I, the calendar will move Ahead... the year 1913?

Hello, dear readers! This article is the third part , which began with the publication of the open letter Redwood a psychiatric hospital. We, medical workers, were do not care what they do with health care in our country. We decided not to stay aside from the processes which can lead to severe consequences for all in the near future.

So, in trade Union Action a reply was sent from IPND from 29.04.2020 year. The answer is lengthy, the person who wrote it, obviously knows how to do it. Professional of its kind. Try to stay on the most important and important for all of us.

Let me Remind you that the team was worried in the first place the reduction of hospital beds and reducing the time of hospitalization of patients with acute psychoses. We pointed out the fallacy of our views, because


Yes, the author is right, there is such a global experience. De-institutionalization of psychiatry the process of reforms of psychiatric services that began in a number of Western countries in the 50-ies of XX century. Is large-scale reduction in the number of psychiatric beds and psychiatric hospitals with a parallel development of various forms of outpatient care to mentally ill, separations from psychiatric hospitals (Wikipedia).

Great! Only in this case, refers to the development of community-acquired forms of assistance. What are these forms? For example, the emergence of alternative care services by place of residence and not simply "dumping" patients on the clinic and the care of relatives. Relatives who: a) are often unable to accept and understand mental illness of a loved one; b) sometimes even eke out a miserable existence or so.

Hey! And where they have, the social service of the Russian Federation? As correctly noted by the Deputy Minister of health of the Irkutsk region:


By the Way, in the West, which almost praying our official, recently grabbed his head. So, in Italy, where "successfully reduced their psychiatric beds 100%", dramatically increased the number of persons suffering from mental disorders, without a certain residence. Gentlemen, we have a climate similar to the Italian. What result do you achieve by releasing them on the street when our average temperatures? In Italy in the end realized that I need to do something. And? But the experts then and there. No doctors, nurses, nurses.

Well, what are we to masters of pasta and the founders of pizza! Let's look at the USA. Countries from which people with "good persons" breath craw and melts the heart muscle. Journal "Psychiatric Times" article "A Dearth of Psychiatric Beds," writes:


Well, God with them, with the Americans. They are not the boss of us, yet we have your "world experience".

Who published in the Russian language report "World health statistics 2013". Sorry, but more new, I found nothing. Might have been some radical changes over the 7 years, but will be based until the that have. So,


First place is Switzerland in the number of psychiatrists: 4,10 per 10,000 population. First place in the number of psychiatric beds: Japan: 27.8 per 10,000 population. What about Russia? According to the first indicator: the 19-th place, and the second: 9-E. It was in 2013, and now something much less. However, in the US in General, all sad: 35th and 46th place respectively. That's just this country is largely strong, but the health of the hegemon really has not walked just lazy. The darkness there medicine. But for us, they are flagship, we want "all in America"!

And so our official actively engaged in the optimization/reorganization. Quote from the response of OPND:


(26 September 2013).

The Source is also not new. But if they can, thenwhy can't I?

But then came something new. First resigned from the Ministerial position, V. Skvortsova, and then Deputy Prime Minister Tatiana Golikova in the program "Moscow. The Kremlin. Putin" for "Russia 1" said:


In both!
But far worse than the findings of the Center for economic and political reforms (CEPR) on the basis of the Rosstat data in the result of optimization between 2000 and 2015 the number of hospitals in Russia has decreased twice — from 10.7 to 5.4 thousand thousand Number of clinics over the same period fell by 12.7% to 18.6 thousand institutions. Experts noted that in case of preservation of the rate of closure of hospitals (approximately 353 annually) to 2021-2022 years the number of medical institutions in the country will reach three thousand, That is the level of Russian Empire in 1913.

When he released a documentary Govorukhin "Russia which we lost", neither the audience nor the Director of the nightmare had no idea what form we'll find her. The number of hospitals as in 1913! Think only went through WWI, the revolution, the harsh 1930s, the Great Patriotic war, post-war reconstruction, Khrushchev's thaw, Brezhnev's stagnation, perestroika and 1991 and the circle is closed... the Curtain.
What justifies, in spite of the failure of optimization/restructuring/modernization, official IPND further destruction of our hospital? Studies car and small truck: here and bed turnover, and about how this bed is idle, and about the lack of continuity, and about inefficient use of financial means of the regional budget, and the fact that in the Angarsk branch for many years not carried out prevention of socially dangerous actions of the mentally ill. The latter is necessary in stone sculpting: Siberian branch under the leadership of IPND there may 2019, and before that Redwood hospital on your profile was one of the best in the area. And especially for the prevention of "dangerous actions" of the mentally ill.

I have a suggestion that when the streamlined/reformed /restructured/modernized infectious service, across the country creaked feathers and is not very high cabinets where taken out on paper the same thing about what you just read above.

And then came COVID-19. And where infectious diseases hospital, doctors, professional nurses and paramedical staff? Will wait for particularly important cases: "chainsaw massacre" or mass suicide? Hardly someone from journalists of the Central channels and popular bloggers will interest frozen on the streets mentally ill people. And who is there to distinguish from ordinary citizens? In death we all become similar.

Dear citizens, we ask you not to remain indifferent, not to say to myself that, well, I will not touch it. Treat the problem seriously and ask the Executive and the legislature: maybe it's time to stop experiments with medicine?