[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.

[An influence of mental disorder in the child on the parents in the context of differentiated approaches to psychosocial interventions on childhood psychiatry].

OBJECTIVE: To specify parent reaction to a mental disorder in the child and to develop differential approaches to psychosocial family interventions. MATERIAL AND METHODS: Authors studied parents (mostly mothers) of 140 children with schizophrenia spectrum disorders, 100 children with autistic disorders and 85 children with mental retardation. Along with psychiatric examination of the parents, it was used psychometric scales ECI and CGSQ. RESULTS: Authors specified emotional and behavioral characteristics of the parents' reaction as common for all diseases studied as well peculiar for separated forms of mental diseases in children. The factors (cognitive, emotional and behavioral) determining the targets of differentiated therapeutic interventions were singled out. CONCLUSION: The stress coping strategies for parents are formulated.