| Hygiene of populated places | ISSN: 2707-0441 eISSN: 2707-045X |
Issue 73, 2023 - Pages: 156-165
RELEVANCE OF THE DEVELOPMENT OF THE LAW "ON PSYCHOLOGICAL AND PSYCHOTHERAPEUTIC ASSISTANCE TO THE POPULATION OF UKRAINE" TO CREATE CONDITIONS FOR THE PREVENTION OF MENTAL DISORDERS IN THE POPULATION DURING THE WAR AND POST-WAR PERIOD
N.S. Polka,1, V.M. Makhniuk1, V.V. Chorna2, Î.À. Serebrennikova2, V.V. Makhniuk1
1 STATE INSTITUTION “O.M. MARZIEIEV INSTITUTE FOR PUBLIC HEALTH” NAMSU
2 NATIONAL PIROGOV MEMORIAL MEDICAL UNIVERSITY
2 NATIONAL PIROGOV MEMORIAL MEDICAL UNIVERSITY
ÓÄÊ: 616-008:159.96/7:616.89:342
SUMMÀRY:
According to the Ministry of Health, as a result of a full-scale war in Ukraine, one in five people will have serious mental injuries, and one in ten - psychosomatic disorders of medium and severe degree. About 7.7 million internally displaced Ukrainians need psychological counselling, and 3-4 million need pharmacological treatment, these numbers are constantly increasing due to the continuation of the war. In Ukraine, psychological services function in a number of branches and state institutions separately from each other: education, emergency services, the Ministry of Internal Affairs, the penitentiary system, medicine, social services, etc. In view of the existing threat to the mental health of the population, there is a great need to coordinate all these institutions into a single link of psychological assistance to the population of Ukraine by creating a corresponding draft law, which determined the relevance of our research.
The purpose of the work is the analytical study of legislative and regulatory national and international experience in the field of mental health care and the development of the draft Law of Ukraine "On psychological and psychotherapeutic assistance to the population in Ukraine" to create conditions for the prevention of mental disorders in the population in the war and post-war period.
The object of the study was current domestic legislative documents and was based on a systematic approach and analysis of the current legislative framework and its harmonization with international requirements in the field of mental health protection of the population. The work used a complex of general scientific and special research methods: bibliosemantic, theoretical, analytical.
Research results and their discussion. In the course of research, the state of provision of conditions for providing psychological and psychotherapeutic assistance to the population in Ukraine was analysed and it was established that such conditions do not exist, and there is no corresponding Law of Ukraine. Current laws and orders of various institutions indicate that such a service exists for certain groups of contingents of the population. The developed Law of Ukraine "On psychological and psychotherapeutic assistance to the population in Ukraine" updated the very paradigm of providing psychiatric care, namely the creation of conditions for the prevention of mental disorders of every citizen, and not the concentration of attention only on inpatient treatment, which corresponds to the concept of the state target program of mental health care. of Ukraine for the period until 2030.
Conclusions:
1. As a result of a comprehensive study of the current national legislation and international experience to preserve and improve the mental health of the population of Ukraine by creating psychological and psychotherapeutic assistance to the population at the current stage, a project of the Law "On psychological and psychotherapeutic assistance to the population in Ukraine" has been developed, which is proposed to the Verkhovna Rada of Ukraine. profile committee for consideration and subsequent adoption.
2. The new model of providing psychological/psychotherapeutic assistance to improve the mental health of the population of Ukraine using an interdisciplinary (multidisciplinary) approach developed by us within the framework of the said draft law needs to be implemented on the ground.
The purpose of the work is the analytical study of legislative and regulatory national and international experience in the field of mental health care and the development of the draft Law of Ukraine "On psychological and psychotherapeutic assistance to the population in Ukraine" to create conditions for the prevention of mental disorders in the population in the war and post-war period.
The object of the study was current domestic legislative documents and was based on a systematic approach and analysis of the current legislative framework and its harmonization with international requirements in the field of mental health protection of the population. The work used a complex of general scientific and special research methods: bibliosemantic, theoretical, analytical.
