Демография России (сайт посвящён проф. Д. И. Валентею)

Russia's chief psychiatrist urges greater focus on mental health

ITAR-TASS Moscow, 15 November:

Альфред ХичкокEvery year 7.5 m Russians or nearly 5 per cent of the population seek psychiatric help or turn to substance-abuse experts, Russia's senior psychiatrist, Tatyana Dmitriyeva, told the 14th Congress of Russian Psychiatrists today. She acknowledged at the same time that "we don't currently know the real number in need psychiatric help".

In this connection Dmitriyeva instructed congress delegates to undertake appropriate research. "On average the people who come to our clinic have spent a year and a half with undiagnosed depression or a year with undiagnosed neuroses," she added. Dmitriyeva said that psychiatric disabilities account for 10 per cent of the disabled total [disabled total -- это что за рыба?].

In particular, Dmitriyeva noted the problem of psychiatric dysfunction among the working population. For every 1,000 workers in the gas industry, for instance, 232 have mental health problems [в комитете директоров Газпрома -- 75% (по данным sentinel surveillance), про 100% государственные учреждения лучше и не вспомнать]. This is the highest figure for industry, she said. In second place is the chemicals industry where 225 people were found to have problems. Economic losses because of mental health problems amount to 0.4 per cent [то-есть, практически ацуцвуют] of GDP every year, she noted. Dmitriyeva also stressed that psychiatry accounts for a mere 10 per cent of overall health spending, a figure that is twice as high in most countries of the world.

In order to remedy the situation, the chief psychiatrist believes, it is essential to increase access to psychiatric help at the primary level and to develop its provision outside of hospitals. She also spoke in favour of the "need for private psychiatry in Russia". Dmitriyeva also urged public organizations to focus on the problem, saying "they play an unacceptably small role" [и ни копейки не попросила из бюджета, да, серьёзная ментальная проблема].


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