CONSOLIDATED REPORT
problem with the repair of
shower taps, buy mats for the
bath so that children do not
touch the concrete floor with
their feet. Children’s leisure in
the open air is not organized in
the institution of a sanatorium
type. It is necessary to equip
playgrounds
(playgrounds
and sports grounds are not
properly equipped). The
territory of the sanatorium
should be improved since
the territory adjacent to
sleeping buildings is not welldeveloped and the asphalt
paths are in a depressing state
(pits and ruts). It is necessary
to provide children with
hospital linen (mattresses and
pillows) in proper condition.
The problem of sociopsychological support of
patients under compulsory
treatment still remains. And
given that the majority of
patients have a concomitant
diagnosis:
mental
and
behavioral disorders due
to alcohol and opioid use
(diagnoses are determined
and confirmed during passing
the Centralized Medical
Advisory
Commission),
behavioral disorders intensify
against the background of a
127
lack of structured activity:
there is no labor practice
for sick people in the day
regimen which leads to the
destruction of work skills and
personal structures that can
lead to emotional outbursts
and interpersonal conflicts
between patients, between
patients and medical staff,
patients
and
security
officers. In addition, the lack
of the prospect of an early
discharge from the hospital
provokes a manifestation of
psychosomatic
symptoms:
irritation, emotional fatigue
from monotony, including
food, a sense of being
cornered, etc. By half of
the period of compulsory
treatment, patients are in a
state of acute psychological
crisis.
Conclusions and
recommendations
The
conclusions
and
recommendations of the
NPM members who visited
health facilities in the period
under review are based on
the norms of the current
legislation of the Republic of
Kazakhstan and international
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