Modern hospitals are quite safe and generally try to help the sick. Large hospitals separate patients by age and severity of condition. In general, in the department of neuroses, for the most part, there are adequate ordinary people. In the acute department there can be tough things.
They stay in the hospital from a week to two months (very rarely longer). If you are hospitalized at your own request, you can be discharged at any time! Read the law on psychiatric care in Russia.
About medications. We can talk about medications for a long time, I’ll write in detail sometime, but briefly: almost all antidepressants and tranquilizers cause addiction, but it’s quite possible to get off them! Medicines do not cure anxiety, or depression, or delirium, they relieve an acute condition and help you come to your senses so that you can figure out with a more or less fresh mind how you will continue to save yourself (spoiler: psychotherapy). Patients with severe diagnoses often take medications throughout their lives (schizophrenia, MDP, resistant depression). Patients with less dire diagnoses take antidepressants the longest (from three months, usually a year). Medicines sometimes work right away (lucky ones), usually they are selected, changed, and the dose is adjusted - this is very individual.
In the first week in the hospital, you will most likely be pumped full of antipsychotic drugs and you will sleep a lot, this is useful, the brain reboots and rests. Closer to discharge, your dose will be reduced and many will come out quite cheerful!
I think that being treated in a hospital is a good option:
- There is an opportunity to sleep as long as you like.
- There is no need to worry about daily matters.
- Medicines are selected by observing the dynamics every day, this is convenient for the doctor and you.
- You don’t need to buy different drugs and waste money on unsuitable ones in the end; after discharge, buy only what is definitely suitable.
- You will be examined by related specialists and will take blood and urine tests.
- A mental hospital is an existential place, you will think about life in a new way.
- It is possible to visit a psychotherapist for free.
I'll name the downsides:
- Almost always there are really bad living conditions: toilets have no doors and people smoke in them, the food is not tasty, leaving the territory is limited (you need permission to leave from a doctor), sharp objects and razors are strictly prohibited in the acute department, in the neurosis department they are issued upon request. medical post.
- Hospitalism is an addiction to doctors and the hospital regime; patients may begin to fear being left without the supervision of doctors.
- Stigmatization is when a label is attached that a person who has been treated by a psychiatrist, much less spent time in a hospital, is a psycho, abnormal, not like that. Often the patient himself begins to consider himself as such - this is self-stigmatization.
Notable Features:
- There are no forks and knives in the dining room, so as not to provoke intrusiveness or aggressive actions.
- All doors (except the doors to the wards) are opened with a special key, which only the staff has.
- Doctors make rounds once a week: a group of doctors walks through the wards and talks with each patient, this is a whole event for patients and nurses.
- You can contact your doctor at any time if you find one. Some doctors even give you their phone number and you can chat with them on WhatsApp about your symptoms.
- Medicines are taken on time, lining up, like in the movies.
- You can go for walks with the doctor’s permission, you can see relatives, you can use telephones (but not in all departments).
About the worst:
- Patients are not turned into zombies; large doses of drugs simply suppress activity and attention, but with decreasing dosages, activity returns.
- Psychotropic medications are not drugs, although they can cause addiction, like many other medications (blood pressure reducers, for example). Many patients have withdrawal syndrome, but it can be tolerated and the condition returns to normal.
- Some patients who are particularly resistant to drugs are given electroconvulsive therapy (ECT), where a current is sent to the brain. But it is not painful (anesthesia) and not dangerous, certainly not more dangerous than suicide from depression. I know people who have had these procedures and they are fine!
- No one will report to your work that you were treated in a mental hospital or a psychiatric hospital, unless the entry on the sick leave sheet gives you away.
How things work in a psychiatric hospital
— I am in a psychiatric hospital with depression. There are many people here with the same diagnosis. There is a huge aquarium in the corridor. The girl from the next room buried her face in him, was silent for a long time and said: “Fish... ******** [good] for you, fish,” - this is how Tatyana begins her story.
This tweet received more than 11 thousand likes and reposts and inspired the girl to create a whole thread about treatment in a psychiatric hospital - in the department of nervous disorders.
The first stereotype that Tatyana debunks concerns safety. No violent patients or straitjackets like in the movies.
- It's safe here. Everyone on my ward suffers from depression and anxiety. All sad, but not dangerous. There was only one case in a month when a dude was kicked out of the men's ward for masturbating on his neighbors. Apparently, he was jealous of the success of their therapy,” writes Tatyana.
