psychiatryПСИХИАТРИЯPsychiatry (Moscow) (Psikhiatriya)1683-83192618-6667FSBSI “The Mental Health Research Centre”; LLC «Publisher «MIA»10.30629/2618-6667-2017-76-5-10psychiatry-289Research ArticleВОПРОСЫ ПСИХОПАТОЛОГИИ, КЛИНИЧЕСКОЙ И БИОЛОГИЧЕСКОЙ ПСИХИАТРИИОрганизация психиатрической помощи в амбулаторнополиклинических условиях при расстройствах тревожного и депрессивного спектраOrganization of psychiatric care in anxiety and depressive disorders in primary careКостюкГеоргий ПетровичKostyukGeorgij

доктор медицинских наук, профессор, главный внештатный специалист-психиатр ДЗ города Москвы, главный врач

PhD, MD, professor, chief psychiatrist of the Moscow Department of Health, chief physician

pkb1@zdrav.mos.ruМасякинАнтон ВалерьевичMasyakinAnton

кандидат медицинских наук, заместитель главного врача по медицинскойчасти (по организационно-методической работе)

PhD, MD, candidate of medical sciences, deputy chief physician

masyakinanton@yandex.ruСтаринскаяМария АлександровнаStarinskayaMaria

врач-психиатр, младший научный сотрудник, лаборатория демографических аспектов здоровья населения

psychiatrist, junior researcher, laboratory of demographic aspects of public health

maryvatolina@yandex.ruГБУЗ «ПКБ № 1 им. Н.А. Алексеева» ДЗМ, МоскваРоссияPsychiatric Clinical Hospital № 1 name after N.A. Alekseev, MoscowRussian FederationФГБУ «Национальный медицинский исследовательский центр профилактической медицины» МЗ, МоскваРоссияFSBI «National Medical Research Center for Preventive Medicine», MoscowRussian Federation201728122017076511Copyright © Костюк Г.П., Масякин А.В., Старинская М.А., 20172017Костюк Г.П., Масякин А.В., Старинская М.А.Kostyuk G., Masyakin A., Starinskaya M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.journalpsychiatry.com/jour/article/view/289

В обзорной статье рассматриваются вопросы формирования модели интеграции специализированной психиатрической помощи и целесообразности соответствующего пересмотра законодательной базы России. Обсуждается имеющийся опыт разных стран в организации диагностики и лечения отдельных психических нарушений (в частности, расстройств тревожного и депрессивного спектра) с участием амбулаторных общемедицинских служб. Обсуждается консультационная модель психиатрической помощи, которая предполагает мультидисциплинарный подход с участием врачей-интернистов и специалистов в сфере психического здоровья и потенциально позволяет оптимизировать ресурсозатраты, обеспечить большую доступность служб здравоохранения.

The review article examines the formation of a model for integrating the provision of assistance to the population with problems in mental health in the primary health care, the appropriateness of revision of the legislative framework in Russia. The experience of different countries in diagnosing and treating certain mild mental disorders (in particular disorders of the anxiety and depressive spectrum) with the participation of primary care settings is discussed. A consultative model of psychiatric care is being negotiated, which involves a multidisciplinary approach involving internists and mental health professionals, and potentially allows for optimization of resource costs and greater access to health services.

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The authors declare that there are no conflicts of interest present.