Analysis of catamnesis of combatants–pensioners of the Ministry of Internal Affairs with mental disorders

Abstract

We analyzed catamnesis of combatants–pensioners of the Ministry of Internal Affairs (MIA) of Russia dismissed due to the presence of mental disorders impeding further serving. It is shown that, within 3 years after the dismissal, a negative clinical dynamics of mental state with disability and formation of concomitant alcohol dependence are noted among combatants. They have some serious social problems, like divorce, and they are involved in unqualified manual work or do not work at all. This requires some improved approaches in providing them with medical, psychological, and social assistance, with regular observation. It was proposed to organize Mental Health Centers in the departmental regional health units of the Ministry of Internal Affairs of Russia on the basis of existing centers of psychophysiological diagnostics for systemic monitoring of the mental state of combatants with mental disorders and improving the quality of provision of medical assistance.