Speaker of the Federation Council Valentina Matvienko instructed the senators, together with the Ministry of Health, to consider the issue of psychiatric rehabilitation of those who have recovered from COVID-19 under the compulsory medical insurance policy. The Federation Council previously reported that a third of patients who underwent coronavirus cannot return to their usual way of life and have mental problems. Speaker of the Federation Council Valentina Matvienko instructed Vice Speaker of the Chamber Galina Karelova and the relevant social committee to discuss with the Ministry of Health the possibility of including psychiatric care for those who have had coronavirus in the compulsory medical insurance system, TASS reports.
“We must remember this and understand that psychiatric rehabilitation should be included [in the MHI policy], as well as other types of post-COVID rehabilitation. I support the proposal to instruct the committee on social policy, together with the Ministry of Health, to consider the inclusion of such assistance in compulsory medical insurance, ”Matvienko said at a meeting of the chamber.
The Chairman of the Federation Council emphasized that "the mental health of people is no less important than the physical." “The provision of psychological and psychiatric care is very important. Look: a lot of resonant crimes are committed by people with mental disorders. We also cannot ignore this,” she said.
The question of psychiatric rehabilitation arose as a result of a speech before the senators by the President of the National Medical Research Center for Psychiatry and Narcology named after. V. P. Serbsky, Doctor of Medical Sciences, Professor Zurab Kekelidze.
He spoke about the consequences for those who have recovered from COVID-19, noting that coronavirus can seriously harm the human nervous system, lead to neurosis and depression, but those who have recovered from COVID-19 do not receive the necessary assistance within the CHI system.
After his speech, Deputy Speaker of the Federation Council Yuri Vorobyov suggested including psychiatric care for such patients in the compulsory medical insurance system.
According to him, specialists in the field of psychiatry know how to conduct post-COVID rehabilitation according to their profile. “Unfortunately, the existing CHI system does not allow a psychiatrist to see patients in polyclinics, ordinary hospitals. Such assistance is not provided for under compulsory medical insurance, and, of course, people do not go to psychiatric hospitals, they are afraid to get registered,” Vorobyov explained.
Matvienko supported this proposal. “This is very correct,” she said, and appointed Federation Council Vice Speaker Galina Karelova responsible for consultations with the Ministry of Health and the Serbsky Institute.
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A third of those who have recovered do not return to normal life
Karelova, during a meeting of the Council for the Development of Social Innovations of the Subjects of the Russian Federation, previously reported that a third of patients who recovered from COVID-19 cannot return to their usual lifestyle.“Up to 25% of those who have been treated in a hospital do not return to their previous work for health reasons, and 29% of those discharged from intensive care units and after intensive care have a high risk of death from complications within three months after illness”, the senator said.
According to her, the rehabilitation of such citizens is of particular importance, since the problem of the long-term consequences of covid lies not only in the plane of medicine.
Karelova noted that coronavirus could negatively affect the demographic situation in the country, cause social and economic losses due to a decrease in labor productivity. In this regard, the senator called for an integrated systemic approach for rehabilitation, which will minimize the consequences of the disease.
Scientists have also confirmed the negative impact of coronavirus on human mental health. According to a study published in the Lancet Psychiatry, more than 30% of those who recover from COVID-19 suffer from a nervous or mental disorder six months after infection. Of the more than 236,000 patients who participated in the study, 17% were diagnosed with an anxiety disorder and 14% with an affective disorder. It is noted that the symptoms of mental disorders were more often manifested in patients who had a severe illness.
As of February 11, 13,731,794 cases of coronavirus infection were detected in Russia. At the moment, 2,371,348 Russians are sick with covid.
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