The role of education in the socialization of children and adolescents with mental disorders

Background: the requirements for a person at the present stage the acquisition of both academic knowledge and complex social skills in the process of growing up presuppose. Their development is impossible outside the framework of systematic training activities and mastering the function of self-control. Education of children and adolescents with mental disorders and the presence of mental disorders is an important interdisciplinary problem, including along with education (including psychoeducation), socialization, as well the quality of their functioning in society in adulthood as determining.
Purpose: to ascertain the modern tendencies in education of mental ill children and adolescents, their role in sociorehabilitative process.
Material: the data of a long standing observation, treatment and follow-up of more than 3,500 mental ill children and adolescents (male: female ratio of 2,5:1) registered in one of the Moscow psychoneurological dispensery were analyzed. 
Results and conclusion: the prevalence of outpatients with non-psychotic mental pathology was established with nosological distribution as follows: 35% — organic non-psychotic disorders, 25–30% — mental retardation, 20–25% — neurotic, affective disorders and personality pathology in total, 13–15% — schizophrenia and schizophrenic spectrum disorders. 18–20% had disablement. In the whole contingent only 1–3% proved to be completely uneducated. The majority of the patients preserved ability for learning to a certain extent but 35–40% of them could not manage in common school and were need of special conditions. The main factors associated with educational difficulties in adolescents were considered. The impact of psychoeducation and psychotherapeutic programmes were emphasized. 

1. Moffitt T.E., Arseneault L., Belsky D., Dickson N., Hancosc R.J., Harrington H.L., Houts R., Poulton R., Roberts B.W., Ross S., Sears M.R., Thompson W.M., Caspi A. A gradient of childhood self-control predicts health wealth and public safety. PNAS. 2011;108(7):2693–2996. DOI: org/10.1073/pnas.10100761108.

2. Gordeeva T.O., Osin E.N., Suchkov D.D., Ivanova T.Yu., Sychev O.А., Bobrov V.V. Samokontrol' kak resurs lichnosti: diagnostika v svyazi s uspeshnost'yu, nastojchivost'yu i blagopoluchiem. Kul'turno-istoricheskaya psikhologiya. 2016;12(2):46–58. (In Russ.). DOI:10.17759/chp.2016120205

3. Korsini R., Аuehrbakh А. Psikhologicheskaya ehntsiklopediya. SPb.: Piter. 2006. (In Russ.).

4. Federal'ny'j zakon «Ob obrazovanii v Rossijskoj Federacii» № 273-FZ ot 29 dekabrya 2012 g. s izmeneniyami 2018 g. Available at: http://legalacts.ru/doc/273_FZ-ob-obrazovanii/ Accessed 03.09. 2018. (In Russ.).

5. Konvenciya o pravax rebenka (odobrena General'noj Assambleej OON 20.11.1989). Sovetskij zhurnal mezhdunarodnogo prava. 1991;2:151–171. (In Russ.).

6. Rasprostranennost' psixicheskix rasstrojstv v naselenii Rossijskoj Federacii v 2011 g. (Analiticheskij obzor). Pod red. prof. V.S. Yastrebova. M: FGBU «FMICzPN» Minzdrava Rossii, 2014. (In Russ.).

7. Shmakova O.Р. School failure of children and adolescents with mental disorders (prevalence, manifestations, dynamics). Psixiatriya. 2003;5:46–52. (In Russ.).

8. Zavadenko N.N. Shkol'naya dezadaptaciya v nejropediatricheskoj praktike. Praktika pediatra. 2016;3:60–70. (In Russ.).

9. Tabachnikov S.I., Marcenkovskaya I.I. Shkol'naya dezadaptaciya (neuspeshnost'): vzglyad s pozicij detskoj psixiatrii. Zdorov'e Ukrainy'. 2015;2(3):42–43. (In Russ.).

10. Pierangelo R., Giuliani G. Learning Disability: A practical Approach to Foundation, Assesement, Diagnosis and Teaching. Pearson Education. 2005.

11. Benner G., Nelson R., Epstein M. Language Skills Children with EBD. J. Emotional and Behav. Dis. 2002;10(1):4–56.

12. Mazaeva N.A., Golovina A.G. Adolescents school refusal (clinical psychopathological aspect). Zhurn. nevrologii i psixiatrii im. S.S. Korsakova. 2015;115(1):10–17. (In Russ.).

13. Goncharov M.V. Long-term invalidity in schizofrenia. Zhurn. nevrologii i psixiatrii im. S.S. Korsakova.1993;93(4):52–55. (In Russ.).

14. Mazaeva N.A. Zadachi psixiatricheskoj nauki v oblasti reabilitacii psixicheski bol'ny'x. Tezisy' dokladov VI Vserossijskogo s'ezda psixiatrov. T.2, Moskva: 1990;78–80. (In Russ.).

15. Obradovic J., Burt K.B., Masten A.S. Pathways of adaptation from adolescence to young adulthood: Antecedents and correlates. Resilience in Children in: Annals of the New York Academy of Sciences. 2006;1094:340–344.

16. Afonina A.K., Volodin B.Yu. On the structure of quality of life of adolescents-patients with mild degree of mental retardation depending on the form of their living. Sibirskij vestnik psixiatrii i narkologii. 2014;2:46–48. (In Russ.).

17. Rhodes A.E., Boyle M.H., Bridge A.J., Sinyor M., Links P.S., Tonmyr L., SkinnerR., Bethell J.M., Carlisle C., Goodday S., Hottes T.S., Newton A., Bennet K., Sundar P., Cheung A.H., Szatmari P. Antecedents and sex/gender differences in youth suicidal behavior. World Psychiatr 2014 December 22;4(4):120–132. DOI:10.5498

18. Carli V., Hoven Chr.W., Wasserman C., Chiesa F., Guffanti G., Sarchiapone M., Apter A., Balazs J., Brunner R., Corcoran P., Cosman D., Haring Chr., Iosue M., Kaess M., Kahn J.P., Keeley H., Postuvan V., Saiz P., Varnik A., Wasseman D. A newly identified group of adolescents at «invisible» risk for psychopathology and suicidal behavior: findings from the SEYLE study. Vsemirnaya psixiatriya. 2014:13(1):77–85. DOI:10.1002/wps.20088 (In Russ.).

19. Colom Fr. E'volyuciya psixoobrazovaniya dlya bipolyarnogo rasstrojstva: ot litievy'x klinik do integrativnogo psixoobrazovaniya. Vsemirnaya psixiatriya. 2014;13(1):89–91. DOI:10.1002/wps.20091 (In Russ.).

20. Severny'j A.A., Iovchuk N.M. O nekotory'x proyavleniyax patologicheskogo pubertatnogo kriza. XIII Mnuxinskie chteniya: «Rasstrojstva lichnosti, adaptacii i povedeniya v detskom i podrostkovom vozraste». 26–27 marta 2015. SPb.: 2015:168–172. Available at: http://dspace.ltsu.org/bitstream/123456789/1453/1/349-17_s.pdf. Accessed 03.09. 2018. (In Russ.).

21. Byuler Sh. Chto takoe pubertatnyj period // Psihologicheskie teorii podrostkovogo vozrasta: Hrestomatiya (sost. M.K. Pavlova). M.: ANO PEB;2008:52–61.

22. Kashani J.K., Dandoy A.C., Reid J.C. Hopelesness in children and adolescents. An overview. Acta Paedopsychiatrica. 1992;55:33–39.