On b
ase 12-ye
ars experiense of
activity of Dep
artment Psychother
apy (2 psychi
atrists, 2 psychother
apeutists
and 1 medic
al psychologist) in Moscow City Clinic
al Hospit
al (CCH) №36 reve
aled the peculi
arities of org
aniz
ation psychi
atric
and psychother
apeutic c
are of som
atic p
atients with comorbid ment
al disorders. Since 1997 we worked out “St
atute of Dep
artment Psychother
apy in CCH”
and function
al duties of every of speci
alists; more-over owing to select of speci
alists cre
ated of te
am of
adherents on principle “te
am work”; in the s
ame w
ay c
ary out educ
ation
al semin
ars for internidts on incre
asing their knowled-ge in “border-line” psychi
atry, som
aform
and psyhosom
atic disordres. We selected the optim
al of org
aniz
ation consult
ative li
aison psychi
atry/psychother
apy in condition in gene-r
al hospit
al - model “li
aison-
att
achment”. Durind 12 ye
ars c
arry out consult
ative li
aison psychi
atric tre
atment 22638 som
atic p
atients with comorbid ment
al disorders (5,8 % from
all tre
ated p
atients in the hospit
al for 12 ye
ars - 390310). On psychi
atric di
agnosis comor- bid ment
al disorders distributed on 2 groups:
at 13402 p
atients(59,2 % ) reve
aled comorbid non-psychotic ment
al disorders (neurosis, neurosis-like, som
aform, psychosom
atic, per- son
ality disorders);
at 9236 p
atients(40,8 % ) with psychotic ment
al disorders(
acute som
a- genic psychosis,
alcohol delirium
and/or ment
al ret
ard
ation). Distribution on
age: 18-19 ye
ars-1,6 % ,20-39 -20,2 % , 40-59 - 32,8 % , 60 ye
ars
and more - 45,4 % p
atients.
In result: 12-years experience showed that the functioning of specialists of Department Psychothe-rapy in CCH 36 distincly assisted of improving psychosomatic disorders in 5,8 % somatic inpatients (betwen them turned out 45,4 % elderly persons - 60 years and more). Treatment in CCH conducted without any stigmatization and discrimination.