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Introduction. Good compliance of patients with schizophrenia is an objective criteria of psychiatrist`s work effectiveness. However often there is a vicious circle: lack of patient`s insight causes refusal of therapy and without therapy according to opinion of many doctors insight is not achievable. In order to break this vicious circle the technique of operated compliance was developed. Objective-assessment of effectiveness of an operated compliance technique. Hypothesis: First several months after the mental illness diagnosis the compliance is the highest since patient's family members mobilize all available resources to maintain «status quo». Noncompliance results from family's disappointment in therapy, the expected effect from which, doesn't correspond to the actual Timely involvement of the family during this period allows to bypass lack of patient's insight and helps to establish continuous supportive therapy. Materials-100 patients first diagnosed with schizophrenia: 50-experimental group, 50-control group (had conventional inpatient and outpatient treatment). Length of observation 18±4 months. Methods-clinical-psychopathological, sociological. Endpoints: number of re-admissions, drug compliance, number of disabilities, family's satisfaction. Results

Introductionapplication of the evidence-based medicine in psychiatry undoubtedly is a basis of successful treatment of schizophrenia and emergence of new psychopharmacological data strengthens it. However noncritical perception of progress in psychopharmacology makes understanding of strategic objectives of schizophrenia’s treatment very oversimplified.Objectiveto define a position of psychiatrists about role of psychopharmacotherapy in structure of schizophrenia’s treatment at outpatients.Materials100 psychiatrists of an outpatient-clinic, medical documentation (of 570 outpatients with schizophrenia).Methodsthe standardized analysis of medical documentation; the structured interview which defined: the knowledge of psychiatrists about neurolepticssubjective criteria of neuroleptic choicethe doctor’s purposes in treatment of the outpatient with schizophrenia.set of the therapeutic techniques applied by the doctor.Results100% of doctors have basical knowledge about neuroleptics; 20% declared direct dependence of efficiency of shizophrenia’s treatment on “right choice” of preparation. In 80% of cases more critical relation to pharmacotherapy was defined, borders of its application were outlined, but only 15% confirmed these words in practice, using psychopharmacotherapy as ONE of instruments of treatment, equally with psychoeducation etc. Other's treatment consisted in “suitable” preparation or medicinal combinations searching; psychoeducation included only informing about medicine.ConclusionThe tendency of substitution of the concept “treatment", as process of compensation (or restoration) the patient's premorbid status, by the concept “choice of the preparation with the proved efficiency” is traced in practice. Selection of the instrument of treatment turns into the treatment’s purpose that involves limitation of medical tactics and negative consequences for patients.