[The social and medical problems of childhood psychiatry].

The purpose of the study is to to identify key social and medical problems of childhood psychiatry by analysis of statistical and clinical data of Moscow health care institutions. It is established that actual problems are related to increasing of incidence of morbidity of mental disorders in children, their late detection, absence or unavailability of diagnostic techniques with high evidentiary effect, inability to use modern achievements of psychopharmacotherapy, close relationship of mental disorders with social factors, as well as with high stigmatization of mental health sphere. It is necessary to intensify research in studying etiopathogenetic factors, elaborating strategies of mental disorders prevention in childhood, clinical trials targeted to expand age range of application of medications and to icrease activities on destigmatization and psychoeducation in society.

[State and prospects of legal regulation of telemedicine consultation in the patient-specialist format in children's psychiatric practice]. / Sostoyanie normativno-pravovogo regulirovaniya telemeditsinskogo konsul'tirovaniya i ego sovershenstvovanie v formate «patsient ­ spetsialist¼ v detskoi psikhiatricheskoi praktike.

INTRODUCTION: Remote interaction of medical workers with patients and (or) their legal representatives (the patient-doctor model) contains a large number of unresolved organizational and legal issues. OBJECTIVE: Analysis of the peculiarities of the organization and legal regulation of telemedicine counseling in child psychiatric practice and the development of recommendations for improving the legal and regulatory framework for remote interaction in the patient-specialist format. MATERIAL AND METHODS: The article analyzes the legal and regulatory requirements governing the use of telemedicine technologies in the process of providing psychiatric care. The material for the analysis was the experience of 1129 telemedicine consultations (TMC) in the patient-doctor model in the period from December 2019 to July 2020. RESULTS: Proposals have been formulated to improve the regulatory framework for TMC in psychiatric practice: consideration of the possibility of remote psychiatric examination within the framework of primary TMC; conducting remote medical commissions; elimination of conflicting regulatory requirements governing primary TMC. CONCLUSION: Conducting repeated TMC seems to be optimal as an effective tool for improving the quality and availability of medical care.

[Art therapy in treatment, rehabilitation, micro- and macrosocial adaptation of children with autism spectrum disorders by means of a special rehabilitation and adaptation program "Art therapy (drama therapy): 'Because You are Needed ' for children with general disorders of psychological development and other mental disorders"].

For the first time, the effectiveness of art therapy (drama therapy) in children with mental disorders has been studied on substantial clinical data. Psychotherapeutic work involved certain form of drama therapy that included patients watching Moscow theaters performances and then discussing them with family and in group therapy sessions with psychologists. Researchers have developed drama therapy methods for children with mental disorders, determined indications and contraindications for this treatment. The study shows effects of art therapy on the child adaptation to the conditions of the micro-social environment, particularly on his family adaptation, formation of harmonious, supportive, rehabilitative family relations. It is noted that art therapy influences adolescent's adaptation to the conditions of the macrosocial environment, particularly his adaptation in a peer group, behavior in various situations and formation of normal behavioral patterns in different environmental conditions.