Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева, Vol 0, Iss 1, Pp 45-52 (2018)

Federal State Budget Scientific Institution National Medical Research Center for Psychiatry and Neurology n.a. V.M. Bekhterev Ministry of Health of the Russian Federation, 2018.

психические расстройства, общественная опасность, социальная и медицинская проблема, принудительное лечение, профилактика опасного поведения, агрессивность, клиникосоциальные характеристики, тест руки, mental disorder, danger to the public, social and medical problem, forced treatment, prevention of dangerous behavior, aggressiveness, clinical and social characteristics, test hands, Psychiatry, RC435-571

Presents the results of research aimed at studying clinical and social characteristics and peculiarities of aggressive behavior of patients who are on long-term compulsory treatment in a psychiatric hospital. It is established that the factors that influence the duration of the execution of compulsory medical measures are: frequent exacerbations of the disease process; the continued aggressive behaviour; lack of adherence to treatment; severe employment and family maladjustment, housing insecurity; the need for nursing care, helplessness mental state in the absence of family ties. Test the hands of Wagner can be used as an additional diagnostic tool in the assessment of aggressiveness in individuals undergoing compulsory treatment, to determine the potential risk of nosocomial aggression and in preparation for discharge. Actuality of elaboration of mechanisms of social and medical support for patients, helpless mental state, the loss of housing and family ties, and to further transfer such persons to the social protection system. While under Federal law, service of protection of the rights of patients in psychiatric hospitals, can become an active mechanism in the realization of their legitimate interests.