|
English Language Page It was discovered in the course of the monitoring that this side of treatment was almost entirely absent in most of the surveyed institutions. Most of the interviewed practitioners admitted that they did not have any rehabilitation programs because they were not funded (Rostov city psychiatric clinic (Kovalyovka settlement), Tula city psychiatric clinic, Ulyanovsk regional psychiatric clinic #1 named after Karamzin, etc.). Some of them mentioned that presently patients do not stay at hospitals long enough therefore there is no need in rehabilitation programs (Voronezh city psychiatric clinic, Nizhnii Novgorod city psychiatric clinic #1, etc.). According to chief physicians specifically designed rehabilitation programs exist only in a handful of clinics (Kirov regional psychiatric clinic, Lipetsk regional neuro-psychiatric clinic #1, Republican psychiatric clinic of Komi, Republican psychiatric clinic of Karelia, Chita regional psychiatric clinic #2, and Yaroslavl regional psychiatric clinic). As a rule, such programs are not specifically funded and are developed by clinic’s physicians themselves. Special individualized rehabilitation programs exist at the children’s department of the Chita regional psychiatric clinic #1 and departments for chronic patients of the Kaliningrad city psychiatric clinic and the Regional psychiatric clinic of the Jewish Autonomous District. At the Perm city psychiatric clinic one puts together a description of social characteristics of the patient which is attached to their medical records and can later be used for the development of an individualized rehabilitation program. The “Therapy by Environment” rehabilitation program that has been administered by the Arkhangelsk regional psychiatric clinic #1 and the Norwegian Fund for several years yields very good results as it enlivens the residence of patients at the psychiatric institution and facilitates the therapy process. In practice rehabilitation programs are confined to labor therapy (involvement of patients in a variety of labor processes) and therapy by occupation (various entertaining forms of activity that animate patients and distract them from pathological emotions). Note that in some cases this was the only element of rehabilitative work with patients. As a rule, patients carry out simple activities (make flowers, envelopes, bed linens, etc.). In some hospitals patients take care of gardens and restore books, decorate wards and departments. Usually 10%-40% of patients take part in various forms of labor therapy and therapy by occupation. The choice of concrete forms largely depends on the chief physician and the degree of their pro-activeness, as well as the choice of personnel and their attitude towards patients. Although most of the clinics do not administer specifically developed individualized rehabilitation programs almost each one of them has developed their own forms of working with patients that enable them to fill in their leisure time, learn something new, or restore the once-lost skills and abilities, i.e., certain rehabilitation elements. Art-therapy and therapy by artistic self-expression were discovered to be the most popular methods of rehabilitation. Their various forms ranged from simple amateur talent groups (concerts in departments) to theatrical and choreographic groups in which recovering patients could participate, to art and sculpting classes conducted by professional artists and psychotherapists. However, this work is not conducted on a regular basis everywhere and does not cover all the patients that could take part in it which is largely accounted for by the lack of qualified specialists. Various forms of self-organization of patients — Councils of patients, Clubs of former patients, regular publication of information bulletins, etc. — can provide significant assistance in the organization of the rehabilitation process but except for a handful of cases such practice is non-existent . Sports can play an important role in the rehabilitation of patients. But the lack of sports facilities, sports grounds, sports instructors, and exercise therapy specialists is a problem that is common for all institutions. Still some clinics do engage their patients in sports activities that facilitate their rehabilitation. These institutions are: 1. Kostroma specialized psychiatric clinic with intensive observation 2. Shadrinsk neuro-psychiatric dispensary of the Kurgan region 3. Lipetsk regional neuro-psychiatric hospital #1 4. Moscow psychiatric clinic #13 5. Moscow regional psychiatric clinic #2 6. Orenburg regional psychiatric clinic #2 7. Republican neuro-psychiatric dispensary of Buryatia 8. Republican psychiatric clinic of Mordovia 9. St. Petersburg psychiatric clinic #1 named after Kaschenko 10. St. Petersburg psychiatric clinic #7 named after Pavlov 11. Tver regional psychiatric clinic #1 12. Chita regional psychiatric clinic #2 Therapy processes at some psychiatric clinics (Regional psychiatric clinic of the Jewish Autonomous District, Kaliningrad city psychiatric clinic, Moscow psychiatric clinic #13, Orenburg regional psychiatric clinic #2, Penza regional psychiatric clinic named after Yevgrafov, Republican psychiatric clinic of Alania, Stavropol territorial psychiatric clinic #2) include regular psychotherapeutic classes and in some cases a patient may attend psychotherapy group sessions even upon completion of therapy and discharge from the hospital. Some institutions (Sverdlovsk regional psychiatric clinic #1, Kotelnicheskaya psychiatric clinic of the Kirov region, Chita regional psychiatric clinic #2) have developed and administer learning programs for patients (from which they receive basic knowledge about their mental conditions and which help them better orientate themselves within their pathological emotions and get rid of their fear of illness). |
Наша кнопка  |
|