Mental health telephone. Psychiatric ambulance or home psychiatrist

You can - and should - summon a psycho. brigade if:

1) a severe mental illness poses a threat to the life of the patient or others.

These include, first of all, acute psychotic states (commonly called "madness"):

Delirium (this is when a person "speaks nonsense", "speaks", reads thoughts from a distance or thinks that people are reading his thoughts, expresses the ideas of the relationship "neighbors from above shine with X-rays", "want to poison")

And the behavioral disorders caused by them (inappropriate behavior).

I emphasize once again - if a person is simply delirious, but does not take a shovel in his hands to beat these bastards from above, he should be treated in a neuropsychiatric dispensary. If he refuses to go crazy. dispensary, it is better to persuade to go, or to take - it will be more correct. In extreme cases, you can call a local psychiatrist at home, but this is difficult and time-consuming.

But if his behavior poses a serious threat to life, do not hesitate to challenge. In the end, failure to provide assistance is punishable.

In my practice, the following cases were most often encountered:

Exacerbations of psychiatric diseases (schizophrenia, epilepsy, brain damage). A person does not understand what is happening to him, does not orientate himself in reality (this is absolutely bad!). Excited, often aggressive, runs out onto the road and is in no hurry to leave. The "voices" can tell the patient to do something to himself or kill someone close to him.

Alcoholic psychoses. A few days after the binge is the most dangerous time for delirium tremens. If an alcoholic begins to mumble indistinctly, anxiously listens to voices on the street (which, of course, all as one condemn him exclusively), shakes something off himself - all this is very suspicious of delirium.

A diagnostic test that can be done by any person - "remove" the invisible thread from him and ask what color it is. If the answer is "black" (or whatever he thinks of), it means he's drunk to hell.

Please note - if your relative has been drinking for 40 years, it is likely that he is muttering and talking nonsense all the time. In this case, this is not an acute condition, but the third stage of alcoholism - alcoholic oligophrenia, and it is not even treated by narcologists, but by neuropathologists in the polyclinic at the place of residence.

Suicide. As I already said, people had to be removed from roofs, poles, windows many times. Every time with a sinking heart - what if you can't talk? Thank God no one jumped off.
So if all other ways to stop the person from the decision to commit suicide are exhausted, you have the right to call him crazy. the brigade and assistance will be provided involuntarily.

If the patient is socially dangerous (violent, aggressive, picks up a knife or does something like that), it is necessary to call the police before the arrival of a psycho. brigades. Some people think, let's call a psycho. brigade, they will come and twist him, and a young girl psychiatrist comes. And yes, the paramedic is all exceptionally strong men, but this is the task of the police officers - to neutralize the patient (tie, if necessary) and hold him until the ambulance arrives. They can also "call on" a psycho. brigade, which will be more favorable for you.

Due to the fact that specialized teams are not at every ambulance substation, the arrival time is crazy. brigades can be much more than, say, linear. 40 minutes is the average time you can expect. And if there are a lot of calls and the city is large, you can wait even longer. If the team is not going, and the case is serious, call back and find out what the matter is. If the situation is very critical, you need to ask if it is possible for another team to service this call.

2) significant harm to his health due to deterioration mental stateif he is left without psychiatric care.

If the patient's condition is serious, but not critical, and he categorically refuses help, he must be hospitalized. Here we are not talking about freedom of choice, but about a psychiatric symptom - the absence of criticism of one's behavior. The mentally ill are unable to adequately assess their behavior and situation in an acute state.

This includes threats to commit suicide, or any delusional intention to do something that could be life threatening. If your loved one talks about any form of suicide - even if you suspect it is blackmail - please take it seriously. In my memory, the boy next door passed away like that. Yes, he manipulated his parents. But he jumped into the loop really - I thought they would hear and come running to save. But no one heard and he died. At 12 years old. It is best, of course, to contact a psychotherapist with suicidal intentions (some parents are scared - either go to an appointment, or I will call a psychotherapist).

If you see that everything goes far (the person becomes more and more withdrawn and oppressed, or you find a suicide note), you have the right to call an ambulance.

3) helplessness, that is, the inability to independently satisfy basic life needs due to a deterioration in the mental state.

