How to cause psycho. Call an ambulance

30.11.2019

According to the legislative norm Russian Federation Patient can be provided psychiatric assistance on a voluntary basis. Legal acts regulate the procedure for its provision and without obtaining consent. This and other important points will be discussed.

Persons with impaired mental state guarantees medical care, which is carried out in compliance with the basic principles:

taking into account human rights;
humane methods;
within the framework of legality.

To make a decision on the forced examination and hospitalization of the patient, a psychiatrist mayor on the basis of the results of a visual examination of a person with a mental disorder. If the surveyed does not pose a threat to others, and there are no suicidal intentions in behavior, then for a forced examination, in addition to the initiative of a specialist, the court will require a court decision. The sanction of the judge makes the legal right to place the patient in the clinic for a survey and further treatment.

Reason without a court decision

An independent decision of a psychiatrist is considered legitimate in the following cases.

If the examined is revealed by impaired psyche when it cannot adequately evaluate the world. His behavior is characterized as an aggressive, representing a threat to the patient, relatives or people.
When the surveyed consists in taking into account the psychoneurological dispensary, the treatment was previously treated in a psychiatric clinic, a disease occurred with heavy resistant or periodically exacerbating manifestations was diagnosed.

By a court decision, to conduct a forced examination and treatment of a mentally unhealthy citizen, when discretion in its actions of characteristic disorders:

inability to carry out, satisfy simple life needs (helplessness);
intensive health deterioration with progressive impaired mental state, when without qualified assistance, the patient cannot do.

After the survey conducted, medical documents are compiled, which indicate, as well as the conclusion of the state of mental health. Information is complemented by the reasons for contacting a specialist and medical recommendations.

Reference! The purpose of the examination (voluntary or forced) is to identify the signs of mental disorder, determining the method of treating the patient (stationary / outpatient).

Procedure for assistance without consent

Assistance to the person whose signs of mental disorder are observed with the direct participation of a psychiatrist's doctor on the basis of an application, which indicates grounds for a forced examination or treatment. A document is drawn up with relatives, a doctor or other people (medical officers, police officers, neighbors, passers-by).

In cases where the need arises emergency care (There is a danger to the health of the patient or surrounding), the application can be taken orally. Accompanying documents, including the direction, is discharged by a doctor of emergency psychiatric care. In the absence of life-threatening factors, the application for a compulsible examination is given only in writing.

After establishing the validity of the information specified in the application, the doctor sends a conclusion to the court, which describes the state of the psyche of the surveyed and reports the need for a compulsory examination. Along with the conclusion, other medical documents and application are submitted. From the moment the papers are recorded in the court office, the judge will decide on the three-day term of the referenced materials.

Examination is carried out in order to determine the validity of further hospitalization. If the surveyed does not want to remain in the hospital to obtain qualified assistance, and the judge did not see the materials of forced motivation for hospitalization, it is discharged without delay from a medical institution.

Psychiatric care without harmony at home

At home, elementary care may be provided at home (maximum service - the dose of a calming preparation). Without the survey, the exit brigade has no right to prescribe medicines, and even more so to offer the treatment regimen. To carry out such a survey is not included in their powers.

In the case of diagnosing a mental illness that does not require mandatory hospitalization, the patient has the right to pass medical therapy. At home. Observing the psycho-neurological dispensary psychiatrist at the place of residence. If necessary, a specialist visits its ward to control its condition and behavioral factors in everyday life. Forced outpatient treatment is carried out by court decision.

Reference! Forced examination of a person with obvious signs of mental disorder is possible in the presence of an application from relatives, submitted to the PND at the place of residence of the surveyed. In the absence of its consent, a court decision will be required.

Is it possible to get help for free?

You can get free psychiatric care in the district psycho-neurological dispensary, as well as in psychiatric clinics of state medical institutions, including psychosomatic departments.

In order to get free help, you should contact the PND at the place of residence. If you wish, getting the treatment of outpatient care, it is necessary to write an application for a patient examination at home. In the absence of consent to examination, the psychiatrist doctor proposes to apply to the Court's relatives or initiates this event independently.

Reference! Psychiatric urgent assistance is provided in Russia for free, functioning around the clock.

In what cases should emergency psychiatric care be called?

Call the brigade of psychiatric assistance can any of the relatives or casual man, ill with a mentally unhealthy face. Make it on the phone can be the patient himself, but there are very few such cases according to statistics (no more than 2% of the total number of calls). Fast response phone number:

from a landline phone - 03;
from mobile - 03 # or

In emergency psychiatric assistance, there is a need for the following manifestations:

acute psychosis (loss of space, time, disorientation);
an excited mental state with auditory and visual hallucinations;
severe somatic I. infectious diseasesin which psychiatric assistance is required;
unreasonable aggression, which is dangerous to others;
suicide attempts;
complex furnishings in everyday life, partial loss of patients with ordinary skills for human care or no desire to do this, disability;
delirium tremens;
overdose of narcotic or other toxic substanceswhen the changed consciousness is observed;
prolonged depression when a person closes in himself, stops communicating with close and neighbors, does not leave for a long time The room / room, refuses food, ceases to care for itself (lack of elementary hygiene).

After calling the brigade, relatives must prepare the following documents:

patient passport / examined and applicant;
direction for examination or psychiatrist;
the decision of the Court of Forced Survey / Hospitalization (if this is provided for by law).

Reference! All accompanying patients and valuable things are transferred to emergency workers to employees of the receiving compartment of the psychoneurological dispensary on receipt and inventory.

During the expectation of the arrival of specialists, it is recommended to show attention to the patient, to express calm, not to talk about the disease and themes that cause irritation and excitement. It is important not to leave a person with a psyche disorder along with you, to prevent suicide or actions directed against the surrounding people. Friendly tone and peace-loving conversation contribute to the containment of aggression. Hidely from the patient you need to collect a bag with its things for staying in the clinic.

What problems may arise

You can apply forced examination according to legal norms in several cases:

with serious mental disorders;
when diagnosing infectious forms of tuberculosis;
if the face represents a threat to others (criminal).

The current legal regulation, which establishes the procedure for issuing and conducting forced examination, has many inaccuracies and contradictions. When applying to a court with appeal against a psychiatrist or judge, relatives can lead to quite legitimate arguments of illegal facts by public servants.

Many disputes arise in minor children, whose hospitalization is hampered by legal guardians (parents or adoptive parents). In fact, this category of patients can be sent for a compulsory survey / treatment in cases provided for by law without the consent of relatives.
The actions of medical workers are also not always regarded within the legal field, therefore it is necessary to strictly comply with the prescribed rules for compiling documents, the timing and procedure for conducting a survey. For example, the failure of the patient to travel to the clinic may be regarded as non-appearance of medical care if, being without it, the condition of the face with a frustrated psyche is intensively worsens or the risk of suicide, attacks on other citizens increase or increases.
Emergency doctors should not conduct a survey of the person to whom they came to the challenge. The task of specialists is to determine the need for forced hospitalization. To diagnose, evaluate the severity of the disease, does not include the treatment regimen in their competence.
One of the greatest cases is hospitalization of needy emergency A citizen in the departments of the psychoneurological dispensary, if neither he nor his close people (or guardians) do not give their consent. Other services are involved in solving such situations (Ministry of Emergency Situations, Police, etc.).

