Background: сhild psychiatry is essential for preventing adult mental diseases, due to the timely detection of a disease and the initiation of treatment. Thus, the choice of the optimal model of care and the corresponding transformation of the service are important. This work should be preceded by the study of current perceptions of the service and the prospects for its development among specialists and representatives of patients.The purpose: to study representatives’ expectations and fears related to the service, as well as to investigate the current needs of the professionals and their readiness for the service reform in Moscow.Material and methods: 657 district child psychiatrists and employees of clinical departments of children mental hospital in Moscow, and 361 consumers of the service filled in paper questionnaires on October 7–10, 2019.Results: neither the specialists nor the consumers have a general idea for the service development in Moscow. The professionals are more likely to consider their own field of work as a priority for development. The patient representatives expressed a wish for expanding service availability (including its territorial basis), while only 8% advocate the development of outpatient care as a priority. 49% of the specialists see a child as a main recipient of care, and 29% consider a family as a main recipient. 76% of the specialists found it difficult to answer the question about the existence of rules for interaction with a family. The experts consider the main request of a child as “condition stabilization” (85%), while the children themselves do not think in such categories. The myths about the service among the health workers and general population are similar, with the population expressing fears about being “registered” if they seek psychiatric help. At the same time, the loyalty of mental health specialists is comparable to the average in Moscow, primarily due to the high assessment of the staff.Conclusion: the study revealed a number of the related issues which are important to consider when reforming the service.

Background. The well-being and safety of health workers in a pandemic situation is recognized by the World Health Organization as a priority area of research and practice. Most of the materials postulate the presence of anxious, depressive experiences in workers who have direct contact with patients infected with COVID-19, and those who do not have such experience. Aims to study the features of the experience of the situation related to COVID-19, among the staff of the Center n.a. G.E. Sukhareva to improve the quality of specialized care for children. Methods. The study took place on May 1820 2020, was continuous and voluntary all employees were asked to fill out an anonymous questionnaire in paper or online format. The developed authors questionnaire included several blocks containing questions about: 1) changing attitudes towards patients and colleagues; 2) emotional experiences in connection with COVID-19; 3) ways to cope with a pandemic; 4) received social support; 4) attitude to finance. Results. Participants in the study were 380 employees (psychiatrists, clinical psychologists, nurses, educators, non-medical staff) of the Center n.a. G.E. Sukhareva, divided into two groups: working directly with patients with COVID-19 (115 people) and those without this experience (265 people). The data obtained allows us to talk about the differences between the two groups. Clinical observational staff have an increased desire for peer support, a greater focus on collaboration and team input, and positive expectations for the administration. The leading motivation in making a decision to work with COVID-19 was the attitude of duty 25.4% emphasized the particular importance of their activities. Management decisions in a situation of limited time and human resources were made; this decisions aimed at managing internal and external communications, enhancing the professional component in an interdisciplinary team and preventing burnout. Conclusions. A number of timely personnel, administrative, organizational and financial decisions aimed at improving the adaptation of medical workers to the situation of the COVID-19 pandemic allow specialists to continue working in a well-coordinated team and provide patients with care in accordance with the highest standards.

Introduction In the context of the Covid-19 pandemic, healthcare workers experienced significant distress. At the same time, concern for the safety and well-being of employees remained important priorities to ensure the quality of care for children with mental illness.ObjectivesTo study the specifics of the experience of the Covid-19 pandemic among employees of a children’s psychiatric clinic, highlight the existing among them attitudes about the pandemic and form administrative decisions to improve the quality of care for children.Methods380 employees voluntarily took part in the study (group 1 (G1): 115 people who worked directly with Covid-19 and group 2 (G2): 265 people without this experience) from 05/18/2020 to 05/20/2020. The author’s questionnaire included the following blocks: 1) attitude towards patients and colleagues; 2) emotional experiences; 3) ways of coping; 4) social support; 4) finance.ResultsThe main motive when deciding to work with Covid-19 was the motive of professional duty (25.4% of participants). There are a number of significant differences between group 1 and group 2: participants in G1 are characterized by denial of special experiences associated with Covid-19, seeking help from colleagues in difficult working conditions, reliance on family members and a positive vision of administrative decisions significantly more than participants G2. Relatives of G1 participants are less concerned about their future and health.ConclusionsThe personnel decisions made on the basis of the research allowed the clinic’s team to provide quality care to children and families throughout the pandemic.