A person cannot light the gas, prepare food, socially neglected + severe delirium and everything else from paragraph 1

In all other cases (except for items 1, 2 and 3), the provision of psychiatric care must be purely voluntary. No one has the right to force anyone to accept any form of mental health care. Any unsolicited advice in this area is a violation of your rights. Not to mention taking pills or being hospitalized.

Legal Documentation:

The psychiatric ambulance team works around the clock, seven days a week. You can use the consultation of a psychiatrist, Ph.D. or a professor of psychiatry at home. It is also possible to be accommodated in one of our hospitals from 3 *** to 5 *****. Check the cost of hospital stay with our specialist. Psychiatric care is provided anonymously.

In our society, there is a persistent negative stereotype of a psychiatrist. This attitude was formed back in Soviet times, when psychiatry was repressive and coercive. And now the media continue to cultivate the image of punitive psychiatry. However, it will be useful for everyone to know that the situation has changed in many ways. You can consult a psychiatrist voluntarily and confidentially without fear of any negative consequences in the future. Moreover, one should not hesitate and urgently call a psychiatrist at home if a serious mental illness threatens the life and health of the patient or his relatives. Calling an ambulance or a psychiatrist is mandatory if the patient has delusions, hallucinations, and inappropriate behavior caused by these conditions. Calling a psychiatrist at home can make life easier for both the patient and his loved ones. If necessary, our mental health team will pick up the patient for inpatient treatment or the necessary examination to clarify the diagnosis.

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Our advantages

We have been working around the clock since 1995!

7 days a week, 365 days a year, at any time of the day or night, we are ready to help you, to provide medical assistance at home or to be hospitalized.

Arrival of the brigade 5-10 minutes

Our ambulance stations are located in almost every major city of the Russian Federation, the Republic of Belarus and Kazakhstan.

Our time is unlimited

Unlike the state ambulance, the time spent with the patient at our teams is not limited. We can spend 24 hours with you if needed.

Only experienced doctors and paramedics

There are only paramedics and ambulance doctors in the MCSPM staff with serious work experience and academic degrees, which is why the prices for our services can be higher than those of competitors.

Comfortable cars

All ambulances of the MCSMP are equipped in accordance with the requirements of the Ministry of Health of the Russian Federation and the Commission of the Customs Union.

Hospitalization in a hospital

By prior arrangement, we can provide the service of hospitalization of the patient in the hospital that he himself chooses. Tell your wishes to the dispatcher when placing an order.

The best specialists psychiatric team ambulance MCSMP

Mental Health Care Act and guarantees of the rights of citizens to provide it, established a clear sequence for the provision of psychiatric care. It is impossible to hesitate, even because ignoring the deviant behavior of an asocial personality can lead to tragedy. A psychiatric ambulance team may be required by patients with schizophrenia, epilepsy and other brain lesions during exacerbations, as well as people suffering from alcoholic psychoses (delirium tremens). It is necessary to immediately call for help from specialists when all the arguments to dissuade a person from suicide have been exhausted. In such cases, the psychiatric ambulance telephone must be kept ready. Attempts to commit suicide may involve various deviations, poverty, monetary losses, family troubles, shame and unhappy love, but in any case, help can be provided involuntarily, that is, without the consent of a person with suicidal intentions.If there is a possibility that a person left without psychiatric care could harm himself and his health, feel free to call for psychiatric help. Found a suicide note or a person declares his intention to commit suicide, urgently call for help. There are many cases when ignoring such statements by relatives and close people led to death. The reason for calling the mental health team is social neglect, the inability of a person to meet their everyday needs (to light the gas, wash, prepare food). Urgent psychiatric care required by people with clear signs of schizophrinia, because inaction can be fatal.

