Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева (Jul 2018)
The basic model of the organization of psychiatric services, implemented in pre-revolutionary Russia
Abstract
The article describes the features of formation of mental health services during the prerevolutionary period in Russia. Evidence-based models of the organization of psychiatric services had been developed and implemented after the Zemstvo reform (1864) and the reform of municipal government (1870). Different concepts of the organization of mental health services had been developed and implemented in various regions of the country. Features of «Moscow», «St. Petersburg», «Zemsky» and «Ministerial» models primarily were determined by socio-economic characteristics of regions and scientific understanding of the organizers. The diversity and success of different models suggest the possibility of using the experience of the organization of mental health services in the development of concepts of modern mental health services.