The second stereotype is that treatment for depression in a clinic necessarily costs a fortune. Actually this is not true. The state pays for a month of hospital stay.
— I am at the institute named after. Bekhterev in St. Petersburg. The first visit to a psychotherapist is free of charge. If he says that you need to go to bed, you can choose paid hospitalization or budget. I'm on a budget. The state pays for a month of stay. While you are in the hospital, everything is free. Further visits to the doctor are paid, says Tatyana
But the food, as in many Russian hospitals, is very bad. But it's free.
“The food here is simply terrible.” It's impossible to eat. Make some friends before you come here. So that someone would bring normal food,” writes Tanya.
The third stereotype is that you cannot use technology and leave the territory. Actually this is not true. Tatyana emphasizes that the conditions of hospitalization depend on the diagnosis.
— They don’t take away equipment here. Visits are allowed every day. You are not put in a straitjacket. You are free to leave the area. We have depression, not schizophrenia. We want to kill ourselves, not others. Everyone understands that if you take away our phones, we will do it even faster,” Tatyana writes. “It’s quiet, calm and unbearably boring here.” So before you go to bed, subscribe to Netflix and load up on books. Then you will say thank you.
But the place where the hospital is located really does not contribute much to recovery.
— It’s very gloomy on the hospital grounds. Bare trees, gray buildings with bars, a huge pile of crows. Through their croaking one can hear: “You are a nonentity.” Force yourself to get out into the city at least once a week,” the girl writes.
Find a convicted person through the police department
Of course, if you want to find out where the convicted person is sitting, you can simply contact the nearest police station.
Only close relatives and lawyers can find out the address of the prison where the convicted person is sitting through the police department.
So, in order for law enforcement officers to meet you halfway and provide information about his whereabouts, you need to provide documents confirming your relationship. They will also need:
- Prisoner's passport details;
- Criminal case number;
- Date of arrest.
Based on the information received, they will send a request to the internal database of all prisoners and will be able to provide you with the prisoner's identification number and the address of the prison where he is serving his sentence.
How is treatment and therapy carried out?
Many people do not understand what therapy looks like in a public clinic. Firstly, this is working with a psychotherapist.
- In a hospital, surrounded by depressed people - how will this help? Here you work with a psychotherapist every two days. The tablets are free here. You don’t have to look for money, which is also very reassuring. It’s better to treat yourself under the supervision of doctors while surrounded by sad people than to get drunk surrounded by happy people,” says the girl.
Secondly, this is drug treatment.
— Pills do not destroy your personality. During depression, you don’t even have the strength to get out of bed, let alone go to therapy. Pills don't cure depression. Pills are needed to artificially support a person. To have strength for therapy. It's like a depressive Theraflu. It simply relieves symptoms,” says Tanya.
At the same time, serious work is being done inside a person; defeating depression is not so easy.
— The brain resists therapy. For him, stopping suffering after years is a way out of his usual comfort zone. You will hate the psychologist and everything around you. The brain will convince you: “Brothers, we don’t need this. Let's get out of here, they won't help you. It's soft here at the bottom. Brother-a-a-n.” This relationship is long lasting. You need to know this and adjust yourself. Therapy is work. It will take years. Every day is a struggle. Constant struggle. It is very difficult not to give up. But this life is worth it,” the girl shares.
The girl admits that therapy has changed many of her attitudes.
— When delving into yourself, be prepared to lose yourself. This is scary. Your world will turn upside down. For example, I realized that all my life love = suffering. I fell in love with those who offended me. And for me, suffering and self-sacrifice = comfort. I realized with horror that I knew nothing about happiness or love. Oddly enough, postulates that contradict themselves coexist in the brain. You should only delve into this together with your doctor. You’ll be blown away by your ambivalence,” Tanya shares.
The girl urges anyone who suspects depression to be thoroughly examined.
— Take all the tests, examine your body. Nothing fuels depression like illness.
And if therapy does not help, then you need to be more careful in choosing a doctor.
— Not all doctors are professionals. First of all, they are people. You may not be able to communicate with them. If you initially don’t have the slightest sympathy for the doctor, or after a long time you realize that nothing is changing at all, change the doctor, Tanya advises.
The girl advises not to deny your illness, but to find help and support as quickly as possible.
- Don't be afraid to talk about your feelings. You pay money to be listened to. Don't deny your condition. Don't listen to your friends. Denying the existence of depression is like denying HIV. People are dying because of her. If you think you have it, immediately go to a psychotherapist. Don't be afraid to go to the doctor! I am alive now only thanks to the timely intervention of doctors. Thank you,” the girl sums up.