What you need to know about calling a psychiatric ambulance. First, not every SP station has specialized brigades; secondly, the arrival time of the brigade is much longer than the usual one. The average arrival time for a psychiatric ambulance call is 45-50 minutes. If the city is big and there are many challenges, then much longer. Is the situation critical? Is this a very difficult case? Do you need strict confidentiality and exceptional professionalism? Paid (private) 24-hour psychiatric ambulance will not keep you waiting. How to call a psychiatric ambulance or a psychiatrist at home? You will find the number of an ambulance psychiatric aid on our website - this is the hotline telephone number, by calling which you will receive answers to all your questions. Paid psychiatric ambulance services work 24 hours a day, 7 days a week, seven days a week and seven days a week. Do you want to call the psychiatric ambulance as confidential as possible? Get paid mental health care. You get a guarantee of anonymity, delicacy and an individual approach. Our emergency mental health teams have an arsenal of medicines at their disposal last generationable to quickly normalize the patient's condition with a minimum side effects... Urgent home psychiatric care may be required for both adults and children. Children's psychiatric help may be required not only for the primary manifestations of the disease, but also for exacerbations. Hallucinations, delirium, aggression, overexcitement, panic attack, a deep feeling of depression in depressive states, suicidal moods, uncontrollable behavior - all these signs serve as a signal. The arrived paramedics will provide emergency assistance not only to the patient himself, but will also advise relatives on how to behave correctly in such situations. For loved ones, the painful condition of a loved one is a test. Timely referral to a competent specialist is the key to the success of the entire treatment.

Ambulance for schizophrenia and hallucinations. Schizophrenia is a very ancient disease, described in the Egyptian papyri. For a long time, the disease was considered indistinguishable from other types of mental disorders, and only at the beginning of the 20th century, a famous Swiss psychiatrist singled out schizophrenia from a number of psychoses and gave it detailed description... Schizophrenia is known to respond well to treatment in early stages... However, most people with schizophrenia, which is about 4-6 cases per 1000 people, do not seek medical help... Schizophrenics are prone to alcoholism and drug addiction, in addition to the underlying disease, they suffer from depression and anxiety disorders. Often these are people who are socially disadvantaged, unemployed and homeless. If one family member is diagnosed with schizophrenia, then help is also needed for those who are in constant contact with him, that is, his relatives. In our society, this disease is perceived as a kind of divine punishment or punishment for sins. This medieval view significantly reduces the number of patients rescued. The disease is hidden, it is shy. Although it has long been proven that schizophrenia is the result of organic brain damage. The causes of this disease are very different: from genetic predisposition and prenatal characteristics of fetal development, to social disorder, stressful experiences and alcohol / drug addiction.

​Specialized mental health care.Is a mentally ill person dangerous and is an emergency psychiatric help needed? In case of an exacerbation of the condition, the presence of hallucinations, delusions, aggressive behavior or attempts to kill oneself, emergency assistance is required for patients. In our country, funding for psychiatric services is insufficient, which is why so often the state emergency psychiatric care cannot provide highly qualified services to the patient. If an attack or hallucinations occurs after a binge, first aid should be provided immediately. We recommend that you immediately call our medical center. We will immediately send an ambulance to the place and provide real quality care to the patient. Our center specializes in the treatment of mental illness, we have a staff of specialists trained in leading foreign universities, who gained experience in clinics in the USA, Germany, Israel.

Child psychiatric care(mental health care for children and adolescents). Along with advanced pharmacotherapy, our patients receive quality psychosocial therapy, psychotherapy and inpatient rehabilitation. The children's and adolescent psychiatric department also operates around the clock. If necessary, the psychotherapist directs the patient's relatives to a session with a psychologist, since often relatives also need the help of a specialist in order to accept the fact of the illness that has happened, to rethink their attitude to this disease and learn to live with the idea that a loved one is sick, especially if it is a child. No less pharmacological, psychological assistance in borderline states is important. Although in public hospitals they cannot provide psychotherapeutic support to the patient. This is the result of insufficient funding. Currently, only private medical centers and clinics can provide high-quality modern children's psychiatric ambulance services.

Organization of emergency psychiatric care citizens. The questions of the psychiatrist, which most of all worry the relatives, relate to the likelihood of the patient returning to normal life. In our clinic, not only drug and psychiatric therapy is carried out, but also methods of social and vocational rehabilitation... Also in our clinic there is family therapy, during which family members learn techniques for helping with borderline diseases, or when a sick relative has suicidal thoughts. A large one may need an ambulance for hallucinations, and relatives should know how to behave before the arrival of the medical team. Our psychologists will teach all this and much more. Mental illness is not a sentence. We will prove to you that life can be fulfilling even with such a difficult diagnosis. Emergency psychiatric care will be provided immediately and the patient will be quickly returned to normal life!

