Calling an ambulance is carried out by phone number"03" (from cell phones 03, 030, 003, 033, 03*- depending on the carrier).
The caller (sick, injured, relatives, other persons) is obliged:
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Clearly and accurately answer all questions of the dispatcher receiving the call; In cases where the location of the street or house is unknown, it is necessary to clarify the ways of approaching the address or the scene of the incident, to name its well-known landmarks;
Name the name, gender, age of the patient or victim. If the caller does not know the passport details of the patient or victim, then it is necessary to indicate his gender and approximate age;
Provide the ambulance team with unhindered access to the sick or injured person and the necessary conditions for the provision of medical care; Isolate domestic animals that may complicate the provision of medical care to a sick or injured person, as well as harm the health and property of medical workers of the ambulance team; Assist in transporting a sick or injured person to an ambulance; In the case of transporting a sick or injured person to a hospital, provide the ambulance team with the documents of the sick or injured person (passport and insurance policy); Calls to garden plots, a forest area are accepted with the most accurate indication of the location of the patient (injured) and those meeting. |
How, when and where are they hospitalized?
The decision on hospitalization is made by the doctor.
Even if, contrary to his opinion, he decides to take the patient to the hospital, the admissions department is also unlikely to find grounds for hospitalization, and he will have to return home on his own.
Hospitalization is carried out with life-threatening conditions, childbirth, in the postpartum period, with injuries after emergencies and natural disasters(Article 35, paragraph 4 of the federal law "On the fundamentals of protecting the health of citizens in the Russian Federation").
The patient is transported to a nearby free emergency hospital, however, the profile of the diagnosis is taken into account.
For example, for some categories of patients (in particular with strokes) there is a list of hospitals.
The wishes of the patient or his relatives in this case are not taken into account (Article 6 of Appendix No. 1 of the relevant procedure).
If the patient (or his relatives) believes that hospitalization is necessary, and the ambulance refused, you can independently come to the emergency department of the hospital that the patient considers most suitable.
The place of residence, registration or temporary registration for doctors does not matter.
If the case is not an emergency and there is no threat to life, but the doctor still decided to send the patient to the hospital, you can refuse hospitalization, for which you need to sign the appropriate paper.
Parents (guardians, custodians) of a sick child or a person recognized as legally incompetent by a court decision may refuse medical care.
But if the doctor believes that this decision jeopardizes the health of the patient, the relevant medical organization may apply to the court or guardianship authorities, the senior brigade may call the police.
If a person is capable and unconscious, then none of the relatives can oppose the provision of medical care.
Hospitalization without taking into account the opinion of the patient is carried out if a person suffers from a severe mental illness.
The team of medical staff who arrived at the call can provide emergency care on the spot or hospitalize the patient. The patient can be taken away only with his consent.
Hospitalization cases are regulated and not everyone is delivered to hospitals, but only those who fit the symptoms prescribed by the rules.
Conditions in which hospitalization is required:
1. Obtaining severe injuries, injuries, damage to vital organs.
2. In a crisis of severe forms of chronic diseases.
3. Pregnancy that threatens the life of the mother or baby.
4. Bleeding, different localization.
5. Uncertain symptoms, sharply worsening condition of the patient.
6. When urgent surgery is needed.
7. Mental disorder of the patient, posing a threat to him or his relatives.
8. The need for isolation, with dangerous viral diseases, etc.
When can they refuse?
If a person calls 03, he can be refused only in very rare cases.
Emergency doctors do not:
The ambulance will not establish a state of drug or alcohol intoxication, remove a hangover, issue certificates, provide dental care (except in cases of severe bleeding after tooth extraction) and prescribe treatment.
The ambulance team is not required to be on duty at the entrance “just in case”: a patient who needs constant monitoring is either transferred under the care of the clinic to which he is attached, or hospitalized.
Forced hospitalization of a citizen in a psychiatric hospital
This instruction will be useful to those citizens who are involuntarily hospitalized in a psychiatric hospital illegally and want to get out of there, as well as their relatives and friends who want to help them get out of the hospital. And since you are reading this manual, then most likely you are a relative, friend, or just someone who wants to help a person who is involuntarily in a psychiatric hospital.