Legal base

Hospitalize a patient to provide psychiatric assistance without his consent to the hospital or send it to a survey can be compliance with the legal framework governing the procedure for these activities.

The Law of the Russian Federation N 3185-1 is described the conditions and guarantees of obtaining psychiatric care.
FZ st. 29 - For a compulsory survey, which is carried out in a psychiatric medical institutionThere must be good reasons, which goes in detail in the article.
FZ st. 23 - In detail, the procedure for filing an application, consideration of documents and the decision-making on the necessary survey / treatment (without the consent of the surveyed / patient).
FZ st. 25 - describes the rights of a psychiatrist doctor who give him the right to apply to the court or make an independent decision on hospitalization. Also indicated persons who can be a similar statement.
Order of the Ministry of Health of the Russian Federation OT04.1998 No. 108 - describes the procedure for providing ambulance to persons with mental disorders.
Order of the Ministry of Health and Social Development of the Russian Federation (No. 640), Ministry of Justice of the Russian Federation (No. 190) - the procedure for providing medical care, including psychiatric, detention faces.
Criminal Code Art. 128 - penalties of persons who ignore the decision on forced psychiatric treatment.

Regulatting the forced psychiatric assistance of provisions, laws and norms, only basic documents are listed. If necessary, relatives of the patient can get qualified information assistance in legal advice.

Legal responsibility for illegal forced hospitalization

All, including psychiatric examination, are regulated legislative Base. Failure to comply with norms, requirements and laws provides for certain types of legal liability, including criminal.

Illegal patient delivery to the stationary department of a medical institution with a psychiatric profile - limit / deprivation of liberty up to 3 years, forced labor activity For the same period (Art. 128 Part 1 of the Criminal Code).
The use of the official position for the issuance of a decision on forced hospitalization, resolution of relevant documents, resulting in death by negligence or severe consequences - an official is deprived of liberty up to 7 years or forced work (up to 5 years) with restriction of the possibility of occupying similar position for up to 3 years. Details of penalties are described in Art. 128 h. 2 of the Criminal Code.

In the preparation of medical papers to send a person with mental disorders It is necessary to comply with the regulations provided for by regulatory legal acts. This will ensure the safety of the health of the patient and surrounding people.

Watch a video about psychiatric assistance:

The system of providing psychiatric care at the state level is hopelessly outdated. Unlike the European psychological clinic, our dispensaries and hospitals look the wise heritage of the Soviet Union. Those methods and medicines that have been used 50 years ago are used in the treatment of mentally abnormal people to this day. This cannot but cause a skeptic look at the level of emergency medical psychiatric care services. When a psychiatrist arrives, the patient most often responds negatively to the appearance of physicians. A picture from the film "Caucasian Captive" immediately arises into the brain of an unfortunate person, where two inclusive Sanitar with missing persons tightly hold the slightly resistant shurric. It can cause a smile healthy manBut the opportunity to get into the hands of such medical workers does not really cause any fun.

According to the prior arrangement for psychiatric challenges, Dr. Medical Sciences - Imanbaev Erken Madimarovich can go. Cost Consultation Specify.

It is also worth saying a little about what labor is in psychiatry. This is the daily tense job of dispatchers, sanitary, doctors. A psychiatric ambulance team, traveling to a challenge, is strictly limited in arrival time and departure. Doctor need to decide in a few minutes that with the patient? Does hospitalization need? What medicines can be applied immediately? The diagnosis is also included in the duty of a specialist. But we will be objective, and imagine that the doctor has to talk with an aggressive person who is not informed about the arrival of the brigade and refuses to answer questions, and the doctor must already go to the next challenge.

The arrival time of the brigade in Moscow is 10-30 minutes, in the Moscow region 20-40 minutes.

Our paid psychiatric ambulance operates around the clock and can offer you the following specialized services:

Paid ambulance psychiatric care. At the first signs of mental disorder, call the specified phones and the brigade will be within 10-30 minutes. Our brigade, as a rule, consists of a psychiatrist doctor, paramedic and sanitation. Our employees are always polite, careful, professional. We will spend so much time with you as it takes!
Psychiatrist help in hospital or home. If you do not need an emergency (immediate) psychiatric assistance, you can order the service "Psychiatrist at home" or psychiatric treatment In our hospital. We can also hospitalize you in any psychiatric hospital. If you need a psychiatrist doctor help call us! We can help you!
Transportation of psychiatric patients in ambulance. At will and with the consent of the relatives of the patient, our brigade can also apply forced methods of hospitalization or transportation of psychiatric patients. We can deliver the patient both in the hospital and anywhere at your request.
Organization of psychiatric assistance to citizens (We provide ambulance in Moscow and the Moscow Region, in accordance with the Law of the Russian Federation on Psychiatric Aid and Citizens' Rights when it is provided, you can call for mental psychiatric assistance on the specified phones and around the clock, our brigade will help house help, or hospitalizes in psychiatric hospital).
Emergency psychiatric help (We provide both planned stationary and emergency psychiatric assistance, psychiatric assistance in stationary conditions can be provided with the consent of the patient or without any, urgent psychiatric assistance will also be provided with the consent of relatives (guardians) of the person who has been given a psychiatric diagnosis).
Psychiatric care for children (our medical Center The provision of round-the-clock psychiatric assistance can take as children, so adults and adolescents, we will assist any segments of the population, children's paid psychiatric care is more accessible if you contact our medical center).
Forced psychiatric help (Challenge the brigade to provide forced psychiatric assistance is carried out only if the patient has already been diagnosed, by calling the hotline phone you can get answers to all the questions you are interested in).
Specialized Psychiatric Help (This category includes emergency psychiatric care for children and adolescents, psychiatric and psychological assistance, outpatient assistance to older patients, an anonymous psychiatric care service without the consent of the patient, psychological and psychiatric care.
Ambulance in schizophrenia, psychosis, neurosis, if the patient is in delusion, ambulance with depression or panic attack, with anxiety and disturbing states, with pronounced feelings of fear, phobias, neurasthenia and other mental disorders.

Moscow is a huge city living intense life, so here high level People with mental disorders. But not any manifestation of the disease requires immediate hospitalization. When and how to cause psychiatric ambulance? First, let's talk about the states requiring the intervention of a psychiatric ambulance brigade, the phone is best to have at hand or write in a prominent place. So, the exacerbations of psychosis, schizophrenia, depression with suicidal intentions and abstineent syndrome (white hot, "protein") in alcoholics and drug addicts, accompanied by auditory and visual hallucinations, nonsense, fainting and attempts to cause harm or others, all these states require immediate hospitalization . Causeing a state psychiatric brigade, relatives often face that due to the dense schedule and the workload, the doctor does not arrive immediately, and after a significant period of time, the patient's examination occurs running, the diagnosis and recommendations for hospitalization are made automatically. Nobody will persuade the patient - no time! The violent methods of hospitalization are applied (Schurik is remembered), soothing drugs are used with the strongest side effects (in Europe, they have been banned out for several decades).

