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MENTAL DISORDERS (OL) AND BEHAVIORAL DISORDERS (RP), THEIR MEDICAL AND SOCIAL SIGNIFICANCE

Class V (ICD-10), encrypted - F 00 - F 99.

Mental health (mental health) - a dynamic process of mental activity, which is characterized by the determinism of mental phenomena, the harmonious relationship between the reflection of circumstances of reality and the individual's attitude to it, the adequacy of the body's response to social, psychological and physical (including biological) conditions of life due to the personality’s ability to control behavior , plan and implement your life path in a micro- and macro-social environment.

Sexual health - the ability to satisfy sexual relationships and to realize the reproductive function of the body.

Significance.

• prevalence

2002 RB - 1.6% of all newly diagnosed diseases;

- 1.3% of the total population of the Republic of Belarus had mental disorders;

- in the structure of morbidity they occupied 8th place, but among adolescents - 5th place;

- the growth of borderline conditions of PR, people with deviant behavior, including in children and adolescents;

- persons with deviant (difficult) behavior — health risk group: prostitutes, drug addicts, drug addicts, alcoholics, persons with sexual disabilities, persons with mental health and behavior deformities;

- the beginning of the 90s Chernobyl: 70% of children in tight control zones among the resettled need outpatient psychological correction;

- soreness is 10 times more than the incidence;

- not all patients with PR are subject to follow-up, and involuntary hospitalization is limited> the actual level of pain is higher;

- The increase in the primary incidence of PR in Belarus since 1990. to 2002 1.3 times (pain decreased 1.1 times).

- according to WHO, 10–15% of the population of economically developed countries of Western Europe and North America are sick, 6–9% of the population of developed countries of Asia (Japan) and Oceania, 2.5–5% of the population of developing countries.

• A low mortality rate contributes to the "accumulation" of PR.

• PR - one of the most important causes of disability in adults - up to 6% (RF), in children - 2-3rd place to 19%.

• PR entail large economic costs.

• PR cause great social damage because they change relationships

- a person to life (a person cannot lead a decent social life)

- man to himself

- person to family

- person to society

- family to person

- society to man (society "stigmatizes" patients with PR)

• The course of the disease determines the medical and social consequences for a person, family, society (transient - acute stress disorders, periodic, long-term).

• Psychiatric care can be used for non-medical purposes, thereby harming the health, human dignity, rights of citizens, the prestige of the state.



Conditionality

PR - classic social diseases (tuberculosis, sexually transmitted diseases).

WHO - biological, psychological, social factors.

Biological (lifestyle, environment affects them):

- genetic predisposition (in childhood, PR and RP are associated with congenital and hereditary pathology);

- biochemical measurements.

Psychological:

- features of personality, character;

- type of nervous system.

Social:

- family conditions: (incomplete, conflicts, parents drinking, harshness, lack of attention, etc.)

- school conditions: adolescents experience the effects of intense socialization of personality and active physiological restructuring> socio-psychobiological crisis> high frequency of behavior disorders from increased conflict and anti-discipline to illegal actions (prostitution, vagrancy, suicides, etc.
among minors)> lack of social adaptation> deviant behavior> PR and RP.

Low mental health of children and adolescents:

- worsens the quality of life and social opportunities;

- threatens the development in the future of severe mental and psychosomatic pathology, more disturbed social adaptation;

- leads to a high level of antisocial behavior of youth (increase in drug addiction, alcoholism, prostitution, crime, etc.)

- indirectly hinders social stabilization and economic recovery of the state.

- conditions of society: socio-economic crisis> 1. Prolonged psycho-emotional and social stress (according to Yuryev V.K. to 70% of the population of the Russian Federation), lower living standards, uncertainty and uncertainty in the future, decrease in opportunities for social development. 2. The system of moral values ​​and education (emotional availability of alcohol, drugs) is deformed. 3. State policy (its declarativeness and lack of implementation regarding alcohol consumption, low prices, 30% of psychoses — alcoholic etymology). 4. Health system policy (reduction of compulsory treatment - LTP, honey detoxification).

- the factorial nature of a person’s way of life: disorganized leisure, unsatisfying work, domestic disorder, drugs: satisfaction of curiosity, involvement, imaginary harmlessness, avoiding problems. No isolated addict> appropriate environment.
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MENTAL DISORDERS (OL) AND BEHAVIORAL DISORDERS (RP), THEIR MEDICAL AND SOCIAL SIGNIFICANCE

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