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Video: Cancer Patients Do Not Go To Neuropsychiatric Dispensaries - They Do Not Have The Strength To Do It
Cancer patients do not go to neuropsychiatric dispensaries - they do not have the strength to do it
Moscow is going to close the city's only psychotherapy department for cancer patients at the hospital. the Bakhrushin brothers. A petition on change.org against the decision has already garnered more than 105,000 signatures. Oncopsychology has long been the standard of care for patients in Europe and the United States. This standard is approved by WHO in the document "National Cancer Control Programs".
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In Moscow, the city's only psychotherapy department for cancer patients was under threat of closure. A petition on change.org against the decision has already garnered more than 105,000 signatures. Oncopsychology has long been the standard of care for patients in Europe and the United States. This standard is approved by the World Health Organization in the document "National Cancer Control Programs".
In a small department of psychotherapy specializing in the care of cancer patients of the GKB named after. The Bakhrushin brothers, consisting of a psychotherapist and two psychologists, provide free assistance to 300 patients every month. These are people with severe neuropsychic, often latent, disorders: from an acute reaction to stress to suicidal tendencies and social maladjustment.
No money left
In early November, the hospital's management decided to close the psychotherapy department that has been successfully operating here for 24 years. The department is being liquidated in agreement with the Moscow Health Department on the basis of lack of money to finance the service: payment for its work is not included in the compulsory medical insurance tariffs.
However, despite the fact that psychotherapeutic assistance is not included in the compulsory medical insurance system, financial support for the work of psychologists and psychotherapists is still provided. The Territorial program of state guarantees for free provision of medical care in the city of Moscow for 2018 and for the planning period of 2019 and 2020 stipulates that specialized medical care for behavioral disorders should be funded from the city budget. However, in the hospital. Bakhrushins' funding from the non-poor city budget for this type of aid has ceased to come.
According to the Moscow Health Department, "structural changes" at the hospital. The Bakhrushins will not influence the process of providing psychological assistance to window patients. However, the head has not yet received a plan to reform the department and is preparing to be fired from January 1, 2019 in accordance with the hospital order. And this will lead to the collapse of work and the actual termination of the provision of assistance to cancer patients.
This is the second attempt to close the department. “The first time, a few months ago, we were able to defend him,” the petition says. - Now medical officials, without taking any steps to ensure that this vital assistance remains available to patients with cancer, have decided to simply eliminate it. This event looks especially cynical at the very time when the President of Russia, the State Duma and the public are talking about the need for comprehensive assistance to cancer patients."
According to the director of the Yasnoe Morning Cancer Patient Assistance Service, representatives from 45 cities of Russia came to the All-Russian Congress of Oncological Psychologists held in November, and everyone has the same problem - the work of psychologists and psychotherapists in hospitals and oncological dispensaries is not paid through compulsory medical insurance, and the city of money does not highlight. And until there is a record in the standards of cancer treatment that a cancer patient needs supervision by a psychotherapist as a treatment, not a single head physician will be able to carry out the work of such a specialist through the compulsory medical insurance.
In the resolution of the congress, the professional community asks the Ministry of Health to include in the standards compulsory psychological and psychiatric support of patients and their relatives at all stages of treatment, rehabilitation or palliative care. Moreover, such support should be provided both within the walls of the hospital and on an outpatient basis, and the number of rates in oncological dispensaries should be calculated based on the population size, and not the number of beds.
“We have been talking about this for 10 years now, we appeal to the Ministry of Health of the Russian Federation and the Federal Health Insurance Fund with the demand to finally include psychotherapeutic assistance based on hospitals and outpatient clinics in the compulsory medical insurance program. But the situation has not changed yet,”notes Olga Goldman.
Now this is not a priority of our medicine
According to numerous studies, up to 80% of cancer patients need psychological and psychiatric help. This support helps them cope with the stress responses that accompany severe illness, from increased anxiety to suicidal thoughts and refusal to treat. Accompaniment of a psychological and psychiatric team helps to normalize the psychological state and improve the quality of life of cancer patients.
According to the WHO classification, oncological diseases are classified as psychosomatic. Oncopsychology has long been the standard of care for patients in Europe and the United States, where psychiatrists are trained in the diagnosis and treatment of mental disorders associated with oncological diseases. This standard is approved by the World Health Organization in the document "National Cancer Control Programs".
According to Olga Goldman, almost 90% of cancer patients are depressed, and 40% of them require drug treatment. There is also unofficial statistics according to which up to 15% of patients do not return to doctors after receiving a diagnosis of cancer. Nobody knows what happens to them. But when a psychologist works next to the oncologist who relieves the patient's initial shock, mutual understanding with the doctor improves significantly. Accordingly, the person's chances of recovery also increase.
“Cancer patients should receive this help at the place of treatment of the underlying disease,” says Olga Goldman. - People do not go to psychoneurological dispensaries - a seriously ill person does not have the strength to separately deal with his mental state. Our hotline for cancer patients receives more than a thousand calls from Muscovites every month for psychological support. This is a very difficult psychological problem that must be dealt with professionally. But now this is not the priority of our medicine."