This is what you have to face a mentally ill to man and his relatives. Separately, it is worth describing the conditions of state hospitals for people with deviations, but it requires a special article, because the conditions of detention in multi-seat chambers are extremely heavy (smell, antisanitarian, rude staff, lack of repair, the inability to go beyond the chamber). Many relatives of people with mental disorders for a number of reasons have long cause our paid psychiatric ambulance. Our doctors are polite and competent, pay a patient as much time as its condition requires. Medicines are used as a last resort, only after a long conversation. Rough power and violent hospitalization methods are not applied. Since in our country a very large percentage of people suffering from a severe form of alcoholism, it will not hurt to know how to cause psychiatric ambulance alcoholics. If an alcoholic snoop or he came out of him, then he most likely he has alcoholic psychosis. Need hospitalization and challenge psychiatric ambulance, otherwise anything can happen. Damage damage to yourself and others - the most harmless development of events.

If you see that a person does not come out of the binge several days, especially weeks, get ready for a responsible moment to dial the phone number of psychiatric ambulance. If there is an opportunity, then evoke a paid ambulance, the ratio will be humane, anonymity and hospitalization in a good hospital is provided. It is important to note that paid ambient psychiatric care leaves to the Moscow region. Wherever the patient, a paid psychiatric brigade will arrive at him as quickly as possible. Personality education and development difficult processwhich is individual and can continue the whole life of a person. From the very birth, the human psyche is tested for strength, for example, everyone knows about the middle-aged crisis, but in fact the first and strongest test - a crisis of newborn, which sometimes has a subconscious impact on the entire future life of the individual.

In severe, a person passes through many different turning and complex moments. For these reasons, at any age, when a person begins to experience difficulties, in overcoming psychological barriers, understanding independently or not aware of the difficulty of the psychological situation, it is necessary to cause a psychiatrist to provide psychiatric care at home, inpatient psychiatric assistance may be required in more severe cases. Unfortunately, there was a negative attitude towards psychiatry in our country. And such an assessment is not groundless. The world history from the very beginning of the origin of psychiatry is full of terrifying examples of not humane attitude towards mentally ill. Psychiatry, B. different times, surpassed the Inquisition, concerning the issues of graciousness of disadvantageous people.

The phone of psychiatric ambulance should always be at hand, if necessary, a mentally ill man is desirable to call a paid ambulance. However, any medal always has two sides. Currently, a psychiatrist's doctor fear is equivalent to the way that a person with the strongest dental pain was afraid to go to the dentist and he would try to snatch a sick tooth with a thread and door handle. It is ridiculous and not constructively. Especially in different everyday situations and for especially sensitive people There is always such a service as a challenge of a psychiatrist. . Calling a psychiatrist is more convenient when the doctor must be accepted with all family members. For example, the case, if the family has a seriously ill patient. And for a long time (usually a critical period of a year - a half), a member of the family has to fall out completely or partly from society to assist and serving a patient relative. Here you need consultation and assistance of psychiatrist at home for all family members.

In the patient, as a rule, a steady depression is developing against the background of a physical illness, and a relative careful for him, as it were, "burns" emotionally. And one and the second side independently do not get out of this closed Circle. Do not forget that depression is the same disease as everyone else, only causes damage to the psyche: emotional tension, bad mood, irritability, increased fatigue, problems with the concentration of attention, insomnia, a decrease or impaired appetite. If the depression may not be treated or aggravated by somatic diseases, for example, bronchial asthma. Save money on your mental state and the health of your loved ones, relatives is not reasonable. The more the situation is launched, the stronger the illness and its complications are developing, and the more expensive and it is more difficult to get rid of the illness. Accordingly, by and large - a paid psychiatrist on the house will save your funds. If you do not know how to call psychiatric ambulance you can call the above phone, the brigade will be with you for half an hour. Calling a psychiatrist to the house is necessary and in cases of deep age-related changes in human psyche. Such changes may be caused by shocks caused by the loss of the spouse (s), sometimes, retirement, other spiritual shocks.

In psychology age-related changes The whole topic is devoted - gerontopsychology. Psychiatrist for the elderly to the house will help if "on the face" paranoid forms of the disease in other words, obsessive nonsense (jealousy, despite age, constant suspicion of relatives in theft of some little things, even desire to end with life). And of course in such cases as old night delicas (night anxiety of old men who in the morning they are forgotten) a psychiatrist for a house for an elderly person is the only one right decision. A team of psychiatric ambulance will provide urgent and emergency assistance to both the patient and relatives. Psychiatrist at home, in a family atmosphere, will not distort the usual routine of the life of your aged relative. And this is a very important aspect when extending full-fledged life Your old people. We must not forget about the imminent struck of all of us. And what an example of attitudes towards old men you will show your children now, the same appeal will get to your future. Some categories of people are peculiar to the deviation of the psyche associated with the abuse of various substances. Departure of a private psychiatrist at home to the house with a narcologist at such critical moments, is not only accelerating the help of the patient, but also a guarantee of anonymity.

One of the types of emergency psychiatric care is forced or not voluntary psychiatric assistance (psychiatric care without the consent of the patient). The outpatient psychiatric assistance to the population can be provided in scheduled mode, by writing with a visit to the doctor in the profile medical institution. Is it possible to call a psychiatrist to the house would seem in easy cases, such as, for example, a love disorder? If you feel your love, or the manifestations of love of a loved one like Mania - yes! Such personality changes related love: overestimated or understated self-esteem, bad Son., pity for yourself, pressure drops, etc., meet with other mental disorders. Any "modified state of consciousness" - work for a psychiatrist. Call a private psychiatrist on the house is difficult, and more correct in cases of psychological problems in children. In children and adolescents, all life is ahead, they know adults.

And the child facing the difficulties of growing up is quite different. For the absence of life experience and (or) due to psychological abnormalities, many children tend to incur any small incident to raise a catastrophe. And if the parents do not work independently to provide psychological assistance to the child, comes to the aid of the psychiatrist. "The psychiatric department of a neurological clinic" is even scary to pronounce, not what to take her child there. Especially if there is no serious visible reasons. Children's psychiatrist at home from a private clinic will help and soften all the tickness of the moment. In what cases use the call of a private psychiatrist doctor to the house?

To, not traumating the child, spend primary diagnosis manifestations of mental disorder in a child, namely: a changed perception of the surrounding world, or itself in this world or change behavior. Also, at your request, a paid children's psychiatrist is always not only guarding the mental health of his little patient, but when treating at home, all participants in this process are easier to maintain anonymity. The services and prices of psychiatrist at home are quite democratic and vary depending on the age of the patient and the severity of the case from 5 thousand rubles. In connection with the growing tendencies of the Company's Enlightenment, especially in large cities, this service is becoming increasingly popular. Already "not fashionable to cry in a vest" a friend of the arc behind a glass.

Mental psychiatric assistance provides services to the population in situations of unexpected manifestation or aggravating chronic mental illness. It works according to the Law of the Russian Federation "On psychiatric care and guarantees of citizens' rights in its provision."