Paid emergency psychiatric help.Is life dear to you? This question sounds strange to someone who has never thought of suicide. However, it is very difficult to answer such a simple question for someone who suffers from suicidal tendencies. Why does a person want to commit suicide? Everyone has their own reasons for this. Most often, such a solution seems to be the most logical and easy for a person who is faced with problems in the personal or professional sphere. At the first signs of mental disorders, a paid emergency psychiatric care is needed. Failure on a love front, a quarrel with a friend, illness or death of a relative, bankruptcy or financial crisis - any of these events or a combination of these events can cause mental illness. Psychiatric help for suicide is to establish the true causes of suicide. If a person just wants to attract attention to himself, then his suicidal actions will be demonstratively blackmailing in nature. Such 70% of the total number of suicides. The person has no real desire to commit suicide, but there is a need to manipulate loved ones. Usually, such attempts at suicide do not end in death, since the suicide clearly plans his actions, assuming that he will be discovered and rescued in time. However, such blackmailers sometimes miscalculate the time it takes to provide assistance, and die, in fact, not wanting to see the case through.

​Transportation of psychiatric patients.The mental health care carriage is available 24 hours a day. The decision to take any action, including a suicidal one, can take from several days to several months. At the same time, a person's state is depressed, he feels hopelessness and abandonment. Help with thoughts of suicide is to dispel the person's conviction that no one needs him, that he does not mean anything at all, that he cannot do anything and does not affect anything. All these thoughts demotivate the person and lead him to a solution that seems to be a way out of the impasse. In this case, you will need to transport the psychiatric patient by ambulance to the hospital, or to any other place where the situation will change, which may be beneficial to the patient. How to help loved ones? First of all, you need to see the premises of risk. They are always there. Usually, a person begins to abuse alcohol or drugs, ceases to observe personal hygiene, all conversations come down to the topic of suicide, reading and music are just as sad, mourning. If you talk to a person about a possible solution to the problem, he will demonstrate "tunnel vision", that is, apart from suicide, he does not see any other option to get rid of trouble.

Psychiatry is the science of mental disorders, branch of clinical medicine. The procedure for the provision of medical care in psychiatry is clearly regulated by the Federal Law "On psychiatric care and the rights of citizens in its provision," which clearly defines the procedure and conditions for the provision of medical care in psychiatry. Urgent Care in psychiatry it turns out to be state and accredited private centers and clinics operating on the basis of the specified Federal Law. The procedure for the provision of nursing care in psychiatry is regulated by separate regulatory legal acts of the Russian Federation, mainly in inpatient treatment. An ambulance in psychiatry is provided around the clock, both at home and in a hospital, to call the carriage by the help bark, you need to call the indicated numbers and tell the dispatcher as much information as possible about the patient and his behavior. Psychiatry, also popularly referred to as "psychiatric hospital", "mental hospital", etc. He can come only on a specific call, if the patient has symptoms of mental illness, he will be provided with immediate medical assistance. Many people ask how to call a psychiatric hospital at home? How to call an alcoholic asylum? Is it possible to call a team from a psychiatric hospital? We answer. Yes, you can take advantage of paid and anonymous psychiatric help, call the emergency team and paramedics, while we will provide qualified assistance at home or offer to be hospitalized in our hospital.

Urgent mental health care at home. Even if a person does not want this, you can call a psychiatrist at home, such a service is possible in our medical center. An experienced psychotherapist or psychiatrist will be able to find an approach to the patient, build communication with him correctly, and convince him to undergo a course of treatment. What if the disease progresses? Emergency care consists of an urgent call to the psychiatric team. Prior to the arrival of doctors, depending on the method chosen, first aid should be provided. If it is hanging: you need to free the neck, feel for the pulse, in its absence, perform artificial respiration. If a person has cut a vein, a tourniquet must be applied to stop the bleeding. If you try to poison, you need to induce vomiting, rinse the stomach. An ambulance in case of a suicide attempt is a guarantee of preserving the life and health of the victim. If emergency mental health care at home is provided on time and correctly, the patient may return to a fulfilling life after a course of psychotherapeutic treatment. Saving a life doesn't mean solving his problem. It is important to understand that a person does not value his existence and does not see any meaning in it. Therefore, it is critical that competent psychological assistance be provided. An ambulance for delirium tremens will help return a person to a normal state, alcoholic delirium on initial stages can proceed unreservedly, it is easy to confuse it with frivolous conditions, however, help with delirium tremens or delirium should be provided immediately. What if a person has delirium tremens? At the first symptoms of delirium tremens, it is necessary to urgently call an ambulance for psychiatric help. The consequences of delirium tremens may not be the best. A person can harm himself or others, damage property, commit suicide. An ambulance for mental disorders stabilizes the patient's condition and can take measures compulsory treatment, up to placement in a psychiatric hospital without the consent of the patient. At the same time, various measures of restraint and compulsion to hospitalization are applied. The mental ambulance also works around the clock, at any time we are ready to accept the call and provide the necessary mental health care. Don't know where to turn when your loved one is trying to leave this life on his own? Call our medical Center... Our doctors will provide assistance both in a hospital setting and at home. We have helped many, we will help you too!