Repurchase of databases
There are several more options for the development of events. Information about citizens' criminal records is kept by law enforcement agencies. The data is collected in a special database. Using it, you can at any time obtain up-to-date information about when and for what a particular suspect was convicted.
Some people prefer to buy databases of the Ministry of Internal Affairs of the Russian Federation. Then resellers look for the information they are interested in based on the suspect’s last name, first name and patronymic. It is advisable to know where the person is registered. This will make the process much easier. Information about the age of the potential offender will also be useful.
Such an offer can be considered illegal. Repurchase of databases is a violation of Russian legislation. Therefore, resorting to this method of solving the problem is not recommended.
Moreover, the proposed method for bringing an idea to life is not always reliable. Data on criminal records is updated daily. And therefore, the database reseller runs the risk of acquiring outdated information. In this case, the citizen will simply spend money, and quite a lot of it.
Mental hospital from the inside
Hello boys and girls. Let's talk about mental hospitals. What do we know about them? There is a lot of information, but it is wildly distorted, passing through the prism of stereotypes existing in society. There are many stereotypes, and their sources are different - from snatches of other people's conversations to Hollywood films. I decided to try to dispel some of them, fortunately I know the situation from the inside - now I am a psychiatrist, and in my student years I worked part-time in a mental hospital as an orderly and then as a nurse. So aware on different levels.
Self-ordering a certificate
Let us study in more detail the procedure for obtaining police clearance certificates. This is a fairly simple operation that anyone can come across. Regardless of whether you have a criminal record, the process will follow the same principles.
First of all, we will consider a personal appeal to the registration authorities. In such circumstances, the applicant will need:
- Fill out an application for a certificate of good conduct or its availability.
- Prepare a number of papers, without which obtaining documentation will be impossible. Usually this is a passport and registration certificates.
- Contact the Ministry of Internal Affairs, the police or the MFC with pre-prepared statements.
- Take a certificate at the agreed time, which will indicate the information we are interested in.
- As practice shows, the process does not cause any difficulties. Especially if the person has no criminal record.
Important! If you do not have a passport, you must attach any other identification document. Otherwise, the service will be denied.
People end up in a mental hospital forever
This is partly true, now I will explain why. Chronic patients (experienced schizophrenics, organic patients) can go to bed ten times a year, and often go to bed of their own free will. Patients end up in the same department each time (according to their registration), they have a familiar atmosphere there, even friends, the medical staff knows them, and in general, they feel calmer there than in society. Therefore, it turns out that they spend almost their entire lives in a mental hospital. In general, doctors have hospitalization periods, a plan for those treated for the month, etc. It is not practical to keep a patient for longer than the prescribed period, and it is not necessary - paperwork begins. If you want to treat for more than a month, convene a commission, have your boss sign it, etc. From experience, I will say that more than a month is usually not required - the patient can continue treatment on an outpatient basis. So on average it’s about a month and they’re discharged; doctors don’t need extra hemorrhoids
Anyone can end up in a mental hospital
There are subtleties. For example, your neighbor doesn't like you. He calls an ambulance and says that you are inadequate, you throw yourself at people, you talk to yourself. In most cases, the ambulance will not pick you up, because you will behave adequately with them. But if he is very convincing, and even asks his friends to fit in, and the emergency doctor is suggestible and inexperienced, he might give you a ride. The next stage is the admissions department. Everything is simple here - you refuse hospitalization and that’s it. Yes, the emergency department doctor can involuntarily hospitalize you for a short time, but to do this you must pose a danger to yourself or others. If you can’t imagine, then you refuse and go home to hang a cradle for your neighbor. The reception doctor will only be happy - there will be less paperwork without you. If there is a zombie sitting in the emergency department, taking everyone around him at their word and not seeing beyond his own nose, while being dumb as a plug, then there is a possibility that, contrary to common sense, you will still be hospitalized. Next is the department. There are also doctors in the department. You write a statement and check out. There are no questions here. Another thing is that the doctor cannot discharge you without a diagnosis - the rules are as follows. But in such a case (if the doctor sees that there is a healthy person in front of him and he got here by mistake), there are a lot of soft diagnoses (accentuation of personality traits, neurasthenia, etc.) that will not affect his subsequent life. Thus, anyone can fall into a fool, but for this to happen, so many unlikely circumstances must coincide that such cases become exclusively a theory. Although this happens, of course.
