The History of Territorial Psychiatric Hospitals in Russia.

The establishment of district psychiatric hospitals in the Russian Empire in the second half of the 19th-early 20th century is one of the most important stages in the development of domestic psychiatry. In fact, it was the first experience in the design and construction of psychiatric hospitals as large specialized autonomous complexes aimed not only at isolation of patients, but also at therapy of their condition. The idea of building such institutions was suggested by reality itself: city houses for the mentally ill under the jurisdiction of provincial and then zemstvo authorities were overcrowded, but there was a lack of specialized doctors, since psychiatry in Russia in the first half of the 19th century was only beginning to gain scientific prestige.

[Analysis of the dynamics of repeated admissions of patients to inpatient compulsory treatment in Moscow].

Objective: To explore the dynamics of admission of patients for repeated compulsory treatment to a medical setting providing general and specialized psychiatric care.

Material And Methods: The dynamics of admission of patients for repeated compulsory treatment in the «Moscow Psychiatric clinical hospital No5» for the period 1991-2019 was analyzed based on medical records of two groups of patients: the main group (=1325) and the comparison group (=15 100).

Results And Conclusion: Over the past 5 years, there is a decrease in repeated admissions of patients to compulsory treatment who have committed a new socially dangerous act.