Background. The trend of recent years is a steady increase in mental illness among the population. according to the statistics of the ministry of health of the russian federation, mental disorders were classified as socially significant diseases in russia in 2018. Thus, the absolute number of patients with a first-time diagnosis of a mental disorder who applied for counseling and treatment in the Russian Federation in 2018 was 379818, which is 3.4% more than in 2017. [20,21,22,23,24] the number of patients with a first-time diagnosis of " mental disorder (except for diseases related to the use of psychoactive substances)" taken under dispensary observation in the republic of mordovia in the same year was 35.5 per 100,000 population. In addition, mental illnesses are in third place among disabling diseases, second only to malignant neoplasms and diseases of the circulatory system. In the structure of repeated disability by class of diseases, this group of diseases is 9%, and the lion's share falls on people of working age. Thus, there is a steady increase in mental illnesses, as well as disability due to them [1], [3]. The question arises of the need to study the patterns of disability formation in order to further develop theories and concepts of ways to protect human health, prevent disability, assess the rehabilitation potential and prognosis, develop rehabilitation measures that improve social adaptation and integration of patients in the family and society. The aim- study of the patterns of disability formation due to organic mental disorders in the Republic of Mordovia, taking into account age characteristics and severity of disability, which is important for the development of comprehensive measures for the prevention of morbidity, early diagnosis and rehabilitation of this group of people. Materials and methods. The analysis included information from the statistical collections of Rosstat and approved forms of state statistics No. 7-sobes for 2019. The data of all first-time persons recognized as disabled due to mental disorders in the Republic of Mordovia for 2014-2019 on the basis of the ITU information base for the Republic of Mordovia are analyzed using a continuous method. Results. Having analyzed the data of all first-time persons recognized as disabled due to mental disorders in the Republic of Mordovia for 2014-2019 on the basis of the ITU information base for the Republic of Mordovia, it was concluded that a significant place in the structure of disability is occupied by organic mental disorders. The percentage of people with organic mental disorders among those first recognized as disabled 18 years and older over the past five years is significant and stable, ranging from 20.1 (in 2017) to 25.1 (in 2014). In the structure of patients who were diagnosed with disability with this diagnosis, there is a predominance of repeated patients over primary ones (by 23.6 %), and it should be noted that this pathology is more common in men (71% of the total number of persons (or in the population) with the above diagnosis). Patients with both primary and re-recognized disabilities with a diagnosis of "Organic mental disorder" were more often assigned to the third group of disability (62% of cases among primary, 57.4% among repeated). Also, the third group of disability prevails regardless of the patient's gender. The study of age-related features of disability due to organic mental disorders in the Republic of Mordovia in 2019 showed that organic mental disorders are most often found in the working-age population. In addition, the proportion of young people (from 18 years to 44 years) is high, it is 59.2% for men, 50% for women. Conclusions. Given the steady increase in mental illness and disability as a result of it, it is necessary to study the theories and concepts of medical and social expertise and rehabilitation of patients suffering from mental disorders. The role of fundamental and applied research in the field of medical and social expertise and medical and social rehabilitation is significant in order to create ways to protect human health, prevent disability, and develop factors that improve social adaptation and integration of patients in the family and society. in order to develop such concepts, it is necessary to study the structure of disability, the patterns of formation, and the peculiarities of the influence of age and gender factors.

This article presents the analysis of the dynamics of primary morbidity and prevalence of psychic disorders among the adult and children´s population of the Republic of Mordovia, according to registration form № 12 “Information about diseases, registered on the territory medical service organization" and to registration form № 30, "Information on the activities of the hospital". The list of possible causes and regularities of the dynamics of mental morbidity was identified. It is established that the level of mental disorders of non-psychotic character from 2007 to 2011, is higher by 1.5 times in the region than the average for the Russian Federation. There are breaches of the principle of continuity of outpatient and inpatient psychiatric services. The number of patients with first time diagnosed mental illness, taken on clinical supervision in the Republic of Mordovia, is lower by 2 times than in Russia on average. The authors note that the high level of neurotic in the region indicates a social determinism of non-psychotic mental disorders.

Background. Disability is one of the most important medical and social problems. According to the latest data, more than 1 billion people in the world are disabled according to WHO data in 2016, more than 1.9 billion adults aged 18 and older were overweight, of which more than 650 million were obese (11% of men and 15% of women). According to WHO, it is expected that children with obesity will increase to 70 million by 2025. Obesity in early childhood it is most severe and less treatable, and can also lead to serious complications: hypertension, diabetes, metabolic syndrome, and other diseases. The aim: we believe that the study of the population of disabled people due to various diseases with obesity in various nosologies is important for the development of comprehensive measures for the prevention of morbidity, early diagnosis and rehabilitation of this group of people. Materials and methods. We conducted a comprehensive study of children with the status of disabled child and initially examined in the ITU Bureau No. 4 for the Republic of Mordovia. The study group included overweight and obese children with various diseases. Information from the statistical collections of Rosstat and approved forms of state statistics No. 7-Sobes for 2019 were also included. Results. In 2019, 1065 children were examined in 4 bureaus of the ITU RM; of these, 730 children were examined to determine the category of disabled child, which was 68.5% (first: 262; 35.9%, second: 468; 64.1%). The largest proportion of children recognized as disabled for the first time is young children from 0 to 3 years (45,2%). In the structure of primary disability of this age category, congenital malformations account for 31% (28 people out of 90). The proportion of disabled people in the age category from 4 to 7 years is 16.5%. The proportion of disabled people in the age group 15 years and older is 9.5%. The first place is occupied by diseases of the endocrine system (42.1%), the second by diseases of the musculoskeletal system (26.3%). The largest number of patients with primary examination are obese with disorders of neuromuscular, skeletal and movement-related (statodynamic) functions ― 10 children (5%); with disorders of the cardiovascular system ― 8 children (4%); and disorders of the endocrine system ― 7 children (3.5%). When re-examining children with various pathologies, the ranking places are occupied by violations of the same functions ― neuromuscular (6.1%), cardiovascular (3.7%), endocrine (2.5%). In other persistent disorders of body functions, there are also obese patients in both groups, but their number is very small. Conclusions. When monitoring for 20182019, we see an increase in the number of obese children with various functional disorders. Most often, obese children recognized as disabled are found in groups with impaired statodynamic and cardiovascular functions, most likely this is due to restricted movement. And such patients are recommended to follow the principles of a healthy diet more carefully, no matter what aggravates the existing condition. And thus, in a short time to carry out all the necessary rehabilitation measures and in some cases reduce the period of disability.

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