The service of the service is exposed to a clear regulation, and leaving the patient takes clear prescriptions.

How to make a call

Psychiatric assistance in Moscow, provided by the joint joint venture, is carried out around the clock. You can call it by calling 8 495 620 4230. When typing this number, you fall directly to the psychiatric unit unit.

And by calling the number 103, whether it is either any city of the Moscow region, you associate the ambulance station. After finding the dispatcher, the situation as accurate as possible so that it understands: a person needs to be in psychiatric care and switched you to the appropriate department. Your call will take a senior psychiatrist. It is he who establishes the feasibility of the call.

In conversation with him, try to give maximum information about the state of the person to which the challenge is made. Describe his behavior when changes have manifested. Based on your data, a specialist makes a decision in which a person needs a person: emergency or urgent, about the departure of the brigade.

Based on the symptoms of the patient, either a ambulance team either, or the corresponding special breadth of emergency care on the basis of a psychiatric hospital.

The SMP doctor also has the right to refuse to call if he does not have enough grounds for immediate assistance. In return, he advises the subscriber, explaining what actions should be taken.

Emergency and emergency care

Specialbrigida, as already mentioned, leaves for a patient in an emergency or urgent order.

In case of emergency call, doctors will arrive at a place for 20 minutes. It is drawn up in the following cases:

Emergency care is a mentally unstable person if:

he behaves without aggression, but strange - exhibits excessive concern and anxiety, fear;
there is a sharp change of mood, a panic appeared, exhausting insomnia;
man is in deep depression;
confused, disorientation. The patient does not recognize close and afraid of them. At night not sleeping;
there are delusional ideas and hallucinations;
there is an exacerbation of chronic disorder;
the antipsychotic patient has become restless, alarming or compound, convulsive muscle twitching occurs;
the patient shows signs of acute alcoholic psychosis.

Emergency care will arrive at the place for 2 hours. If during the expectation of the patient's condition changed in one direction or another, it is necessary to inform the dispatcher about it.

What actions is carried out by a psychiatric brigade

Coming to the place, doctors provide medical care to the patient in the required volume. If he received physical injuries by this time, for example, he hit his head and earned the CHMT, damaged to himself, etc., experts are supported by a non-specialized brigade in support.

A psychiatrist has the right to forcibly hospitalized the patient. If necessary, calls the police. If the patient is dangerous, buffels and threatens others, the police patrol must be attracted before the emergency arrival. This is done in order to neutralize a socially unsafe person, prevent damage to the health of other people.

MEDICS SMPs are not eligible to issue expert assessment documents, certificates of disability, a state of alcohol intoxication.

Private psychiatric help

Private psychiatric SMP is carried out confidentially. Information does not go beyond the institution. A brigade comes to the call, which includes a psychiatrist, as well as paramedic and sanitary panels, driver. The ambulance machine is a special vehicle equipped with the necessary modern equipment and the latest drugs.

Very often afraid of publicity makes people tighten with the appeal to the psychiatrist. It is in such cases that an anonymous private psychiatric SMP will be excellent output from the situation. It is often its services to be used to relieve the abstinence syndrome or in the case of narcotic intoxication, when the behavior of a person under the action of a psychoactive substance becomes aggressive and unpredictable.

The team goes to the challenge at any time of the day. As a rule, clinics providing emergency services have in their structure and hospital. A man at his request or at the request of relatives is transported there. Here it is provided with comfortable conditions, the Chamber with all the amenities.

Private organizations will really value their reputation, seek to help their patients fully, as quickly as possible, neatly and correctly. Employees of such clinics are high-class specialists with sufficient experience, the necessary level of knowledge and skills.

It is necessary to realize that the timely appeal to the ambulance for a mentally ill person makes it possible to stop the progression of the process in time and avoid hospitalization. Doctors of the SMP not only eliminate alarm symptomsBut also tell you what needs to be taken for further treatment.

Psychiatric ambulance team operates around the clock, without days off. You can take advantage of psychiatrist, Ph.D. or professor psychiatry at home. It is also possible to place in one of our hospitals from 3 *** to 5 *****. Specify the cost of staying in the hospital from our specialist. Psychiatric care is anonymously.

In our society there is a steady negative psychiatrist stereotype. Such an attitude was formed in Soviet times when psychiatry was repressive and forced. And now the image of punitive psychiatry continues to cultivate the media. However, everyone will be useful to know that now the situation has changed in many ways. The psychiatrist can be turned to a psychiatrist voluntarily and confidentially, without fear of any negative consequences in the future. Moreover, it is not necessary to slow and urgently cause a psychiatrist to the house, if a severe mental illness threatens the life and health of the patient or his loved ones. The challenge of emergency psychiatric care or a psychiatrist doctor is obligatory if the patient has non-deliberate behavior in the patient, and inadequate behavior caused by these states. Calling a psychiatrist to the house can simplify life as a patient and his loved ones. If necessary, our team of psychiatric care will take the patient for inpatient treatment or the necessary examination to clarify the diagnosis.

In our medical center, a unique method of treating mental disorders, developed and approved in the United States in 2013, is applied. Even the hardest mental illness today is not a sentence! You can completely return to a full-fledged life in just a few days! We are glad to help you! Call!

Our advantages

We work around the clock since 1995!

7 days a week, 365 days a year, at any time of the day and night we are ready to help you, provide medical care at home or hospitalize in the hospital.

Brigade Arrival 5-10 min

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

Our time is not limited

Unlike the state ambulance, the time of staying with the patient from our brigades is not limited. We can spend 24 hours with you if it is necessary.

Only experienced doctors and paramedics

In the state of MCSSPM, only Feldshera and emergency medical practitioners who have serious experience and scientific degrees, which is why prices for our services may be higher than that of competitors.

Comfortable cars

All MCSMP ambulances 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 hospital

By prior arrangement, we can provide the patient's hospitalization service to the hospital, which he himself will choose. Tell your wishes to the dispatcher when placing an order.

The best specialists of the psychiatric team of ambulance MCSMP

Psychiatric Assistance Act And guarantees of the rights of citizens to its rendering, set a clear sequence of psychiatric care. It is impossible to break the bag, even because ignoring deviating from the norm of the behavior of the asocial personality can entail the tragedy. A psychiatric ambulance team may be required by schizophrenia, epilepsy and other brain lesions during exacerbations, as well as people suffering from alcohol psychosis (white hot). It is necessary to immediately call for help from specialists when all arguments to dissuade a person from suicide exhausted. In such cases, the psychiatric ambulance phone needs to be kept. Attempts to commit suicide can be related to various deviations, poverty, cash losses, family troubles, shame and unhappy love, but in any case help can be provided and unfounded, that is, without the consent of a person with suicidal intentions.If there is a possibility that a person left without psychiatric care can harm himself and his health, boldly call psychiatric care. Found a suicide note or a person declares, about his intention to reduce scores with life, urgently call help. There are many cases when ignoring such applications from relatives and loved ones, led to a fatal outcome. The reason to make a challenge of a psychiatric care brigade is social nestness, the inability of a person to satisfy their household daily needs (freeze gas, wash, cook food). Emergency psychiatric assistance is required to people with obvious signs of schizophriends, because inaction can lead to a fatal outcome.

