Nowadays, the regional psychiatric service is a main structured part of the mental health care system in Russia. The development of psychiatric service at the present stage is intended to contribute meaningfully to achievement of the goals of National projects:»Health Care» and «Demography». At the same time, abilities of Russian psychiatric service in mental health protection field are limited. Today, psychiatric service is lacking resources for social assistance for the patients, is unable to do psychoprophylactic and psychohygienic work, including work for vulnerable groups. At the present time, the development of the Russian mental health protection system is widely discussed among experts.The draft of the Regional mental health care system development plan that is proposed by the authors of the article has been designed according to the characteristics of St. Petersburg, the region of the Russian Federation. The European mental health action plan (The Plan of the WHO) served as the basis for development of the thesis. The document contains a preamble, a main objectives section, a conclusion and an appendix. The justification for the development of the mental health care, based on the adapted provisions of the Plan of the WHO, domestic approaches and other informational materials, is provided in the preamble. The next section contains 4 objectives that are the most relevant for the region. Each objective has a plan of the key activities with a clarification regarding which otganisations are responsible for executing it. The activities are summarised in tables and are presented in the appendix. The material is published in reduced form.

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Metacognitive functioning is the basis of the individual’s ideas about his ability to build relationships with other people and manage own’s social behavior. Deterioration of metacognitive functioning in schizophrenia patients, presumably due to neurocognitive deficiency and other manifestations of the disease, probably contributes to disruptions of social functioning and quality of life. The aim of this study was to assess the metacognitive functioning (MF) of patients with paranoid schizophrenia, operationalized as a cognitive ability to understand their own and other people’s emotions, and to explore the connection between social functioning (SF) and quality of life (QOL), as well as to establish logical relationships between MF with clinical indicators and socio-demographic characteristics of patients. In a sample of 300 patients with paranoid schizophrenia (age from 18 to 50 years, disease duration of at least 5 years, a total PANSS score of less than 120), MF was assessed using the Lyusin emotional intelligence test (EmIn) and the subjective assessment of interpersonal relationships (SOMO) test. Cognitive deficit was verified using a standardized battery of a Brief Assessment of Cognition in Schizophrenia (BACS). The indicators obtained using the quality of life questionnaire for schizophrenia patients (QOL-SM) and the social functioning scale (PSP) were used to create an integrated indicator that comprehensively assesses SF and QOL of schizophrenia patients (Factor B). Reliable associations of this factor with indicators obtained using the Emin method (p<0.05), SOMO (p<0.001), the PSP scale, the QOL-SM questionnaire, the BACS and PANSS scales, and also with a number of clinical-dynamic and socio-demographic characteristics were established. Significant relationships between the parameters of MF, SF and QOL were obtained, and logical relationships between MF, neurocognitive deficiency and other clinical manifestations of schizophrenia were established.

Aim. Multi-level evaluation by case-control method of social, sociocultural and behavioural risk factors of HIV-infection spread among male migrant workers arriving to Russia from near abroad countries. Materials and methods. Interviews of migrants, that had appealed for medical examination for work permit, were carried out for detection of risk factors. Results of interviewing of 191 migrants with HIV-infection (case group) and 190 migrants without HIV-infection (control group) were analyzed. Methods of descriptive statistics and logistical regression were used for the analysis. Results. Factors, related to dangerous sexual behavior, were leading in development of HIV-infection. Furthermore, HIV-infected migrants had inferior work and accommodation conditions, lower salary, lower subjective health evaluation, became object of xenophobia more frequently and had more previous travels into the receiving country. Factors, that reduce risk of infection and spread of HIV-infection, were detected: HIV-infection awareness, adherence to religion and legal requirements of the receiving country. Advantages and disadvantages of surveying during detection of HIV-infection risk factors are discussed. Conclusion. The same risk factors of HIV-infection spread are significant in the population of migrant workers as in the indigenous population. Factors specific for migrants, that facilitate infection spread, were also established. HIV prophylaxis system among migrants should be based on prevention and correction of risk factors detected in the study and enhancement of factors, that cause preventive effect.

The aim of the study was to develop a new valid psychometric diagnostic tool for a multi-factor social network assessment of schizophrenic patients, called «The structural assessment of the social network of schizophrenic patients». The new development is based on the social network analysis model elaborated by S. L. Phillips (1981) and translated into Russian by Gurovich I. Ya. et al. (2007). The authors of this article additionally developed an algorithm for assessing the activity of patients on social networks of the Internet. Reducing non-informative variables and conducting a confirmatory factor analysis in a sample of 265 observations of schizophrenic patients (F20.0) aged from 18 to 55, recruited in four medical organizations (145 patients admitted to the hospital and 55 outpatients), resulted in determining a four-factor structure of the patients’ social network: «Objective parameters», «Internet activity», «Emotional aspect of social support» and«Reciprocal support». The method has demonstrated high internal and external validity, as well as applicability in the clinical practice in schizophrenia due to the low resource consumption and compact applicability. Measurable factor indicators of the patients’ social networks obtained by using the structural assessment of the social network of schizophrenic patients allow to determine the targets for psychocorrectional interventions and to increase the effectiveness of psychosocial rehabilitation. In addition an automated method for calculating final indicators has been developed, as well as manual, practical recommendations and corresponding printed forms.