Email this article Analysis of the provision of mental health services in orphanages for children with neurodevelopmental disabilities in Russia
- Authors: Bitova A.L.1, Portnova A.A.2, Sivolap Y.P.3, Kolomina O.A.1, Novikov A.Y.1, Khasanov T.B.1
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Affiliations:
- RNSO “Center for Curative Pedagogics”
- V.P. Serbsky national medical research center of psychiatry and narcology
- I.M. Sechenov first Moscow state medical University
- Issue: Vol LII, No 3 (2020)
- Pages: 30-34
- Section: Original study arcticles
- URL: https://journals.rcsi.science/1027-4898/article/view/33988
- DOI: https://doi.org/10.17816/nb33988
- ID: 33988
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Abstract
Aim. The aim of this study was to analyze the main problems of provision of mental health services in orphanages for children with neurodevelopmental disabilities in Russia.
Methods. A cohort cross-sectional study was conducted in 23 orphanages, in which 2853 pupils live.
Results. There was determined a structure of psychotic disorders among children of psycho-neurological orphanages. Prevalence of mental disorders among this group was: mild intellectual disability — 56 (1.96%) people, moderate intellectual disability — 967 (33.89%), severe intellectual disability — 1079 (37.82%), profound intellectual disability — 429 (15.04%). Clinical and psychopathological examination of 1730 pupils was carried out. The most prominent problems of psychiatric care in in orphanages for children with neurodevelopmental disabilities were identified as: inconsistency of the psychiatric diagnosis and the actual condition of the child — 289 (16.71%), a mismatch between the prescribed psychopharmacotherapy and the clinical picture — 378 (21.85%), polypharmacy — 344 (19.88%, or 35.61% of all receiving psychopharmacotherapy).
Conclusion. The necessity of developing non-pharmacological approaches in tackling the problems associated with the provision of mental health services in orphanages was shown.
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##article.viewOnOriginalSite##About the authors
Anna L. Bitova
RNSO “Center for Curative Pedagogics”
Email: bial@ccp.org.ru
Russian Federation, 119311, Moscow, Stroiteley str., 17B
Anna A. Portnova
V.P. Serbsky national medical research center of psychiatry and narcology
Author for correspondence.
Email: aapserbsky@mail.ru
ORCID iD: 0000-0001-5938-0202
Russian Federation, 23 Kropotkinsky str., Moscow, 109559
Yury P. Sivolap
I.M. Sechenov first Moscow state medical University
Email: yura-sivolap@yandex.ru
Russian Federation, 119991, Moscow, Trubetskaya str., 8, building 2
Oksana A. Kolomina
RNSO “Center for Curative Pedagogics”
Email: aapserbsky@yandex.ru
Russian Federation, 119311, Moscow, Stroiteley str., 17B
Artem Yu. Novikov
RNSO “Center for Curative Pedagogics”
Email: aapserbsky@yandex.ru
Russian Federation, 119311, Moscow, Stroiteley str., 17B
Timur B. Khasanov
RNSO “Center for Curative Pedagogics”
Email: aapserbsky@yandex.ru
Russian Federation, 119311, Moscow, Stroiteley str., 17B
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