What you need to know about the challenge of psychiatric ambulance. First, specialized brigades are not at every joint venture; Secondly, the time of arrival of the brigade is much more than the usual. The average arrival time on a psychiatric rate is 45-50 minutes. If a lot of big and calls are much, then much longer. Critical situation? Is the case very heavy? Need strict privacy and exceptional professionalism? Paid (private) 24-hour psychiatric ambulance will not make himself wait. How to cause psychiatric ambulance or psychiatrist doctor at home? The ambulance number will be found on our website - this is a hotline phone, making it, you will receive answers to all your questions. Paid ambient psychiatric care works 24 hours a day, 7 days a week, without days off and holidays. Would you like the challenge of psychiatric ambulance to the most confidential? Contact paid psychiatric care. You get a guarantee of anonymity, delicacy and individual approach. Our urgent psychiatric care teams have a whole arsenal of medicines. last generationcapable of rapidly normalizing the patient's condition at a minimum of side effects. Urgent psychiatric care at home may be required both adult and child. Children's psychiatric assistance may be required not only for primary manifestations of disease, but also with exacerbations. Hallucinations, nonsense, aggression, overexcitation, panic attack, a deep sense of depression in depressive states, suicidal moods, uncontrolled behavior - all these signs serve as a signal. Arrived health workers will provide emergency assistance not only to the patient, but also consults relatives, how to behave properly in such situations. For close people, the painful state of his native person is a test. Timely appeal to the competent specialist is the key to the success of the whole treatment.

Ambulance in schizophrenia and hallucinations. Schizophrenia is a very ancient disease described in Egyptian papyrus. For a long time, the disease was considered indistinguishable from other types of mental disorders, and only at the beginning of the twentieth century, the well-known Swiss psychiatrist allocated schizophrenia from a number of psychoses and gave her detailed description. It is known that schizophrenia is good to treat early stages. However, most schizophrenia suffering, and this is approximately 4-6 cases per 1000 people, do not seek medical help. Schizophrenics are prone to alcoholism and addiction, in addition to the underlying disease, suffer from depressions and disturbing disorders. Often these are people socially disadvantaged, unemployed and homeless. If one family member is diagnosed with schizophrenia, then help is needed and those who are with him in constant contact, that is, to his relatives. In our society, this disease is perceived by something like God's kara or punishment for sins. This medieval look significantly reduces the number of rescued patients. Disease is hiding, it is shy. Although it has long been proven that schizophrenia is the result of organic brain damage. The reasons for the occurrence of this disease are different: from genetic predisposition and prenatal features of the development of the fetus, to social unpleasuries, survived stress and alcohol / narcotic dependence.

Specialized psychiatric care.Is the mentally ill man dangerous man and is there an ambient psychiatric care? With exacerbation of the condition, presence of hallucinations, delirium, aggressive behavior or attempt to kill himself, emergency assistance is required for patients. In our country, the financing of psychiatric services is not enough, so often the state ambulance psychiatric assistance cannot provide highly qualified services to the patient. If an attack or hallucination after the feed, first aid should be rendered immediately. We recommend immediately calling our honey center. We will immediately send an ambulance in place and provide real high-quality assistance to the patient. Our center specializes in the treatment of mental illnesses, we have the staff of specialists who have been trained in leading foreign universities who have experienced in the US clinics, Germany, Israel.

Children's psychiatric help(Psychiatric care for children and adolescents). Along with advanced pharmacotherapy, our patients are obtained high-quality psychosocial therapy, psychotherapy and hospital rehabilitation. Children's and adolescent psychiatric department also operates around the clock. If necessary, the psychotherapist sends relatives of the patient to a session to a psychologist, as often relatives also need help of a specialist in order to take the fact of the illness, rethinking its attitude towards this disease and learn how to live with the thought that close person sick, especially if this is a child. No less pharmacological, psychological assistance in border states is important. Although the state hospitals cannot have psychotherapeutic support to the patient. This is the result of insufficient financing. Currently, high-quality modern children's psychiatric ambulance can be provided only in private medical centers and clinics.

Organization of emergency psychiatric care Citizens. Questions to the psychiatrist who are most worried about loved ones relate to the likelihood of a patient to normal life. In our clinic, not only medicinal and psychiatric therapy is carried out, but also the methods of social and professional rehabilitation. Also in our clinic there are family therapy, during which family members are mastering assistance techniques for border diseases, or when suicidal thoughts are visited by a sick relative. Most may need ambulance with hallucinations, and relatives should know how to behave before the arrival of the medical brigade. Our psychologists will be trained in any other way. Mental disease is not a sentence. We will prove to you that life can be full even with such a difficult diagnosis. Emergency psychiatric care will be rendered immediately and the patient will quickly be returned to normal life!

Paid ambulance psychiatric care.Do you live life? This question sounds strange for a person who has never occurred to the mind of suicide. However, to answer such a simple question for someone who suffers suicidal inclinations is very difficult. Why does a person want to bring abuse with life? Everyone has their own reasons for it. Most often, such a solution seems the most logical and easy for a person who has collided with problems in a personal or professional sphere. At the first signs of mental disorders, paid ambulance psychiatric care is necessary. Failures on a love front, a quarrel with a friend, a disease or death of a relative, bankruptcy or a financial crisis - any of these events or their combination can cause a mental disorder. Psychiatric assistance in suicide is to establish true causes of suicide. If a person wants to just attract attention, his suicidal actions will be a demonstrative-black-chart. Such 70% of the total number of suicides. A person has no valid desire to commit suicide, but there is a need to manipulate close people. Usually, such suicide attempts do not end with a fatal outcome, as the suicide clearly plans its actions, assuming that it will be discovered on time and saved. However, such blackmail sometimes incorrectly determine the time required to assist, and dying, in fact, not wanting to bring the case to the end.

Transportation of psychiatric patients.Psychiatric Help Coach is available 24 hours a day. The decision on any actions, including a suicidal nature, can be sacrificed from several days to several months. The state of a person at the same time is depressed, it feels hopelessness and left. Help with thoughts about suicide is to dispel the conviction of a person in the fact that he does not need anyone that he does not mean anything that he cannot do anything and does not affect anything. All these thoughts demotivate a person and lead it to a solution that seems to come from a dead end. In this case, you will need to transport a psychiatric patient at ambulance in the hospital, or at any other place where the situation will be replaced, which may benefit the patient. How to help your loved ones? First of all, you need to see the backgrounds of the risk. They are always there. Usually, a person begins to abuse alcohol or drugs, ceases to comply with personal hygiene, all conversations are reduced to the topic of suicide, reading and music is as sad, mournful. If you speak with a person about a possible solution to the problem, it will demonstrate the "tunnel vision", that is, besides Suicide, he does not see another option to get rid of trouble.

