Analysis of the provision of mental health services in orphanages for children with neurodevelopmental disabilities in Russia

Anna L. Bitova; Anna A. Portnova; Yury P. Sivolap; Oksana A. Kolomina; Artem Yu. Novikov; Timur B. Khasanov

doi:10.17816/nb33988

Neurology Bulletin ›› 2020, Vol. LII ›› Issue (3) : 30 -34. DOI: 10.17816/nb33988

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Analysis of the provision of mental health services in orphanages for children with neurodevelopmental disabilities in Russia

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Abstract

Aim. The aim of this study was to analyze the main problems of provision of mental health services in orphanages for children with neurodevelopmental disabilities in Russia.

Methods. A cohort cross-sectional study was conducted in 23 orphanages, in which 2853 pupils live.

Results. There was determined a structure of psychotic disorders among children of psycho-neurological orphanages. Prevalence of mental disorders among this group was: mild intellectual disability — 56 (1.96%) people, moderate intellectual disability — 967 (33.89%), severe intellectual disability — 1079 (37.82%), profound intellectual disability — 429 (15.04%). Clinical and psychopathological examination of 1730 pupils was carried out. The most prominent problems of psychiatric care in in orphanages for children with neurodevelopmental disabilities were identified as: inconsistency of the psychiatric diagnosis and the actual condition of the child — 289 (16.71%), a mismatch between the prescribed psychopharmacotherapy and the clinical picture — 378 (21.85%), polypharmacy — 344 (19.88%, or 35.61% of all receiving psychopharmacotherapy).

Conclusion. The necessity of developing non-pharmacological approaches in tackling the problems associated with the provision of mental health services in orphanages was shown.

Keywords

mental health care / orphanages for children with neurodevelopmental disabilities / neurodevelopmental disorders / orphans

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Anna L. Bitova, Anna A. Portnova, Yury P. Sivolap, Oksana A. Kolomina, Artem Yu. Novikov, Timur B. Khasanov. Analysis of the provision of mental health services in orphanages for children with neurodevelopmental disabilities in Russia. Neurology Bulletin, 2020, LII(3): 30-34 DOI:10.17816/nb33988

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