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Psychiatrical assessment of civil status of recipients of inpatient social services in two regions of Russia

Published online by Cambridge University Press:  13 August 2021

O. Rusakovskaya ,
A. Petrov ,
N. Korensky  and
N. Romashkina
O. Rusakovskaya*
Affiliation:
Forensic Psychiatry In Civil Process, V. Serbsky National Medical Research Centre for Psychiatry and Narcology, Moscow, Russian Federation
A. Petrov
Affiliation:
Department Of Forensic Psychiatry, Krasnoyarsk Region Neuropsychiatric Facility, Krasnoyarsk, Russian Federation
N. Korensky
Affiliation:
National Research Centre For Narcology, V. Serbsky National Medical Research Centre for Psychiatry and Narcology, Moscow, Russian Federation
N. Romashkina
Affiliation:
National Research Centre For Psychiatry, V. Serbsky National Medical Research Centre for Psychiatry and Narcology, Moscow, Russian Federation
*
*Corresponding author.

Abstract

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Introduction

In 2019 national survey - personal examination of persons, living in residential facilities for mentally disabled people - was executed under the instruction of the Government by specialists of V.Serbsky National Medical Research Centre. For 2559 legally incapacitated residents the procedure of rehabilitation of full or diminished capacity was recommended. For 16132 legally capable residents the procedure for recognising their incapacity was recommended (Kekelidze ZI et al., 2020).

Objectives

To compare the recommendations on legal capacity in two regions with different systems of inpatient social services.

Methods

Full-sized noncontrol observational descriptive screening study.

Results

In table 1 the recommendations on legal capacity in two regions are presented.

Table 1. Recommendations on legal capacity
Region 1Region 2
Residents, were examined3837 (100%)1859 (100%)
Legally incapacitated residents3671 (95,7%)1347 (72,5%)
Partly legally capable residents17 (0,4%)0 (0%)
Legally capable residents149 (3,9%)512 (27,5%)
Rehabilitation of full or diminished capacity was recommended (% of incapacitated)186 (5%)31 (2,3%)
Deprivation of legal capacity was recommended (% of legally capable)12 (8%)29 (5,7%)

Conclusions

Differences in quantity of residents, for whom rehabilitation of full or diminished capacity was recommended, depend on characteristics of the systems of institutional care in the regions. In the first region a complex system of rehabilitation and deinstitutionalization has been organised. In the second region such system is just organising. Among legally capable and those, for whom rehabilitation of capacity was recommended, there were residents, able to live independently or under community-based services.

Disclosure

No significant relationships.

Keywords

severe mental disordersNational Surveyinstitutional carecapacity
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S710 - S711
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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