Psychiatry - 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 Aid and the Rights of Citizens in its provision", where the procedure and conditions for the provision of medical care in psychiatry are clearly defined. Emergency assistance in psychiatry is provided by state and accredited private centers and clinics operating on the basis of the Federal Law. Procedure for rendering nursing Psychiatry is regulated by individual regulatory legal acts of the Russian Federation, mainly under inpatient treatment. The ambulance on psychiatry turns out to be around the clock, both at home and in the hospital condition, to call the cake of help, you need to call the specified phones and inform the dispatcher as much information about the patient and its behavior. Psychiatry, also referred to as the "mental hospital", "Psychic", etc. It may come only on a certain call, if the patient has symptoms of mental illness, immediate medical care will be provided to him. Many ask how to cause a mental hospital at home? How to cause an alcoholic mental hospital? Is it possible to call a brigade from the mental hospital? We answer. Yes, you can take advantage of the paid and anonymous psychiatric help, call the brigade and emergency psychiatric care, while we will have qualified home assistance or to offer hospitalized in our hospital.

Urgent psychiatric care at home. Even if a person does not want this, you can call a psychiatrist to the house, such a service is possible in our medical center. An experienced psychotherapist or psychiatrist will be able to find an approach to the patient, will correctly build communication with him, will convince the course of treatment. What if the disease progresses? Emergency care is an urgent call to a psychiatric brigade. Before the arrival of doctors, depending on the selected method, first aid should be provided. If this hanging: you need to freeze the neck, grope the pulse, if it is absent, artificial respiration. If a person cut the veins, you need to impose harness and stop the blood. When trying to poison, you need to cause vomiting, rinse the stomach. Ambulance when trying to suicide is a guarantee of preserving the life and health of the victim. If emergency psychiatric care at home was provided on time and correctly, the patient may return to a full-fledged life after the course of psychotherapeutic treatment. Save life, it does not mean solving his problem. It is important to understand that a person does not value its existence and does not see the meaning in it. Therefore, it is critical that competent psychological assistance is provided. Ambulance with white hot will help return the person to a normal state, alcoholic delirium on initial stages It may be necessary to proceed, it is easy to confuse with frivolous states, but the help with white hot or delicacy should be rendered immediately. What if a person has white hot? At the first symptoms of white hot, it is necessary to urgently cause an ambulance psychiatric care. The consequences from white and white chickens may not be the best. A person may harm himself or others, spoil property, commit suicide. Ambulance with mental disorders stabilizes the patient's condition and can apply measures forced treatment, right up to the room in a psychiatric hospital without the consent of the patient. At the same time, various measures are applied and coercion to hospitalization. Mental ambulance also works around the clock, at any time we are ready to accept the challenge and provide the necessary psychiatric care. Do not know where to turn when your close and native person is trying to self-esteem? Call our medical center. Our doctors will help, both in the hospital, and at home. We helped many, help you!

Private psychiatrist services in our center. Everyone has a hearing what fear is experienced by many people before visiting the Cabinet of the Dentist. Psychiatrists, like dentists, are not familiar with fear of their patients. There are many reasons for both real and contrived, which stop people from a visit to the psychiatrist. Among them and fear of public opinion, and banal ignorance. One of the options for such ignorance is ignorance about the advantages of relative new types of services provided by private clinics. However, the world does not stand still, and if you for some reason have been postponed to the doctor, now you can call a paid psychiatrist to the house. It can be especially useful if you cannot persuade to go to the doctor of your relative. It happens that parents suspect their child in drug use are not solved to produce a medical check, fear of publicity. They believe the child for the word, putting 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-dispersion of their children, it is a psychiatrist for a fee. Psychiatrist's private doctor will not only retain complete confidentiality, but also will help in combating dependence, if it is still available. But even if the suspicions were in vain, this visit will be very useful. After all, he will help dispersal, which emerged between close people. We all know that for teenagers, the opinion of peers is very important. The idea that friends learn about his visit to a psychiatrist can cause severe stress. This stress, among other things, may worsen the condition of the child. A private children's psychiatrist, having a rich experience of working with children, will build a technique in such a way as to minimize stress. You at home in a relaxed atmosphere, a children's paid psychiatrist will spend a conversation and inspection of a child, without focusing without the need for the child's attention to the reasons for his visit. Psychiatrist Private Practice - the best choice Not only when it comes to children. The queues in the municipal clinic are poorly suitable for people who need psychiatric care. Characteristic benefits of paid medicine: speed, high quality of service, patient orientation, 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 "lucky enough to visit the psychiatrist in the state clinic, often throw treatment, just because they do not want to go there again. Some of them are returned to the treatment, going to a private reception of a psychiatrist in a paid clinic. After all, it is here that people who, like no one, understand the importance of proper psycho-emotional contact between the doctor and the patient. A paid consultation of the psychiatrist will help anyone in need of psychiatric assistance to a person without negative experience in any manifestation. Now you have no more reason to postpone care about the most important part of your health or health of your loved ones. Caring for mental equilibrium and harmony with himself should not violate psychological comfort and tranquility, in our clinic they understand how anywhere.

Help mentally ill people and children. The last edition of the international disease classifier has more than a hundred various diseases In the section "Mental disorders and disorders of behavior". And this is not only an attribute modern Mira, full of political and economic crises, where the stress is allocated everywhere with its potential victims. Such an abundance and variety of diseases described is a sign of high advances in psychiatry like science. Medicine made a significant breakthrough and ready to provide full-fledged assistance in almost all types of mental disorders. This development is directly related to the increasing influence of private capital for medical research and practice. For example, our private psychiatric clinic (hospital) not only shows top scores in the treatment of psychiatric ailments by country, but also by conducting research work, moves forward psychiatric science. Help for mental delay Development in children and adolescents is most relevant in the modern metropolis, because ordinary stress can turn into a mental disorder and even a disease, in the absence of due attention. Help children with delay mental Development It turns out to be experienced physiciators, you can call our ambulance for full advice and helping home. It is really hard to recognize that you or your close relative is a mentally ill person and he needs urgent psychiatric care. Time trends are forced to constantly expand the range of services that have a psychiatric hospital. Paid services Includes such a relatively new as paid psychiatric care at home. The feeling of comfort that the patient is experiencing during a reception by a doctor conducted in the usual atmosphere, has a positive effect on the results of diagnosis and treatment. Mental Ambulance, as well as our center is glad to help you! To date, almost any mental illness can be treated. For many of our customers, it turns out to be saving time, achieving with the help of such a form of reception. You should not pull the time, you need to quickly call an ambulance with mental disorders, the faster you do it, the greater the chance of the patient to return to a full-fledged life! Our clinic provides private psychiatric assistance not only to patients with severe mental disorders, but also to people with border guards. World-class specialists help get rid of phobias, dependencies, depressions.