There are several typical scenarios for the development of a situation with involuntary psychiatric hospitalization:
- The man himself asked for psychiatric help and after some time decided to refuse it. But, to his regret, he is not released from the psychiatric hospital, and from that moment on, hospitalization is considered involuntary.
- The man was forcibly taken to a psychiatric hospital, but under the "persuasion" of psychiatrists, he signed a consent to hospitalization and treatment. But in fact, he does not want such hospitalization and treatment.
- A person was forcibly taken to a psychiatric hospital, kept and treated there without a signed consent for hospitalization and treatment.
- The person was forcibly taken to a psychiatric hospital, a court session was held, which issued a decision that satisfied the application of the psychiatric hospital for the forced psychiatric hospitalization of a citizen in a hospital, but he does not agree with the decision.
Each of these cases of involuntary hospitalization can have many factual and legal nuances, but we will discuss with you a model of behavior in the most common situation, which can be followed in most other similar cases.
Preparing to visit the involuntarily hospitalized
So, what should be prepared for a trip to a psychiatric hospital, and what needs to be done there?
Initially, it is necessary to establish exactly what your relative or acquaintance wants and what they are allowed or not allowed to do by psychiatrists or other medical personnel in a psychiatric hospital. If you have already visited this person, then you should already know something.
But if the person himself, who is forcibly in a psychiatric hospital, or his relatives and friends did not make a lot of noise there, then visiting him during visiting hours is still possible.
When going to the PB, it is advisable to take a voice recorder with you and turn it on before entering the department. Let him lie in his pocket and write everything. Recordings then help to reproduce the details of conversations both with the visited person and the information provided by psychiatrists and medical personnel. And they, this information, are quite different.
It is desirable to go to a psychiatric hospital for 2-3 people. This is necessary if you need to draw up an Act, which will be written below, or in the future to have witnesses to everything that happens in court. It is also necessary for your own safety. In my practice, there were such cases when relatives, who were very indignant at the arbitrariness on the part of psychiatrists, were forcibly hospitalized in the same psychiatric hospital.
Please bring paper and pens with you. They can be given to a person so that he can write something at all, well, to keep his own records. They may be needed immediately if a hospitalized suddenly wants to write a statement to the head doctor.
First visit to a psychiatric hospital
At the first visit, it is necessary to find out from the person all the circumstances of hospitalization and, if possible, write everything down briefly. If this is not possible, then the conversation can then be played back using a voice recorder.
You also find out from a person all the details of communication with psychiatrists, what they told him, what they promised, etc.
Find out the intention of the hospitalized in relation to further stay in a psychiatric hospital and treatment, if he does not want to be there, but he is not released, find out if this patient tried to write and submit to the head doctor of the psychiatric hospital an application with a request for his discharge.
During this visit, also find out if this person agrees that you be his representative. Or find out who he would like to see as his representative in the hospital, court, prosecutor's office and other institutions and instances.
Already during this visit, a person can write a statement to the head doctor of a psychiatric hospital that he does not agree with hospitalization and treatment, and asks him to be discharged.
The application must be written in two identical copies and signed. Or write in one copy, sign it and then make a copy of it on a xerox. This application will need to be registered with the hospital office or with the secretary (this depends on who is assigned the functions of registering incoming and outgoing correspondence in the hospital). The original application (or one copy of it) remains in the hospital, on the second copy (or a photocopy) you must be stamped on its registration with the date and number.
But here you may have difficulty writing a statement or making a second copy of it, or making a copy of the statement. And next time, further actions, which will be described below, may be hindered by the administration of the psychiatric hospital. In this regard, it may be better to prepare a typed application for the next visit and all that remains is for your client to sign it. And it's much easier.
If a court decision has been made against a person about his involuntary hospitalization in a psychiatric hospital, then you find out from him whether he wants to file a cassation appeal against this decision, and if so, then you also prepare a short cassation complaint for the next visit.*
For the first visit, the above will be enough.
At the end of the conversation, you inform this person that you will prepare the necessary application addressed to the head physician of the hospital, a cassation appeal, a power of attorney, and on your next visit you will come with them, and he will need to sign them, and you will submit them to the hospital and court.
There is one nuance here.
It happens that a person who was forcibly hospitalized in a psychiatric hospital found a phone from which he could call you and tell you everything about what we described above. You can already find out everything from him and agree on everything with him.