Services of a private psychiatrist in our center. Everyone has heard of the fear many people experience before visiting the dentist's office. Psychiatrists, like dentists, are familiar with the fears of their patients. There are many reasons, both real and contrived, that stop people from going to a psychiatrist's office. Among them are fear of public opinion and banal ignorance. One of the options for such ignorance is not knowing the benefits of the relatively new types of services provided by private clinics. However, the world does not stand still, and if for some reason you put off going to the doctor, now you can call a paid psychiatrist at home. This can be especially helpful if you can't get your family member to see a doctor. It happens that parents who suspect their child of drug use do not dare to carry out a medical check, fearing publicity. They take the child's word for it, endangering his future and their own family well-being. But for them there is a better solution than to live in constant anxiety or watch the self-destruction of their child, it is to go to a psychiatrist for a fee. A private psychiatrist will not only maintain complete confidentiality, but will also help in the fight against addiction, if any. But even if the suspicions were in vain, this visit will prove to be very useful. After all, he will help dispel the mistrust that has arisen between loved ones. We all know that peer opinion is very important for adolescents. The thought of friends finding out about his visit to a psychiatrist can be very stressful. This stress, among other things, can worsen the condition of the child. A private child psychiatrist with extensive experience in working with children will arrange the appointment in such a way as to minimize stress. At your home, in a relaxed atmosphere, a paid psychiatrist will conduct a conversation and examination of the child, without unnecessarily focusing the child's attention on the reasons for his visit. Private psychiatrist - the best choice not only when it comes to children. Queues at the municipal clinic are poorly suited for people in need of mental health care. The characteristic advantages of paid medicine: speed, high quality of service, patient focus, confidentiality, which is why people choose paid psychiatrist services. One of the reasons for the low efficiency of modern domestic psychiatry is that people who are "lucky" to visit a psychiatrist in a state clinic often abandon treatment just because they do not want to go there again. Some of them return to treatment by going to a private psychiatrist at a paid clinic. After all, it is here that people work who, like no one else, understand the importance of the correct psycho-emotional contact between the doctor and the patient. A paid consultation with a psychiatrist will help any person in need of psychiatric help without negative experience in any of its manifestations. Now you no longer have a reason to postpone caring for the most important part of your health or the health of your loved ones. Caring for peace of mind and harmony with oneself should not violate psychological comfort and tranquility, in our clinic they understand this, as nowhere else.

Help for mentally ill people and children. The latest edition of the international classifier of diseases has more than a hundred various diseases For more information, see the Mental and Conduct Disorders section. And this is not only an attribute modern worldfull of political and economic crises, where stress awaits its potential victims everywhere. Such an abundance and variety of the described diseases is a sign of the high achievements of psychiatry as a science. Medicine has made a significant breakthrough and is ready to provide full assistance for almost all types of mental disorders. This development is directly related to the growing influence of private capital on medical research and practice. For example, our private psychiatric clinic (hospital), not only shows top scores in the treatment of psychiatric ailments in the country, but also by research workmoves psychiatric science forward. Help with mental retardation development in children and adolescents is the most relevant in the modern metropolis, because ordinary stress can turn into a mental disorder and even a disease, in the absence of proper attention. Help for delayed children mental development is provided by experienced psychiatrists, you can call our ambulance for a full consultation and assistance at home. It is really hard to admit that you or your close relative are mentally ill and they need urgent psychiatric help. The trends of the times force us to constantly expand the range of services provided by a psychiatric hospital. Paid services include such a relatively new one as paid mental health care at home. The feeling of comfort that a patient experiences during a doctor's appointment, conducted in a familiar environment, has a positive effect on the results of diagnosis and treatment. Mental ambulance and our center are happy to help you! Today, almost any mental illness is treatable. For many of our customers, the time savings achieved with this form of reception are decisive. Do not waste time, it is necessary to call an ambulance as soon as possible for mental disorders, the sooner you do this, the greater the patient's chance to return to a full life! Our clinic provides private psychiatric care not only for patients with severe mental disorders, but also for people with borderline conditions. World-class specialists help get rid of phobias, addictions, depression.