Boarding school for mentally and mentally ill. The services of a paid psychiatric department include both an outpatient reception at any of the specialists of the clinic and hospital treatment. During the consulting or diagnostic reception, the doctor of our center will examine the history of the patient in detail, its current state. The boarding school for mentally patients is located in the picturesque location of the Moscow region, where the patients have a comfortable stay and professional treatment. After the primary consultation, the psychiatrist doctor will give its recommendation on the best form of treatment. The final decision, of course, always takes the patient. Our paid psychiatric clinic, working in conditions when its very existence depends on the efficiency and reviews of customers, creates conditions that are unattainable in state clinics. A pleiad of talented specialists and managers provides superiority over other private clinics and quick rehabilitation of mentally ill. The latest equipment, advanced treatment methods (including their own unique developments), comfortable chambers of the stationary office, this is an incomplete list of those factors that make our clinic better in the country. In our center, patients feel like at home. Psychiatric diseases become one of the most common types of diseases in the world. This is associated, including, with an increase in life expectancy. And it is the fight against mental disorders that goes to the fore in the struggle for a further increase of both duration, so the quality of life. But the fear of fear of a psychiatrist, rooted in our fears, still does not want to retreat to the end. Still alive memories of unscrupulous personnel, bureaucracy, prison conditions that reigned in psychiatric dispensers of Soviet times. With this legacy of the Soviet state psychiatry, you have to deal with our clinic. But the high quality service through the efforts of our doctors and technical staff does their job. Thanks to the efforts of the entire team of our clinic, thousands of grateful patients are gradually transferred to the opinion of the Company about modern psychiatry. If you or a person close to you need psychiatric care, but still not solved to turn to a specialist, now you have the best chance to change your life for the better!

The order of hospitalization of the patient in a psychiatric hospital, if a sick person is not against, quite simple.

It is necessary to come to the district dispensary at the place of living of the diseased, to a psychiatrist in his working hours, and after inspection, the doctor will write down the direction and will cause psychiatric care itself, for transportation to a psychiatric hospital.

You can also contact the receiving peace of the psychiatric hospital, which works around the clock, and after inspecting a psychiatrist's ill-friendly psychiatrist, the question of its hospitalization is solved.

But such methods are possible only if the sick person agrees and himself is not against hospitalization.

The difficulty of hospitalizing a sick person is that having a mental illness, especially in its sharp period, a person loses the ability to adequately evaluate real reality and loses the perception of criticism to his actions. Therefore, hospitalization with a sick person is perceived as a threat or punishment.

But in case of emergency states of the disease, relatives themselves can cause ambulance psychiatric assistance. A psychiatrist has a psychiatrist in the emergency psychiatric assistance brigade. The doctor after inspection - conversations with the sick, decides the issue of hospitalization.

And on the basis of which laws, this is described below.

Challenge and ambulance. Legal aspects.

The provision of emergency psychiatric care is regulated:

Articles 11, 16, 29.30 of the Law of the Russian Federation "On psychiatric care and guarantees of the rights of citizens in its provision" (in the future - the law), the Order of the Ministry of Health of the Russian Federation and the Ministry of Internal Affairs of the Russian Federation "On measures to prevent socially dangerous actions of persons suffering from mental disorders "(№ 133/269 dated 04/30/1997), Order of the Ministry of Health of the Russian Federation (emergency psychiatric assistance" (No. 108 dated 04/08/1998)

As follows from the text of the comment to Article 16 of the Law,

"... Under urgent psychiatric help, a set of measures aimed at providing emergency care for patients who are either in a state of acute psychosis is often accompanying the permanent of consciousness, excitement, expressed emotional disorders, confusion, shaped nonsense, deception of perception (hallucinations), or detecting, although chronic, but severe mental disorder, which causes their danger to themselves at this time or for others ... ".

One of the main measures of emergency psychiatric care is hospitalization in a psychiatric hospital, as well as (at least) drugsreduced excitation, deterrence and other ways to limit the motor activity of the patient.

Insofar as most of These measures may be undertaken by a decision of a psychiatrist doctor (see a comment on Art. 11, 23, 24, 25. 29, 30), their execution is mainly imposed on the emergency mental service or at the institutions that provide communal psychiatric assistance (psycho-neurological dispensaries or cabinets).

Partly, within its competence, these functions are forced to inspect the doctor's psychiatrist by the ambulance and emergency medical care, doctors of general-general hospitals and a clinic, which in their practical activities are often faced with persons suffering from mental disorders, as well as police officers (in terms of prevention Hazardous actions).

Determination of the presence or absence of a mental disorder in the face, as well as the establishment of a diagnosis of the mental illness (according to the rules set out in the comments on Part 1 of Art. 10 of the Law) is the competence of a psychiatrist.

Doctors other specialties, meeting with cases of suspicion of mental disorder, their diagnostic conclusions can be made allegedly, for example: "acute mental disorder?". In the future, a psychiatrist doctor is needed.

Psychiatric examination and hospitalization, usually implemented with the participation of emergency psychiatric care team, can be voluntary when the patient himself draws or does not object to inspection of a psychiatrist and hospitalization or involuntary when the patient is examined and hospitalized contrary to his desire.

The law (Articles 23, 24, 25, 29) provides that the involuntary examination is carried out in the event that according to the present data, the person surveyed performs actions that give reason to assume, and the involuntary hospitalization - in case he has a severe mental disorder, which Conditions:

A) his immediate danger for himself or others, or
b) its helplessness, that is, the inability to independently satisfy the basic vital needs, or
c) significant harm to his health due to the deterioration of the mental state, if the person is left without psychiatric care.

With the same criteria for incomprehensible examination and hospitalization there are differences in a legal procedure. The decision on the involuntary hospitalization is adopted by the doctor, and the decision on the involuntary examination of the doctor takes only in cases of conformity to the state of the criterion "A". If we are talking about the criteria "b" and "in", on an unscrupulous examination, it is necessary to obtain a judge sanction.

The law does not allocate any of the three criteria of involuntary hospitalization as the main one. In order to avoid non-fulfillment of medical debt, the absolutization of the danger criterion for themselves is unacceptable for himself and others (a), as the most evidentiary and ignoring of the other two criteria. It is important that the doctor's decision is always quite motivated by the description of the patient's mental state.

In cases where the patient is in its own way mental state Can not express his attitude towards hospitalization (apply or give consent) when it, for example, is in a state of changed consciousness (delirium, oneroid, twilight state), or when there is an acute psychosis with a pronounced confusion, extremely loading psychotic experiences, Or pronounced dementia, in which personality attitude to the fact of hospitalization is impossible to establish - in all these cases, the direction and delivery to a psychiatric hospital should be issued as unfounded.

The involuntary hospitalization begins from the moment the patient's premises adopted by the psychiatrist adopted a psychiatrist regardless of his desire after his survey at the call site, since from this moment, if necessary, coercive measures are taken.

In the direction of hospitalization, a psychiatrist should give a substantive and evident description of the psychic state of the patient, from which it is rather determined to conclude that it corresponds to one of the three criteria of involuntary hospitalization: it should be indicated that the patient is hospitalized by unscrupulous, as well as what criterion article 29 of the Lawits state corresponds.

In accordance with Part 3 of Art. The 30 law police officers take measures to prevent the actions of threatening life and health surrounding from the hospitalized person or others.

Police officers are obliged to promote medical professionals in the implementation of involuntary hospitalization and ensure safe conditions for access to the hospitalized person and inspection. If it is necessary to hospitalize mentally patients who do not have relatives or residing separately, police officers take measures to ensure the safety of their property.