Research results and their discussion. In the course of research, the state of provision of conditions for providing psychological and psychotherapeutic assistance to the population in Ukraine was analysed and it was established that such conditions do not exist, and there is no corresponding Law of Ukraine. Current laws and orders of various institutions indicate that such a service exists for certain groups of contingents of the population. The developed Law of Ukraine "On psychological and psychotherapeutic assistance to the population in Ukraine" updated the very paradigm of providing psychiatric care, namely the creation of conditions for the prevention of mental disorders of every citizen, and not the concentration of attention only on inpatient treatment, which corresponds to the concept of the state target program of mental health care. of Ukraine for the period until 2030.
Conclusions:
1. As a result of a comprehensive study of the current national legislation and international experience to preserve and improve the mental health of the population of Ukraine by creating psychological and psychotherapeutic assistance to the population at the current stage, a project of the Law "On psychological and psychotherapeutic assistance to the population in Ukraine" has been developed, which is proposed to the Verkhovna Rada of Ukraine. profile committee for consideration and subsequent adoption.
2. The new model of providing psychological/psychotherapeutic assistance to improve the mental health of the population of Ukraine using an interdisciplinary (multidisciplinary) approach developed by us within the framework of the said draft law needs to be implemented on the ground.
KEYWORDS:
Draft law, psychological and psychotherapeutic assistance, conditions for prevention of mental disorders, international experience, war and post-war period.
REFERENCES:
1. [The war in Ukraine and its consequences for the mental health of the nation]. [Voice of Ukraine]. 2022 June 8. Ukrainian. Available from: http://www.golos.com.ua/article/361064
2. [Law of Ukraine "On Approval of the Decree of the President of Ukraine "On the Introduction of Martial Law in Ukraine" N 2102-IX dated February 24, 2022]. Ukrainian. Available from: https://zakon.rada.gov.ua/laws/show/2102-20#Text
3. [The Constitution of Ukraine of 1996 (as amended in 2019)]. Ukrainian. Available from: https://zakon.rada.gov.ua/laws/show/254%D0%BA/96-%D0%B2%D1%80#Text
4. Chorna VV, Makhniuk VÌ. Comparative characteristics of the conditions of stay and socialization of patients with psychoneurological pathology in Ukraine and the Poland Republic. Challenges and achievements of medical science and education: Collective monograph. Riga, Latvia: Baltija Publishing. 2020:383-411. doi: https://doi.org/10.30525/978-9934-26-024-7-19
5. [Order of the Ministry of Education and Culture of Ukraine "On approval of the Regulation on psychological service in the education system of Ukraine" dated May 22, 2018 No. 509]. Ukrainian. Available from: https://zakon.rada.gov.ua/laws/show/z0885-18#Text
6. [Order of the Ministry of Internal Affairs of Ukraine "On approval of the Procedure for organizing the system of psychological support for police officers, employees of the National Police of Ukraine and cadets (students) of higher education institutions with specific training conditions that train police officers" dated April 4, 2019 No. 88]. Ukrainian. Available from: https://zakon.rada.gov.ua/laws/show/z0348-19#Text
7. [Order of the Ministry of Internal Affairs of Ukraine "On approval of the Regulation on psychological support in the National Guard of Ukraine" dated December 8, 2016 No. 1285]. Ukrainian. Available from: https://zakon.rada.gov.ua/laws/show/z0080-17#Text
