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Background. The use of psychoactive substances among the population of different countries of the world, in particular in Ukraine, is one of the most significant medical and social problems of our time. The situation is even more threatening due to not only the mental and behavioral consequences of the use of surfactants, but also somatic. These comorbid disorders are severe and sometimes complete with mortality, especially in adolescence, young or adult age. In the view of modern medical reform in Ukraine, family doctors have a wide range of professional functions at the primary level of medical care, which determines the provision of qualification assistance to the contingent under review in full. Until recently, there are no scientific and practical standards on this important topic in the country. Objective – determination of criteria for psychological, clinical and instrumental and laboratory methods for diagnosing the use of surfactants in somatic patients in family medicine practice. Materials and methods. With the help of clinical-anamnestic, psychodiagnostic, clinical-psychopathological and instrumental-laboratory methods, 220 somatic patients (men – 54%, women – 46%) who use psychoactive substances visited by a family doctor were examined. The study was conducted on the basis of the Center of Primary Health Care in Kiev, during 2017-2018. Results. On the grounds of the presented diagnostics, in particular, the developed 4-step specific and quantitative use of various psychoactive substances, the ratio of the nature of psychoactive substances and their somatic consequences was found by medical evidence for the most common pathogenicity profiles: cardiovascular, gastrointestinal, and respiratory. Age, gender and follow-up indicators are presented. Conclusion. Clinical-anamnestic, socio-demographic, psychodiagnostic, clinical-psychopathological, instrumental and laboratory criteria for the characteristics of patients with comorbid pathology (use of surfactants with somatic consequences) were determined. Diagnostic psychocorrectional and preventive measures of this category of patients in the practice of family medicine are indicated.

Background. Today our state pays considerable attention to health issues and the introduction of innovative health-preserving technologies. Of course it is the trend of deteriorating health of young people, increasing the incidence of socially dangerous diseases, including tuberculosis and HIV / AIDS, mental disorders. This increases in morbidity is due to the spread of well-known risk factors, including smoking, alcohol abuse and drug use, especially among young people. At the same time, the problem of commitment of Ukrainian students to the values of health and a healthy lifestyle remains one of the most important tasks of the educational process in the educational environment of higher education and Ukrainian society as a whole. Objective – optimization of preventive technologies of the educational process of higher education on the basis of psycho-correctional assistance to this contingent. Materials and methods. The identification of the risk group was made using the indicators of AUDIT-like tests, the values of which were in the range of 16-19 points, conditionally represented the risk group for the development of addictions. Results. The research according the indicators and forms of aggression showed that people with who use psychoactive substances tried to show their personal traits, characterized by the presence of destructive tendencies in interpersonal relationships, aggressive behavior of psychological characteristics manifested by such traits, as fear of public disapproval, irritability, tendency to see hostility in others actions, the conviction of addicts that they can not be masters of their own destiny, the tendency to feel shame and guilty in many situations. Helplessness, dependence, the need for help from the side of others, the desire to solve the problem of dependence “with other people’s hands” were also revealed. It was established that one of the dominant features of the person of addicts is infantilism, which is presented in impulsiveness, egocentrism and dependence on other people. Conclusions. Thus, in general, the proposed system of psychological correction provided the opportunity to obtain a high and lasting effect – to adequately change the stereotype of psychoactive substances, to eliminate emotional and volitional disorders, to improve social adaptation in 55 (33,6%) of students who used psychoactive substances.

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