Behavioral factors
How to find out if a person has been in prison? The next method is to conduct an analysis of citizen behavior.
Some claim that a person who has served time changes his speech. You can come across phrases like “baby”, “lawlessness”, “starring” and so on. Sometimes people not only begin to use prison slang, but also completely lose their speech literacy.
The behavior of those convicted may vary. Some behave extremely aggressively and assertively. This behavior can scare and alienate almost anyone.
Some believe that a previously convicted person will avoid eye-to-eye contact and behave warily and very carefully. Those sitting appear anxious and nervous. Such changes are clearly visible in the company of men.
Important! The methods proposed up to this point for determining criminal records cannot be called reliable. After all, appearances and behavior are deceiving. Therefore, you often have to look for reliable, documented information.
A mental hospital is a scary place where people are turned into vegetables/zombies/controllable
Not true. Thanks to the cinema for this stereotype. I won’t say that a mental hospital is a joyful place with fairies and pink ponies, it’s a depressing place. But this is first and foremost a hospital. Standard departments - corridor and wards. Yes, the wards often have no doors, but these are ordinary wards with beds and bedside tables. The number of chambers varies, but there is always an observation chamber (sometimes two). This is where the first thing the guys in an exacerbation go (in fact, the most mentally ill ward). This room is the farthest from the exit; there will be barred windows and a sanitary post at the exit. There are no bedside tables - only beds. The beds are iron, armored, with mattresses covered with oilcloth (it’s clear why). It will come as a surprise to many, but there are no straitjackets in the madhouses for a long time. And even more so in rooms with soft walls. There are harnesses (bundles, belts - they are called differently in each locality), very strong tourniquets, which actually fix the especially violent to this very iron bed. Each orderly knits in his own way; there is no universal technique. Soft fixation (that's what it's called) occurs only with the approval of a doctor (this is shown in the documentation - it is prescribed as a medicine). When the severity of psychosis subsides, the patient is transferred to any other ward, and a fresh patient is put in his place. In closed psychiatric wards, patients cannot freely leave the ward (there are only rare exceptions), the guys from the observation room can only walk to the toilet and back (most often this is a couple of meters). So, apart from the observation room, everyone is very calm - playing cards, watching TV, in short, just like in a regular hospital.
Methods for obtaining data
How to find out if a person has been in prison? This can be done in different ways. And each person chooses how to receive the relevant data.
Today, you can pay attention to the following methods for solving this problem:
- contacting law enforcement agencies;
- analysis of a person's appearance;
- assessment of citizen behavior.
After all, a person can simply ask the “suspect” what is bothering him. True, this alignment is not always reliable. No one is immune from deception.
Teaching is light
Orderlies, according to the Unified Qualification Handbook approved by the Ministry of Health and Social Development, can perform a variety of jobs: from cleaning the premises to bathing seriously ill patients. Therefore, they are often confused either with cleaners or with nurses. But unlike the former, orderlies are included in the group of junior medical personnel. This allows them to qualify for a reduced work week and additional vacations on an equal basis with other medical staff. At the same time, unlike nurses, orderlies bear significantly less responsibility for their work and may not have knowledge in medicine. Formally, to enter this position, only secondary general education is sufficient.
The Russian Ministry of Education and Science proposed to change the situation and presented a draft order according to which orderlies would have to receive vocational education. The duration of training would be determined by the specific program. But neither the program nor the order ever saw the light of day, so for now employers are figuring out the selection criteria on their own. Previously, for convenience, they divided the vacancy into several components. For example, a cleaning aide and a patient care aide. Now the need for them is gradually disappearing. Firstly, because hospitals prefer to use cleaning companies. Secondly, because the rate is divided among other employees. For example, special patient transportation companies have now taken up the problem of transporting patients. They are on duty for days in different departments of the medical institution. Patient care was given to nurses.
Formally, it is impossible to say that this caused the workload on staff to exceed the norm. If there is a sufficient number of personnel, employees will simply begin to perform the full list of duties that are prescribed in the Unified Qualification Handbook approved by the Ministry of Health and Social Development. Most of the responsibilities of orderlies, according to this document, overlap with the tasks of other employees or even duplicate them.
