Debatable positions of DSM-V and new forms of the organization of the psychiatric help for patients with endogenic mental disorders

Diagnostics of schizophrenia at early stages represents significant difficulties. In this connection authors of the article express their opinion about diagnostic section «Attenuated Psychosis Syndrome» including in DSM V, which is remaining to be most debatable and suggest to pay greater attention prodromal symptoms of schizophrenia which in a number of scientific publications are considered within the limits of a psychosis risk syndrome However the existing fragmentation in activity of medical institutions in rendering the psychiatric help complicates duly carrying out of necessary diagnostic and therapeutic actions at early phase of mental disorders that demands a creation of new forms of the psychiatric help. One of them could become a complex «a round-the-clock hospital (with the open doors) - a day time hospital» which, in turn, can exist within the limits of the Mental Health Center functioning in structure of V. M. Bekhterev Psychoneurological Institute, where patients at a stage of preillness could address, being observed in the further, in case of need, and at the other stages of mental disorders. Such form of the organization of psychiatric unit will promote specification of criteria for different stage of schizophrenia spectrum disorders including Attenuated Psychosis Syndrome of DSM-V as allows to organize patient’s treatment process by one doctor at various stages of disease, that allows to avoid a various estimation of a condition at supervision of the patient by doctors of different psychiatric units.

комплекс «круглосуточный стационар (с открытыми дверями) , a complex «a round-the-clock hospital (with the open doors) , дневной стационар», аттенуированные психотические состояния ( синдром ослабленного психоза), продромальные проявления шизофрении, синдрома риска психоза, a day time hospital, attenuated psychotic states, prodromal symptoms of schizophrenia, psychosis-risk syndrome

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