In this case, proceed to the next step.
Preparation of documents for involuntarily hospitalized
Between the first and second visit, you will need to prepare the following documents for the person who has been involuntarily admitted to a psychiatric hospital to sign:
- Application to the head doctor of a psychiatric hospital (see sample applications to the head doctor) - 3 copies.
A patient of a psychiatric hospital can write and submit such a statement to the head doctor at any time on the basis of paragraph 2 of Art. 37 of the Law of the Russian Federation On Psychiatric Care. - A short cassation appeal against a court decision on the involuntary hospitalization of a citizen in a psychiatric hospital - 4 copies. * (A short cassation, because as a rule, the patient does not have a court decision. See the sample of a short cassation complaint).
- If the procedural time limit for filing a cassation appeal has already expired (and this is 10 days after the court decision is made), then it is also necessary to draw up application for the restoration of a missed procedural period for filing a cassation appeal - 3 copies. (See sample applications for the restoration of missed procedural deadlines). They serve as the basis.
- And you also need to prepare a power of attorney from your familiar patient for you or another person, the one who will be the representative of this citizen. A power of attorney can be drawn up for several people at once () - 3 copies. The power of attorney is issued in accordance with and chapter 10 of the Civil Code Russian Federation.
To sign the documents, fold them in the following order (in order of importance): 4 copies of the cassation appeal and 2 applications for the restoration of the missed procedural deadline at the top, 3 applications to the head physician in the middle and 1 copy of the power of attorney at the bottom.
You will need the remaining copies of the powers of attorney later, so you put them separately from the listed collection.
When you have prepared all the documents, you again go to the psychiatric hospital to see your client during visiting hours.
Second visit to the psychiatric hospital
As soon as you meet with your friend (relative), he or she must be informed that you have brought all the prepared documents, a brief cassation with an application for the restoration of the procedural term, a statement to the head physician with a request to discharge him from the hospital and draw up a power of attorney for a representative. Also explain that as soon as you pull out the documents, he (she) will need to immediately sign all these documents - without delay, ignoring the protests of the staff, if any. As soon as he is ready, take out the documents with a pen and have him start signing them.
Quite often there are cases when nurses or psychiatrists present begin to interfere with the process of signing documents. In this case, you need to calmly restrain them so that your client can sign all copies of the prepared documents. If there are objections, say that no one can forbid the patient to write a statement to the head doctor (however, as well as to the prosecutor, to the court, to higher authorities).
Leave one copy of the documents to the hospitalized, but keep the first signed power of attorney as proof of your intention to choose a representative on his part. Put all other signed documents in your portfolio.
After you have removed the signed documents, call the head (s) of the department, or the attending physician and ask to certify the signature of your friend on the power of attorney. In the presence of the head of the department or the attending physician, your client signs another copy of the power of attorney.
The head of the department or the attending physician is obliged to certify with his signature the authenticity of the signature of a citizen on a power of attorney who is under their inpatient treatment in a psychiatric hospital.
After all this procedure, you have 3 pcs. cassation, 2 statements to the head physician and 2 signed powers of attorney (one of them certified by the head or doctor, and one simply signed by the client).
If the head of the department or the attending physician refused to certify the signature of the hospitalized person on the power of attorney, then you need to write a statement on your behalf to the head doctor stating that the hospital employee (indicate full name) refused to certify the signature on the power of attorney and attach one copy of the signed power of attorney to this application. In a statement, ask to bring the head of the department to disciplinary responsibility.
At the same time, you and the persons accompanying you draw up an act that the head of the department or the attending physician refused to certify the signature of your patient. Attach a photocopy of the act to your application.
After registering the application, you must have one copy of the signed application of your citizen with the marks of the office, the number of the incoming and the date of registration of the psychiatric hospital. If you submitted your application, then it must remain with all registration attributes.
If at this stage you are not assured of a power of attorney, then you go to the post office, preferably served by the district court that issued the decision on involuntary psychiatric hospitalization, and send two copies of the cassation to its address in a valuable letter with an inventory and a return receipt. Write your address on the front of the notice.
Thus, you will have already taken the first and significant steps to rescue a citizen from a psychiatric hospital.
