Abstract

The aim of the study was to determine the stages of treatment and rehabilitation for combatants of the Ministry of Internal Affairs (MIA) having borderline mental disorders (CPD). Methods. Data from 653 case histories of combatants who attended the center for psychophysiological diagnostics of the medical and sanitary department of MIA in the Kirov region were obtained. Follow-up information on mental health four years after the execution of operational and service tasks under special conditions was analysed in two groups. The first group consisted of 338 mentally healthy combatants who received no medical or psychological support. The second group consisted of 315 individuals with CPD and who received treatment. Means and confidence intervals were calculated for continuous variables. Critical level of statistical significance was 0.05. Results. The proposed system with a multi-professional approach to the rehabilitation of combatants in the context of a departmental, general health care institution allows the optimal level of restoring of social functioning in a peaceful environment. Conclusion. We propose to establish special units for mental health in regional health facilities of the MIA health system with the introduction of multiprofessional therapy and medical rehabilitation of combatants with CPD followed by social rehabilitation with participation of educational and veteran organizations of MIA.

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