[An epidemiological method for studying the effect of elevated background radiation on the neuropsychic health of children]. / Izuchenie épidemiologicheskim metodom vliianiia povyshennogo radiatsionnogo fona na nervno-psikhicheskoe zdorov'e detei.

The children living in 4 regions of Russia contaminated as a result of the Chernobyl catastrophe were investigated. The control group consisted of the children of 2 regions which did not undergo this influence. The investigations were made 1-3 years after the catastrophe took place. An increase of etiologically non-clear asthenic-vegetative disorders was determined in the regions of radiation contamination. They were observed mainly among the children who had light residual organic cerebral deficiency. The authors cannot exclude the impact of the psychogenic factors.

[The concept of including psychiatry in insurance medicine]. / Kontseptsiia vkhozhdeniia psikhiatrii v strakhovuiu meditsinu.

Arguments for restructuring of psychiatric service on the principles of medical insurance are given. Because mental disorders are characterized by chronic development and high disability rate, the necessity of mixed budget-insurance financing of psychiatry is grounded. Obligatory state insurance must be conducted for all mentally ill persons. However, only a certain part of outpatient care and the treatment period in hospital are to be insured, while the remaining part of outpatient visits or hospital stay will be financed from the budget. The method of calculation of the incurred number of the doctor's visits and the length of hospital stay during the year is discussed.

[Sanatorium treatment of adolescents with borderline mental disorders]. / Sanatornoe lechenie podrostkov s pogranichnymi psikhicheskimi narusheniiami.

The authors review the characteristic features of group formations, work patterns and the efficacy of the new organizational form of mental assistance to adolescents--the sanatorium health centre. Special emphasis is laid on the group of patients with border-line mental abnormalities of the residual organic genesis. The dynamics of those conditions is shown as related to the characteristic features of the structure of the treatment and health process. It is concluded that sanatorium assistance to adolescents turns out effective, provided there are new approaches to the group formation and a comprehensive differentiated structure of the treatment and health process.

[The hospital and semi-inpatient clinic in the structure of psychiatric care for adolescents]. / Statsionar i polustatsionar v strukture psikhiatricheskoi pomoshchi podrostkam.

Comparative investigation of hospitalized mentally ill adolescents in two cities and an adolescent cohort under treatment in a newly created semi-inpatient unit and a dispensary resulted in a conclusion that assistance provided by hospital, semi-inpatient and dispensary units does not fully embrace the adolescents in whom borderline disorders are detected. New institutional forms are necessary to introduce in order to improve the medical aid to these patients (sanatoria, health camps, boarding schools for patients with pathologic deviations of behavior).

[System of dynamic observation of children with mental disorders at a psychoneurologic department at a pediatric polyclinic]. / Sistema dinamicheskogo nabliudeniia detei s psikhicheskimi narusheniiami v psikhonevrologicheskom kabinete detskoi polikliniki.

On the basis of analysis of the characteristics of patients registered in child psychoneurological rooms and in view of the necessity to ensure continuity in the work of children's and adolescents' psychiatrists the authors propose a system of follow-up of children with mental disorders which helps to ensure consecutive provision of the entire complex of therapeutic and roborant measures to such patients.

[System of therapeutic-health-improving measures in the screening of adolescents with mental disorders]. / Sistema lechebno-ozdorovitel'nykh meropriiatii pri dispanserizatsii podrostkov s psikhicheskimi narusheniiami.

The authors present a system of the screening of adolescents with mental aberrations which involves the identification of five groups of follow-up depending on the status of the patient on the one hand and the types of necessary therapeutic and roborant help on the other.

[Analysis of a population of adolescents with mental disorders]. / K analizu populiatsii podrostkov s psikhicheskimi zabolevaniiami.

A study of patients registered in the adolescent rooms of the psychoneurological outpatient centres of two districts of Moscow showed that the structure of psychic pathology of this population is characterized by a greater proportion, as compared with children, of psychotic forms, with non-psychotic psychic diseases and mental retardation still occupying the leading place. Almost one-third of patients (largely those with non-psychotic forms of psychogenic and exogenous-organic nature and a superficial level of disturbances observed) have good prognosis in terms of their cure including the discarding off the record in the relevant dispensary. Activation of extrahospital forms of care including improvement of the microsocial environment is required.