[The influence of premorbid personality traits on the formation of borderline mental and psychosomatic disorders in retired combatants].

Objective: To identify the influence of premorbid personality traits on the borderline mental (BMD) and psychosomatic disorders formation in combatant pensioners of the Ministry of Internal Affairs (MIA) of Russia.

Material And Methods: The study included 186 male MIA pensioners in the Kirov region aged 34-64 years (mean 46.5±5.

[Areas for the provision of mental health care to retirees of the Russian Ministry of Internal Affairs.].

With the aim to study trends in the provision of psychiatric care to pensioners, the Ministry of internal Affairs (MIA) of Russia in the framework of the implementation of the concept of departmental mental health services conducted a solid analysis of the state of mental health 111 pensioners of MIA, who seek medical assistance in the Center of Mental Health (CMH) across the Kirov region in the period from February to November 2018. All respondents were divided into two groups: the 1st - 56 persons with mental disorders (average age of 59,3+1,3 years), the 2nd - 55 people with before painful mental health disorders (average age from 59,9+1,1 years). Clinical examination and analysis of medical records were carried out.

[Organization of psychiatric assistance to pensioners of the Ministry of internal affairs of Russia.].

For the purpose of systematization of the directions of rendering psychiatric help to pensioners of law-enforcement bodies (OVD) of the Russian Federation with mental disorders, the analysis of the existing normative legal acts regulating psychiatric examination of employees of Department of internal Affairs of the Russian Federation at dismissal on retirement and attachment on medical care in departmental healthcare institutions is carried out. It is shown that the provision of specialized psychiatric and psychotherapeutic assistance to pensioners of internal Affairs of the Russian Federation is carried out mainly in the municipal health care system, there is no monitoring of the mental state of pensioners of internal Affairs of the Russian Federation, including combatants with post-stress disorders. Within the framework of the project Of the concept of development of the psychiatric service of the Ministry of internal Affairs of Russia, it is proposed to systematize approaches to the organization of psychiatric care for pensioners of the Ministry of internal Affairs of the Russian Federation with mental disorders in the structure of departmental health care, with the improvement of the regulatory legal framework for the organization of psychiatric care, which will ensure the provision of high-quality psychiatric care.

[Analysis of catamnesis combatants and pensioners of the Ministry of internal Affairs with mental disorders].

We analysed catamnesis of combatants and pensioners of the Ministry of internal Affairs (MIA) of Russia, dismissed in connection with the presence of mental disorder impeding further passage of service. It is shown that within three years after the dismissal of the combatants noted the negative clinical dynamics of mental state with a disability, the formation of a concomitant alcohol dependence. They have expressed social problems as divorce, do manual work low-skilled or do not work, which requires improved approaches to providing them with medical psychological and social assistance, with regular observation.

[Effectiveness of the medical-psychological rehabilitation of combatants].

To analyze treatment effectiveness, authors examined 199 combatants during the first days and in 1.5 month after their return from combat zones. Stages and content of medical-psychological rehabilitation, including psychopharmacotherapy and psychotherapy, are described.