Legal aspects associated with the peculiar features of the emergency (emergency) psychiatric care.

The challenge of a psychiatric brigade must be adopted if the patient is in adverse living conditions and "severe mental disorder" in him corresponds to any of the three criteria.

When the conditions are unfavorable (lack of observation, patient care, staying outside of the family, on the street, etc.) helpless patient (Criterion "B") and a patient with a bad clinical prognosis in case of leaving it without psychiatric care (criterion "in" ) become dangerous for themselves. In these cases, the criteria "b" and "in" of Article 23 of the law coincide with the criterion "A" and the patient must be unscrupulinated by the emergency psychiatrist.

In rural areas and small settlements, where there are no psychiatrists.

In emergency cases, the question of the direction of the patient in a psychiatric hospital is advisable to solve the doctors of other specialties. Upon admission to a psychiatric hospital, such a person will be necessarily examined by a psychiatrist in the receiving department (comment on Article 20 of the Law of the Russian Federation "On psychiatric, assistance and guarantees of citizens' rights in its provision").

The dispatcher (duty doctor) of emergency psychiatric care, taking a challenge, can be misled by the fact that the appeals were mistakenly appreciated and presented the actions of the person as painful or biased the facts.

In such cases, if this person refuses psychiatric aid, a psychiatrist, arriving at the place of call and assessing the situation, independently decides on the issue of psychiatric examination and may refuse to hold it or, having a conversation with this person, can only establish that it is not It needs emergency psychiatric assistance in an involuntary order (a psychiatrist at the same time does not solve the issue whether the person suffers the mental illness and in what form of psychiatric care it needs).

It is about that he records in medical documentation, justifying it by the data obtained at the point. In these cases, the involuntary examination is considered not conducted, and the doctor does not violate Art. 23 of the Law on Psychiatric Assistance. The patient, the applicant who made a challenge of the psychiatrist and other persons should be explained that the circumstances refined in conversation are necessary to make a decision on the need for examination.

The direction of therapeutic measures.

Two types are distinguished medical events With sharp and urgent states in psychiatry at the prehospital stage. The first is associated with the fact that the doctor makes a decision to hospitalize the patient. In this case purpose medicinesFirst of all, it is used to relieve or reduce the severity of psychomotor excitation.

The use of psychotropic drugs to reduce affective tension covered by psychopathological experiences, mitigating anxiety and fear contributes to greater safety during the transportation of the patient and leads to a decrease in the use of retention measures, fixation, immobilization of an excited patient in accordance with the Law on Psychiatric Assistance (Article 30, Part 2).

Another type of urgent medical measures is associated with the need to assist not accompanied by the patient's hospitalization. We are talking about faces with a wide range of states, including not a heavy mental disorder that need emergency care psychiatrist, which can be provided to outpatient.

This includes, in particular, disorders of non-psychotic level (neurosis, psychogenic reactions, decompensation in psychopathy), some cases of transient and rudimentary exogenous-organic mental violations (transient mental disorders of vascular, intoxication genesis, neric-like and part of affective, psychopath-like states in chronic mental diseases, side effects psychotropic drugs assigned to patients in psychoneurological dispensaries).

The procedure for the provision of emergency psychiatric care.

Emergency psychiatric care is to patients who often suffer from severe mental disorders and in their mental state may be dangerous as for themselves and for others. At the same time, such measures as gas cans, handcuffs do not apply.

Features of assistance are needed at the same time strict implementation of a number of measures aimed at preventing suicidal actions, aggression, damage to the patient himself, others, as well as assisting medical personnel.

It must be remembered that the behavior of the patient under the influence of psychopathological disorders can suddenly change, wearing an unforeseen, impulsive and acquire extreme danger, both for him and for others.

Concerning:

The dispatcher (duty doctor), having received information about the patient who committed dangerous deeds, or the threats, adopting a challenge, is obliged to inform the doctor's doctor, informing it all the details of the patient's behavior.
Having received a challenge to a socially dangerous patient (aggressive, armed, possessing hand-to-hand combat, etc.), the doctor of emergency psychiatric care team needs to be asked to assist in the internal affairs bodies, on the territory of which is a mentally ill.
Medical workers have the right to not enter without police officers to the premises, where there is a socially dangerous (aggressive, armed, etc.) patient.

When examining the patient, the behavior of the doctor should be calm, restrained, without fussiness, excessive movements that can provoke aggression. The conversation should be carried out in a respectful, benevolent, correct form, both with the sick and environment.

The measures taken by the brigade as directed by the doctor, the measures determined by the specific situation and the characteristics of the patient's condition, must be carried out quite quickly, coordinated and accurately.

During the inspection, as well as with all the movements of the patient, the halls of the brigade must be located in close proximity to it in such a way as to prevent the possible dangerous act or escape. It is necessary to closely monitor the behavior of the patient (direction of view, movements of hands, facial expressions, etc.), remove from the field of view of the patient (with the help of surrounding persons) all stinging, cutting, etc. Items.

Inspection of persons with mental disorders in institutions, organizations, medical and preventive institutions, etc. Implementable in a separate room (the office of the administration, the medical center, etc.) in the absence of employees, without excessive publicity (that is, if possible, it is necessary to take measures to avoid the situation that. According to the patient, it may compromise it in the eyes others), as well as far from working units.

Inspection of the patient in order to detect objects that can be used by him as an instrument of attack and autoagression, as directed by the doctor (usually before transportation, with its loved ones, as well as police officers or other persons) and in all cases carefully. In cases where circumstances require, the inspection should be made without delay.

When landing a patient in transport, caution should be taken due to the possibility of traumatization. During transport, you constantly need to control the behavior of the patient. The conversation (with the possibility of establishing contact) should not affect its painful experiences, it must be distracted and soothing.
When leaving the room (apartment, staircase, etc.), when landing in a car and disembarking from a car from personnel requires special vigilance, since at that moment the patient can attempt to escape, to show in connection with this aggression! When transporting a patient at night, it is necessary to illuminate the salon of the car.

Motor transport should be located on the possibly closest distance to the entrance to the room, convenient for a quick landing or landing of the patient.

Transport in a car at the same time no more than one excited patient.

If a person with mental disorders, at the time of inspection or transportation, the state of psychomotor excitation developed, then, on directions and under the control of the doctor, it is necessary to apply physical constraints, unless other methods prevent the actions of the patient representing the immediate danger to it or for others.
On the forms and time of use of physical constraint measures to record in medical records - a call map, direction to hospitalization (comment on Article 30 of the Law).
The ambulance machine must be equipped with appropriate equipment, in particular, fixing belts. In the cabin of the car, the patient can be accompanied to the stretcher in the limbs, belt, chest at the level of the axillary depression. The use of such fixation measures during the transportation of the patient is also permissible in cases where this measure is forced due to the patient's condition (comment on Article 30 of the Law).

Upon arrival, the hospital should inform the personnel of the reception unit on the peculiarities of the state of the patient representing the danger; In the necessary cases assist the personnel of the reception office.

Clothing of employees psychiatric brigades There should not be hampered by movements, there should be no solid objects in the pockets, which may cause injury when immobilizing the patient.