CURRENT STATE OF PSYCHIATRIC SERVICE IN THE REPUBLIC OF BELARUS

Objective. Presentation of the current state of the psychiatric service in Belarus (2020—2021).

Materials and methods. The forms of state statistical reporting (form 1-psychiatry (Ministry of Health)) and data provided by the regions were analyzed.

Results. In 2021, the provision of psychiatrists-narcologists was 0.7 per 10 thousand of the population; psychotherapists — 0.3 per 10 thousand of the population; psychologists — 0.5 per 10 thousand of the population. The standard for providing the population of the republic with psychiatric beds has been achieved in most regions. The total number of places in psychiatric day care units increased by 0.5 % from 2020 to 2021.

Growth was noted: primary and general incidence of mental disorders (by 9.4 % and 2.8 %, respectively); primary and general disability due to mental disorders (by 16.0 % and 3.8 %, respectively). The largest contribution to the growth of these indicators was made by the children’s population. The share of disabled people of groups I and II in 2021 amounted to 81.3 % for primary disability and 89.3 % for general disability.

Against the backdrop of preventive measures, suicide mortality has decreased since 2016 (from 21.5 per 100,000 population in 2016 to 15.9 per 100,000 population in 2021). Belarus has moved into the category of countries with an average level of suicides (according to the WHO scale — less than 20 cases per 100,000 population).

Conclusion. For the psychiatric service of Belarus, it is important to fulfill the following tasks: strengthening human resources, implementing measures to preserve the mental health of the adult and child population while ensuring the quality of care, ensuring the early detection of mental and behavioral disorders, and continuing to implement measures to prevent suicide.

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Автор(ы): A. V. Khodzhayev, T. S. Golubeva, Yu. M. Kaminskaya, Yu. A. Chumakov, A. V. Kopytov