Boarding school for the mentally and mentally ill. Services of a paid psychiatric department include both an outpatient appointment with any of the clinic's specialists, and hospital treatment... During a consultation or diagnostic appointment, the doctor of our center will study in detail the patient's history and current condition. The boarding school for the mentally ill is located in a picturesque place in the Moscow region, where patients are provided with a comfortable stay and professional treatment... After the initial consultation, the psychiatrist will give his recommendation on the best form of treatment. The final decision is, of course, always made by the patient. Our paid psychiatric clinic, working in an environment where its very existence depends on efficiency and customer feedback, creates conditions that are unattainable in public hospitals. And a galaxy of talented specialists and managers ensures superiority over other private clinics and quick rehabilitation of mentally ill patients. The latest equipment, advanced treatment methods (including our own unique developments), comfortable wards of the inpatient department, this is an incomplete list of those factors that make our clinic the best in the country. In our center, patients feel at home. Psychiatric illnesses are becoming one of the most common types of illnesses in the world. This is due, among other things, to an increase in life expectancy. And it is precisely the fight against mental disorders that comes to the fore in the struggle to further increase both the duration and the quality of life. But the fear of a psychiatrist, rooted in our fellow citizens, still does not want to give up completely. Memories of the unscrupulous staff, bureaucracy, and prison conditions that reigned in Soviet psychiatric dispensaries are still alive. Our clinic also has to fight this legacy of the Soviet state psychiatry. But the high quality service through the efforts of our doctors and technical staff does its job. Thanks to the efforts of the entire team of our clinic, the reviews of thousands of grateful patients are gradually changing the opinion of society about modern psychiatry. If you or a person close to you need psychiatric help, but still did not dare to turn to a specialist, then now you have the best chance to change your life for the better!

Involuntary hospitalization differs from compulsory hospitalization in that a person who is involuntarily placed in a mental hospital did not commit crimes prior to this and did not violate the Criminal Code of the Russian Federation.

How it all starts. Calling a psychiatric team.

The psychiatric team is most often called by family members and relatives (about 40%),
police officers (30%),
doctors of the neuropsychiatric dispensary (about 20%),
work employees (5%),
tenths of a percent are calls from random persons.

The decision to leave the brigade is made by the dispatcher. A positive decision follows in 87-90% of cases.

Arrival of the brigade. Involuntary examination

The team usually consists of 2-3 people. If the dispatcher was informed about the danger of the alleged patient, then it can be reinforced by the police officers.
In the arsenal of the brigade there are various antipsychotics, tranquilizers, etc., as well as tapes made of thick cotton fabric.

If a citizen refuses psychiatric care, the psychiatrist who has arrived at the place of the call must resolve the issue of involuntary hospitalization of the citizen and involuntary examination.

Most of the patients examined by psychiatric teams are hospitalized (60 - 70%).

Involuntary hospitalization begins from the moment the psychiatrist decides to admit the patient to the hospital, regardless of his desire, after his examination at the place of call, and from that moment on, psychiatric brigades have the right to apply coercion, restraint, and fixation measures.

Hospitalization

A patient admitted to a psychiatric hospital must be examined again by a psychiatrist in the admission department, including for the compliance of his mental state with the criteria for involuntary hospitalization.
In theory, the emergency room attendant may disagree with the decision of the emergency psychiatrist or the dispensary, and the patient (who did not consent to hospitalization) may be released from the emergency room.
If the patient, due to his condition, cannot express his attitude to hospitalization, then it should be formalized as involuntary.
However, it is often easy to persuade such a patient to sign a consent document, which is what psychiatrists use.