Note from lawyer J.Marikoto:
* From January 1, 2012, in connection with the amendments made to the Code of Civil Procedure of the Russian Federation by the Federal Law of December 9, 2010 No. 353-FZ, an appeal must be filed instead of a cassation complaint.
It is also necessary to attach to the appeal a receipt for the payment of the state duty, and if there are no funds, to apply in the appeal for a deferment of the payment of the state duty on the basis of clause 2 of Article 333.20 of the Tax Code of the Russian Federation due to lack of funds and the inability to leave the psychiatric hospital for the payment of state duty.
Rita Mohel
Muscovites are slowly but surely going crazy.
Madness is the scourge of the elderly, lonely and - most importantly - burdened with extra square meters of the townspeople.
The disease comes on suddenly. Just yesterday, the dear old man was quieter than water, and today the orderlies in dirty coats are already dragging him into the ambulance. So, tomorrow some cunning guardian will move into his apartment.
Why is this happening? And how to protect unfortunate pensioners from pest doctors and fraudulent nurses? This is the investigation of “MK”.
Punitive psychiatry is a phrase well known to older people.
In the Soviet Union, those who were objectionable were often declared insane and treated in psychiatric hospitals.
Times seemed to have changed. But even today, citizens are forcibly placed in psychiatric hospitals, “slaughtered” with drugs. Only the reason for this today is different - economic. And to put it simply, the same housing issue.
What threatens the owner of the property in a medical institution?
Who and how uses it instead of the owner? For whom is the danger more serious - for those who are capable or for those who are deprived of legal capacity? The answers to these questions are in the MK investigation.
Count Tolstoy was driven mad
In September 2004, the 67-year-old owner of the "kopeck piece" on Ostrovityanova Street, Ivan Poluektov, was taken right at the entrance of a person in a police uniform. They explained to the neighbors: the old man does not pay for the apartment, we need to figure it out ... Ivan did not return either that day or a week later. No one knows where he would have disappeared, but, fortunately for him, the people in the house lived friendly - they became worried.
The eldest on the porch found her grandfather's relatives (few people knew that he had relatives, so he was mistaken for a defenseless loner). The search began with the police. But in the department they were spinning like crucian carp in a frying pan: “We didn’t pick up anyone at this address. Ah, sorry, a mistake: the crew of the teaching staff took it! But the trouble is, the old man had a seizure in the car - it looks like epilepsy. I had to go to the hospital." - "In which?" “That’s what we don’t know, that we don’t know ...”
And a month later, news from Ivan came! from the psychiatric hospital. Alekseev. The old man quietly asked his roommate, who was being discharged, to call his family and convey that he was begging for salvation.
Delegates from neighbors and relatives went to pick up my grandfather. They were told that the sick Poluektov had been diagnosed with schizophrenia. The militia delivered him as socially dangerous. Soon, the wife and son, who came to visit Ivan, were told: the patient's condition deteriorated sharply, he became aggressive, it was forbidden to let visitors in. “For how long?” - "Who knows ... Until the treatment is over." But even then Ivan will not be released, but transferred to a suburban psychiatric hospital, which means that it will not be possible to take him home ... never again.
- Is this our grandfather aggressive? Nonsense! Quiet old man, - the eldest was seething along the porch. - Well, he went on a pilgrimage, let go of his beard under Count Tolstoy. Lost my passport. So what? Imagine, the doctors warned us directly: if life is expensive - do not meddle in this matter! But we won't give up! I, a neighbor and four close relatives of Poluektov take turns going to the hospital: we control.
Just before the New Year - it is possible that, trembling from the pressure, - “Count Tolstoy” was nevertheless discharged. He buzzed into the receiver in a dull voice - he told what fear he had suffered. No, not from doctors. Once in the ward - everyone was already asleep! - said fifa with papers, realtor. Then a photographer with a camera. They put the old man in a fifa red foreign car and, under the supervision of two orderlies, took him somewhere. It turned out - in the passport office, for a new passport.
But hopes of escape faded:
They didn't let me get out of the car. I just sat in the back seat with the orderlies, and the papers were handed to me for signature through the window.
All this could turn out to be true, or it could be the delirium of a schizophrenic and the fantasies of frightened relatives. Until it turned out that while Ivan was marinated in a psychiatric hospital, according to the Moscow Registration Committee, the owner of his apartment changed. And then, logically, the question arose about the role of the medical institution in this ugly story. Really it is at the same time with a crook?
