Reformers and scientists who ignore the opinion of practicing doctors and the All-Ukrainian Association of Children's Psychiatrists, want to reduce to a minimum the hospital beds for mentally ill children.
This was stated by the children's psychiatrist of the highest category, a member of the board of the All-Ukrainian Association of Children's Psychiatrists Olga Gulenko, the former head of the department of younger children of the Kyiv City Clinical Psychoneurological Hospital No. 1.
"And at the same time (cut) and free assistance, and redirect the flow of patients to an outpatient reception with paid rehabilitation services." As the department remains, a stream of patients from all over Ukraine will continue to flow to the unique center, "the doctor said.
She stressed that the need for treatment in a hospital can not be underestimated: "In a hospital, a child will undergo a more detailed examination than in an outpatient network." The average duration of treatment in a hospital is 28 days, which makes it possible to observe the child for a long time and make a more accurate diagnosis. Close attention is easier to identify and dangerous trends, for example, latent aggression.The effectiveness and quality of the selection of treatment is increasing, as the doctor monitors the dynamics of the medications every day. Dosages will be selected more successfully, and recommendations can be given after discharge for several months in advance, if it is necessary to continue treatment, and will be sent to the treatment and control commission to solve social problems. "
Gulenko also noted that "there is no need to demonize the hospital, as some experts have done over the past decade." According to her, "they do not chain anyone with chains and are not stuffed with drugs."
"When I was working in the department of younger children, the children, who were difficult to adapt, were accompanied by mothers, parents came to visit children, they took them home for the weekend, they spent a lot of time in the open air (there is a children's playground in the department), in the playrooms equipped with the efforts of patrons ... Parents stopped being afraid of the word "psychiatrist", the number of appeals to us increased from year to year. There were, of course, those who tried to solve the issue formally: here is the money, make me an extract that we have been treated. To it is the result ?! " says the psychiatrist.
"No one has studied the issue of why ambulatory care is beginning to develop in a psychiatric hospital because the hospital is being funded as a hospital and outpatient treatment is for the outpatient service." Over the past two to three years, the head physician has added many new rates to the rehabilitation department. Severe hospital patients were not followed, "Gulenko noted.
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