8. [Order of the Ministry of Health of Ukraine "On approval of the Procedure for the use of methods of psychological and psychotherapeutic influence" dated April 15, 2008 No. 199]. Ukrainian. Available from: https://zakon.rada.gov.ua/laws/show/z0577-08#Text
9. [Resolution of the Cabinet of Ministers of Ukraine "On approval of the Regulation on the Ministry of Health of Ukraine" dated March 25, 2015 No. 267]. Ukrainian. Available from: https://zakon.rada.gov.ua/laws/show/267-2015-%D0%BF#Text
10. [Resolution of the Cabinet of Ministers of Ukraine "On Amendments to the Regulations on the Ministry of Health of Ukraine" No. 90 dated February 19, 2020]. Ukrainian. Available from: https://zakon.rada.gov.ua/laws/show/90-2020-%D0%BF#n10
11. [Letter of the Ministry of Education and Culture of Ukraine "On methodological recommendations "First psychological aid. Algorithm of actions" dated 04.04.2022 No. 1/3872-22]. Ukrainian. Available from: https://mon.gov.ua/ua/npa/pro-metodichni-rekomendaciyi-persha-psihologichna-dopomoga-algoritm-dij
12. [Letter of the Ministry of Education and Culture of Ukraine "On providing psychological support for participants in the educational process in the conditions of martial law in Ukraine" dated April 29, 2022 No. 1/3737-22]. Ukrainian. Available from: https://mon.gov.ua/ua/npa/pro-zabezpechennya-psihologichnogo-suprovodu-uchasnikiv-osvitnogo-procesu-v-umovah-voyennogo-stanu-v-ukrayini
13. [The Law of Ukraine "On Psychiatric Care" of 2000 No. 1489-III (with changes that will take place on January 1, 2024)]. Ukrainian. Available from: https://zakon.rada.gov.ua/laws/show/1489-14#Text
14. Imerelli RE, Kazachynska KP, Moysa BS, Shum SS. [Rights of persons with mental health problems. Observance of human rights in psychiatric hospitals]. Analytical report of the Ukrainian Helsinki Union on Human Rights. Ukrainian Helsinki Union for Human Rights. Kyiv: KYT. 2016. 64 p. Ukrainian.
15. Chorna V, Makhniuk V, Yurchenko S, Serdiuk Ye, Nazarenko V. [Influence of architectural planning decisions on sanitary and hygienic conditions of work of medical workers, patients of psychiatric hospitals]. Young scientist. 2020;1(89):20-7. Ukrainian. doi: https://doi.org/10.32839/2304-5809/2021-1-89-5
16. [Law of Ukraine "On Amendments to Certain Legislative Acts of Ukraine Regarding the Provision of Psychiatric Care" of 2017 No. 2205-VIII]. Ukrainian. Available from: https://zakon.rada.gov.ua/laws/show/2205-19#Text
17. [Order of the CMU "On approval of the Concept of the state target program of mental health care of Ukraine for the period until 2030" dated December 27, 2017. No. 1018]. Ukrainian. Available from: https://zakon.rada.gov.ua/laws/show/1018-2017-%D1%80#Text
18. Chorna VV. Measures to improve the provision of psychological and psychotherapeutic assistance to the population of Ukraine and EU countries. Innovative ways of improving medicine, psychology and biology: collective monograph. Boston: Primedia eLaunch. 2023:132-66. Available from: https://isg-konf.com/innovative-ways-of-improving-medicine-psychology-and-biology doi: https://doi.org/10.46299/ISG.2023.MONO.MED.2
19. [SBR B.2.2-10:2022. Health care facilities. Substantive provisions]. Ukrainian. Available from: https://zakon.rada.gov.ua/rada/show/v0278914-22#Text
20. [Resolution of the CMU "On Amendments to Certain Acts of the Cabinet of Ministers of Ukraine Regarding the Electronic Health Care System" dated February 9, 2022 No. 100]. Ukrainian. Available from: https://zakon.rada.gov.ua/laws/show/100-2022-%D0%BF#Text
FOR CITATION:
Polka NS, Makhniuk VM, Chorna VV, Serebrennikova ÎÀ, Makhniuk VV. [Relevance of the development of the law "on psychological and psychotherapeutic assistance to the population of Ukraine" to create conditions for the prevention of mental disorders in the population during the war and post-war period]. Hygiene of Populated Places. 2023;73:156-65. Ukrainian.