[The clinico-epidemiological bases of mental hygiene care for the patients of a general polyclinic].
On the basis of the general somatic polyclinic servicing 26,000 adults a study was made of the clinico-epidemiological bases of the organization of the out-of-dispensary psychiatric aid. Overall 4,785 patients were examined by means of questionnaires and counselling, clinical, clinico-epidemiological and clinico-catamnestic methods. 38% of the patients did not manifest any mental disorders or were at risk for their development; 21% of the patients were attributed to a group of "potential risk"; 34 to a group of prenosological disorders; 4.8% to a group in need of the psychiatrist's advice; 2.1% made up a group registered at the dispensary. The nosological structure of mental disorders was studied to reveal that the number of patients with borderline mental conditions, seen at the polyclinic, exceeded that registered at the dispensary. The fundamental principles of the out-of-dispensary psychiatric aid to the patients have been developed: 1--early identification, 2--rational therapeutic interaction, 3--necessity and sufficiency. The use of the differentiated forms and methods of specialized out-of-dispensary psychiatric aid allowed the efficiency of medical and prophylactic measures to be increased and the duration of the temporary loss of work fitness due to mental diseases to be reduced by not less than 68%. It is concluded that the development of the analogous forms of the out-of-dispensary psychiatric aid is advisable and effective.
Dogvinovich
G V
GV
Lebedeva
V F
VF
D006769:Hospitals, General / Q000706:statistics & numerical data*; D006773:Hospitals, Municipal / Q000706:statistics & numerical data*; D006801:Humans; D001523:Mental Disorders / Q000145:classification / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy; D008605:Mental Health Services / Q000706:statistics & numerical data*; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012800:Siberia / Q000453:epidemiology
Kliniko-épidemiologicheskie osnovy psikhogigienicheskoĭ pomoshchi bol'nym obshchesomaticheskoĭ polikliniki.