Within 48 hours of staying in the hospital, the patient must be examined by a commission of psychiatrists, which decides on the justification for hospitalization.

Article 29 of the Law "On psycho. Help ... "and comments on it from social and forensic psychiatry. V.P. Serbian

The Law of the Russian Federation "On psychiatric care and guarantees of the rights of citizens in its provision" provides that involuntary hospitalization of a citizen is carried out if he has a severe mental disorder, which causes:
a) his immediate danger to himself or others, or
b) his helplessness, that is, the inability to independently satisfy the basic needs of life, or
c) significant harm to his health due to the deterioration of his mental state, if the person is left without psychiatric assistance.

An involuntary examination is carried out if, according to the available data, the person being examined commits actions that give reason to assume all the same.

According to Dmitrieva's commentary, a mental disorder is considered severe in the presence of psychosis or dementia, as well as a pronounced personality change or disorder reaching a psychotic level (decompensation in psychopathy)

A. Immediate danger to yourself and others

The danger of a citizen to others is justified by psychiatrists on the basis of any statements or actions of a citizen that seem ridiculous or dangerous to the psychiatrist. If the psychiatrist himself did not observe such actions on the part of the patient, then the basis may be the story of relatives, neighbors and other persons.

Dmitrieva's comment: "In fact, due to the unpredictability of behavior, the condition of these patients can be regarded as dangerous for themselves and others at the same time."

People who have attempted suicide or who claim to commit suicide are considered dangerous for themselves.
Dmitrieva's commentary: Along with the obvious signs of danger, when these persons have already committed suicidal attempts or declare that they will commit suicide, the danger to themselves can be stated with or without such indirect statements, in particular with melancholy or anxious depression, depression with ideas of self-blame , with depressive-agitated excitement, as well as in the presence of behavioral features that indirectly indicate suicidal goals (for example, with persistent refusal to eat, although patients may try to mask or deny such intentions).

B. Helplessness, inability to independently satisfy basic life needs,

Dmitrieva's commentary: “The criterion is applicable to persons suffering from severe mental disorders in the form of psychotic manifestations or profound personal changes, congenital or acquired dementia, which cause the absence or loss of everyday and social skills: the impossibility of basic self-service, providing oneself with food, clothing, etc. patients are regarded as representing a "passive danger" for themselves, i.e. inflicting harm on themselves not through active actions - suicide or self-harm, but as a result of neglect of taking care of their interests. The question of the need for their hospitalization often arises in connection with the loss or temporary absence of their relatives or guardians caring for them (death, illness or forced urgent departure). In these cases, being left without supervision, they begin to wander, starve, often finding themselves in a situation that poses a threat to life. "

C. Causing significant harm to health due to deterioration of the mental state, if the person is left without psychiatric care,

We are talking about conditions that do not pose an immediate danger to themselves and others,
According to Dmitrieva's commentary, this includes patients:
... with manic states - phenomena of psychomotor agitation,
... reassessment of their capabilities, including professional,
... a senseless waste of large sums of money,
... skimping on their official and other duties,
... sexual disinhibition, which at the time of the attack causes significant family, material, industrial complications, compromises patients in the eyes of others, colleagues, relatives and subsequently affects the level of their social and labor adaptation.
... in cases where clinical picture is determined by the presence of delusional ideas of love content with increasing activity of delusional behavior and ridiculous harassment of the "object of love" or in cases of subacute paraphrenia with ridiculous behavior and statements.

Considering that psychiatrists are absolutely uncontrollable when making diagnoses, and also the fact that objective methods for diagnosing most mental disorders do not exist, it is not surprising that thousands healthy people deprived of their freedom and rights under the guise of mental health care.
In fact, the article also deprives a person who has not committed crimes of the right to respect and allows him to be subjected to various kinds of torture with impunity.

Consideration of a case in court

Every year, the courts consider about 30 thousand cases of involuntary hospitalization of a citizen in a mental hospital.

Cases of involuntary hospitalization have been allocated to a special procedure. This means that there is no plaintiff and defendant in the case, there is only an applicant and interested parties.

