Basic principles of the new organization model treatment and rehabilitation process on the basis of the Moscow city center border psychiatry are presented. The results of comparative studies currently existing organizational approaches to the system of restorative treatment of patients with neuroses are shown. The basic disadvantages of existing coordination schemes and new features of the physicians and psychotherapists are revealed. The management of patients on the basis of structural model of the brigade is described. Purposeful use of qualification clinical psychologists and better interaction with other relevant specialists are an advantage of proposed model. Effectiveness of psychiatric and psychotherapeutic care for patients with borderline psychiatric disorders was found to be more 42% compared with traditional model, which didn’t allow to optimal use hospital beds as well as medical staffs. Improvement of the treatment and rehabilitation process by reducing the period of stay on sick leave at 30% also confirm the effectiveness of a new structural model in the psychiatric clinics. Economic advantage proves the necessity of wide introduction in practice the boundary psychiatry of the proposed scheme of cooperation of specialists.
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