Supportive psychosocial treatment and psychosocial rehabilitation should be noted the need for long-term management of patients with first episode and after being discharged from the department. To this end, patients discharged from day hospital or office with the regime of day care, continue to occur in the clinic to assess mental state, the implementation of maintenance pharmacotherapy and psychosocial treatment of the supports in the form of monthly group sessions. Last largely perform the task of strengthening the social networks of patients and social support. Special psihoobrazovatelnye program continues and for the relatives of discharged patients. The effectiveness of this form of assistance has been shown by comparing the long-term results in patients receiving treatment at the clinic of the first psychotic episode, Moscow Institute of Psychiatry, Ministry of Health of the Russian Federation with the results of traditional treatment of a similar cohort of patients in an urban psychiatric hospital [2]. Patients treated in the clinic of the first psychotic episode, throughout the follow-up period in a much larger number of cases receiving maintenance pharmacotherapy, revealing a more compliant and, consequently, better quality of remission (patients significantly less delusional behavior was observed in remission). Observed after hospital discharge exacerbation of symptoms were usually of short duration (duration of exacerbations averaged about 3 weeks, with psychotic symptoms was noted only in 10 days, which is considerably shorter than in the control group - more than 1 month ., pOniomaniya: a passion to fly

Vladimir Kukk psychiatrist, psychologist, social activist web: http://www.DrKukk.com http://www.dr.kukk.wrk.ru e-mail: vladimirkukk2000 @ mail. ru oniomania - oniomania not consistent with the need and implications, immense quantities, is observed in manic states, and not only.