The applicant can only be the administration of the psychiatric hospital, usually the application is submitted on behalf of the head of the psychiatric hospital where the citizen is placed. The manager himself does not participate in the process; a hospital employee who has a power of attorney from the manager comes to the court.

Within 48 hours from the moment of involuntary placement of a citizen in a psychiatric hospital
the applicant must submit an application to the court at the location of the mental hospital for involuntary hospitalization of a citizen. The maximum time allotted for the court to consider such a case is 5 days.

The application must contain the conclusion of the commission of psychiatrists on the examination of the citizen. Any documents can be attached to it: a statement from neighbors, a conclusion of the attending physician, etc.

The court must be attended by the prosecutor, the applicant and the person in respect of whom the issue of hospitalization (or his representative) is being decided. However, if, according to the representative of the mental institution, the mental state of the person does not allow him to personally participate in the consideration of the case, then the trial is held without him. Often everything is decided without a court hearing as such, although this is illegal.

Since the judges do not have the special knowledge in the field of psychiatry necessary to decide the question of the justification of hospitalization, they fully rely on the opinion of the commission. Their role is reduced to the formal confirmation of the position of psychiatrists.

It can take 3-5 minutes to review one case.
There is a known case when a meeting on involuntary hospitalization took place during a break during a conference. The head of the department asked the conference participants to wait 20 minutes, the time she needed to participate in court hearings on 6 cases of involuntary hospitalization.

Court decisions to reject applications are rare. The share of cases of refusal by courts to psychiatric hospitals in involuntary hospitalization of citizens does not exceed 2%.

Hospitalized citizens do not have real opportunity before considering the case on the merits, familiarize yourself with its materials, give your arguments and considerations, submit any evidence. In many hospitals, the patient is not informed of the court's decision, and nowhere is the court's decision served. A patient in a hospital cannot receive a qualified legal assistance on this issue and prepare a cassation appeal.

The number of cassation complaints against court decisions on involuntary hospitalization is approximately 0.01% of the total number of decisions made in such cases.

Consequences of involuntary hospitalization

The term of involuntary hospitalization can range from 21 days to 1 year. A year later, the mental hospital should submit a new application to the court for the extension of the "treatment", which will be considered by the court in a similar way to the hospitalization case.

Citizens determined by psychiatrists for involuntary confinement and "treatment" in mental hospitals, and those who received a "psychiatric label" there, turn out to be the most unprotected category of citizens and have an extremely low legal status, which subsequently allows them to be transferred to the status of incapacitated.

Those recognized as incapacitated are often not at all disabled by mental illness, but citizens who do not suffer from mental disorders at all, when they become victims of their mercantile relatives and "specialists" in the field of psychiatry.

What can be done? Restoration of rights, recognition of hospitalization as illegal.

Practically nothing can be done while in a psychiatric confinement. You can try if you have support from outside, preferably lawyers and the ability to contact them.

After leaving the mental hospital, you can try to prove that your rights were violated and restore them, demand compensation for moral damage, put a psychiatrist, etc.

To do this, you will need to appeal the decision about your involuntary hospitalization.

Even months after leaving the mental hospital, a citizen can get his hands on a court decision on his hospitalization. To get it, you need to come to the district court at the location of the mental hospital and contact the civil office of the court.

There you can also familiarize yourself with the case materials and photograph them (if you intend to sue, then you need to photograph from cover to cover, without missing anything).

Important: as soon as you receive the court's decision in your hands, the procedural deadlines will immediately begin to flow. It will be necessary within 10 days to file a cassation appeal and an application for the restoration of the missed procedural period.

Cases against psychiatrists can be won, there are examples of this. So, for example, the case "Rakevich v. Russia" served as the basis for verification in the European Court. The ECtHR found that the Law "On psychiatric care and guarantees of citizens' rights during its provision" does not give a hospitalized person the right to judicially challenge the legality of hospitalization, which violates paragraph 4 of Art. 5 of the Convention.
He ordered the Russian Federation to pay compensation to Rakevich and bring the Law in line with European standards of the right to liberty and security of person.
Unfortunately, the Russian Federation complied with the judgment in the case only in terms of compensation.

Normative base:

1. Law of the Russian Federation "On psychiatric care and guarantees of citizens' rights during its provision" of July 2, 1992 N 3185-I