For example, the housewife provides the unit with the necessary household equipment, detergents, and linen for the sick. Nurse - receives equipment and linen from her, “ensures their proper storage and use.” The younger nursing sister changes the bed linen and underwear of patients, transports seriously ill patients, and keeps the room clean. Nurse - cleans bedside tables after each meal, accompanies patients to offices, helps them wash, cleans rooms and baths. And yet, in many hospitals where patients need constant care and attention, for example, psychoneurological ones, they are not yet ready to give up orderlies. Who gets into these positions?
MENTAL HOSPITAL DOCTORS
When orderlies become featured in the news, most often they talk about beatings, bullying, and violations of the rights of patients. Workers are fired and put on trial, but the abuses continue. Izvestia found out why this is happening and what is included in the official duties of orderlies.
How to find out where a person is serving his sentence - check where he was sent to serve his sentence
Decisions about transfers are made either by the Minister for Justice and Equality or, on his or her behalf, by officials working in the operational department of Prison Service Headquarters. A transfer order will then be prepared and addressed to the governor of the prison to which the person is being transferred, setting out details of the sentence the person is serving or, if necessary, the length of pre-trial detention. The Prison Service will make every practical effort to reduce a prisoner's exposure to public opinion when he is removed from or into prison.
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A female prisoner's child may be taken into prison to facilitate breastfeeding until the child is 12 months old. The baby cannot be removed from its mother until a medical professional confirms that it is in good condition to be removed. (It will be interesting to read and know: Imprisonment for organizers of financial feasts and how investors can get their money back)
- Open any search engine (Google, Yandex, Rambler or something else - according to the user’s taste).
- Enter the known information of the convicted person.
- Look at the output.
- Follow the links and see what specific information is on this site.
- Regular search engines . By entering all the available information about a person into them, you can sometimes get a link to a database with information about the place where he is serving his sentence. Information can be leaked illegally - plus the prisoner himself may not object to information about him being published. The disadvantage of this method is that it is almost never possible to know how true the information is.
- Correctional Institutions Websites . Sometimes, with the consent of prisoners, information about persons held in a particular colony is posted on them. However, this option is not very common.
- Emails to correctional colonies and other FSIN institutions located in a specific district. However, scans of documents confirming kinship may be required here: if information about prisoners in a colony can be given out, it can only be given to relatives.
Teaching is light
Right to callThe Ministry of Labor will figure out whether it is possible to prohibit residents of mental institutions from talking on the phone and receiving visitors
Orderlies, according to the Unified Qualification Handbook approved by the Ministry of Health and Social Development, can perform a variety of jobs: from cleaning the premises to bathing seriously ill patients. Therefore, they are often confused either with cleaners or with nurses. But unlike the former, orderlies are included in the group of junior medical personnel. This allows them to qualify for a reduced work week and additional vacations on an equal basis with other medical staff. At the same time, unlike nurses, orderlies bear significantly less responsibility for their work and may not have knowledge in medicine. Formally, to enter this position, only secondary general education is sufficient.
The Russian Ministry of Education and Science proposed to change the situation and presented a draft order according to which orderlies would have to receive vocational education. The duration of training would be determined by the specific program. But neither the program nor the order ever saw the light of day, so for now employers are figuring out the selection criteria on their own. Previously, for convenience, they divided the vacancy into several components. For example, a cleaning aide and a patient care aide. Now the need for them is gradually disappearing. Firstly, because hospitals prefer to use cleaning companies. Secondly, because the rate is divided among other employees. For example, special patient transportation companies have now taken up the problem of transporting patients. They are on duty for days in different departments of the medical institution. Patient care was given to nurses.
Photo: Depositphotos The work of doctors will be standardized by 2019. The proposed rules will be advisory in nature.
Formally, it is impossible to say that this caused the workload on staff to exceed the norm. If there is a sufficient number of personnel, employees will simply begin to perform the full list of duties that are prescribed in the Unified Qualification Handbook approved by the Ministry of Health and Social Development. Most of the responsibilities of orderlies, according to this document, overlap with the tasks of other employees or even duplicate them.
For example, the housewife provides the unit with the necessary household equipment, detergents, and linen for the sick. Nurse - receives equipment and linen from her, “ensures their proper storage and use.” The younger nursing sister changes the bed linen and underwear of patients, transports seriously ill patients, and keeps the room clean. Nurse - cleans bedside tables after each meal, accompanies patients to offices, helps them wash, cleans rooms and baths. And yet, in many hospitals where patients need constant care and attention, for example, psychoneurological ones, they are not yet ready to give up orderlies. Who gets into these positions?