Mental disorders are a major public health problem in our country and the world from the perspective of prevalence, burden of illness and disability. There is strong evidence of the effectiveness of treatment, rehabilitation and care of patients with mental disorders and concomitant diseases. Modern biopsychosocial model of psychiatric care to patients reflects the integration of medical, psychological and social aspects and requires a multiprofessional approach. Psychosocial therapy and psychosocial rehabilitation in a greater number of psychiatric institutions are an integral component of treatment and rehabilitation process. Pharmacotherapy, added psychosocial therapy with the introduction of methods of psychotherapy allows to find the greatest fulness, the integrity, the effectiveness of the treatment process. The article presents the experience of a psychiatric day hospital GBIH "Regional K.K. Evgrafov Psychiatric Hospital” in Penza to conduct psychosocial and psychotherapeutic rehabilitation of patients with schizophrenia, describing new opportunities to work with patients with this nosological group, the expansion of the boundaries of the professions of psychiatrist and clinical psychologist.
psycho-social therapy and rehabilitation, bio-psycho-social approach, rehabilitation, schizophrenia, psychiatric day hospital.
1. Butoma B.G., Aristova T.A. Primenenie telesno-orientirovannykh metodov psikhoterapii v kompleksnom lechenii bol´nykh endogennymi psikhicheskimi rasstroystvami. Obozrenie psikhiatrii i meditsinskoy psikhologii. 2012. № 3. S. 81.
2. Bazhin E.F., Volovik V.M., Karvasarskiy B.D., Murzenko V.A., Tonkonogiy I.M. O rabote metsitsinskogo psikhologa v psikhiatricheskikh i psikhonevrologicheskikh uchrezhdeniyakh. Metodicheskie rekomendatsii. Leningrad, 1976. S.3.
3. Vid V.D. Psikhoanaliticheskaya psikhoterapiya pri shizofrenii. SPb: Piter, 2008. S. 8.
4. Volchkova T.F. Differentsirovannye reabilitatsionnye programmy dlya patsientov dnevnogo statsionara, stradayushchikh shizofreniey. Sotsial´naya i klinicheskaya psikhiatriya. 2011. T.21, №4. S. 36.
5. Gurovich I.Ya., Shmukler A.B., Storozhakova Ya.A. Psikhosotsial´naya terapiya i psikhosotsial´naya reabilitatsiya v psikhiatrii. M.: MEDPRAKTIKA-M, 2007. 47 s.
6. Oleychik I.V. Shizofreniya i endogennye zabolevaniya shizofrenicheskogo spektra (informatsiya dlya patsientov i chlenov ikh semey). M., RAMN, Nauchnyy tsentr psikhicheskogo zdorov´ya, 2005.
7. Organizatsiya raboty dnevnykh statsionarov po ranney reabilitatsii psikhicheski bol´nykh. Metodicheskie rekomendatsii Minzdrava RSFSR. Leningrad, 1981.
8. Polozhenie o dnevnom statsionare № 1, 2 dlya lecheniya psikhicheski bol´nykh oblastnoy psikhiatricheskoy bol´nitsy im. K.R. Evgrafova. Penza, 2010.
9. Ponomarev S.V. Reabilitatsiya kak metod mediko-psikhologicheskoy pomoshchi pri psikhicheskikh rasstroystvakh shizofrenicheskogo spektra. Aktual´nye problemy psikhologii. Sbornik nauchnykh trudov Instituta psikhologii im. G.S. Kostyuka NAPN Ukrainy. 2010. T.3, №7.
10. Praktikum po psikhosotsial´nomu lecheniyu i psikhosotsial´noy reabilitatsii psikhicheski bol´nykh (vtoroe izdanie) / po redaktsiey I.Ya. Gurovicha, A.B. Shmuklera. M.: ID «MEDPRAKTIKA-M», 2007. 76 s.
11. Aristova T.A., Butoma B.G., Kotsyubinskiy A.P., Akimenko M.A. Primenenie telesno-orientirovannykh metodov dlya lecheniya bol´nykh nervno-psikhicheskimi rasstroystvami: posobie dlya vrachey i psikhologov. SPb.: SPb. nauch.-issl. psikhonevrol. in-t im. V.M. Bekhtereva, 2008. 54. s.
12. Psikhicheskaya samoregulyatsiya. Pervyy tematicheskiy sbornik nauchno-prakticheskikh rabot po probleme «psikhicheskaya samoregulyatsiya». Alma-Ata, 1973. S. 121, 190.
13. Tsennykh N.S., El´tekova E.V., Gayvoronskaya E.B. O sostoyanii reabilitatsionnoy raboty v sostave poliprofessional´nykh brigad. Voronezh, 2008.
14. Yalom I. Statsionarnaya gruppovaya psikhoterapiya. M.: Eksmo, 2011. S. 50-51.