Of course, I called the hospital department. According to Mr., who introduced himself as head. department, the patient came to them ... on his own: he voluntarily expressed a desire to be treated (there is no doubt that this was exactly what was recorded in the medical records). And for the fraudulent visitors who hung around him in the orphanage of sorrow, the Aesculapius are not responsible. You never know who wants to visit the sick. Go figure it out - is he a realtor or relatives?
Believe in this bike, knowing the severity access control in the capital's psychiatric hospitals, it was impossible.
Do not give your passport to nurses!
How to make sure that in a psychiatric clinic you are not deprived not only of the remnants of your mind, but also of your apartment? Lyubov VINOGRADOVA, executive director of the Independent Psychiatric Association of Russia, says:
The NPA has existed since 1989, but in last years the problems that come to us have changed. Now half of the appeals are in court cases, and most of the cases are related to property. Somewhere since 2000, the number of people who are recognized by the court as incompetent has sharply increased. It is clear that the reasons cannot be medical. Relatives are afraid that the old people will sign some paper on a housing deal. Or they send the owner to a neuropsychiatric boarding school to use his property. Or an old man suddenly decides to get married, and his potential heirs get scared...
- I heard that honest doctors themselves advise relatives before handing over a patient to a boarding school: “First, recognize him as incapacitated, otherwise he will be married or somehow twisted.”
- Yes, the incapacitated is better protected. We were approached by a Muscovite K., her elderly aunt was treated in a regular hospital in the suburbs. It turned out that, while lying there, the aunt managed to bequeath the apartment to a man who had just been released from the colony. And the document was certified by the deputy head physician, who was left to replace the head for only a few days! There was a trial, but they could not prove the forgery.
Or another case. The helpless 91-year-old man found a caregiver. Once a pensioner had to be urgently taken to the hospital, and the nurse inadvertently handed over his passport. And six months after the death of the old man, the heir found out that for the nurse ... a contract of donation of an apartment was drawn up, certified by a notary. Now there is a trial, there is a lot of evidence in favor of the family. But ... the first forensic psychiatric examination, when asked whether a person could give an account of his actions, answered: there is not enough information. Sometimes up to 5 examinations have to be done.
Capture with icon
Zyuzino, psycho-neurological boarding school №18. A long fence, from the side of the street the sidewalk is fiercely scraped by a lost person with a broom - an obvious patient. Inside the guards' booth, if you look behind the glass, you can see a list of surnames addressed only to them with a formidable cap: “Do not let them in!”. These visitors are persona non grata.
Suspicion and undisguised malice are read in the intonation of the boarding school director:
- Marvelous! Some citizen complains, and the journalist just like that, for no reason at all, goes to deal with it?
Alas, Natalya Suverova (we changed her last name at her request) sought justice for the director not only in MK, but also in the Social Security Department and the prosecutor's office. For a whole year she was forbidden to visit her relative, the schizophrenic Petrov. And the reason, Natalya believes, is a close interest in their fate - common with Petrov! - apartments. Suverova will arrive with a bag of food, and the guards will read the cheat sheet, and - turn from the gate. She even sent a note with the sick: “Vitya, don’t be afraid, I didn’t leave you!”.
Finally, a commission from the Department of Social Protection went to the boarding school. They also called Suverova: "Otherwise they will show us the wrong patient - there was such a case." We left secretly so that the wife of the director of the PNI would not visit. Until recently, she worked as a department specialist - just in the department that oversees the work of boarding schools.
They took Petrov out. I saw Natalya - I cried, grabbed my hand: “This is Natasha, she is good, they didn’t let her in.” Haven't seen you in a year! The commission inquired from the attending physician whether visits were harmful to the patient. "What are you, only for the benefit."
In fact, according to the law on psychiatric care, the rights of patients in psychiatric hospitals and boarding schools - including dating - can be limited. On the recommendation of the attending physician. So there is always an excuse for prohibitions: visits, they say, have a bad effect on the patient. The regime in psychiatric hospitals is usually determined by the head doctors - in some institutions they do not allow people to call, they look through letters and so on. In others, everything is much more liberal.
The dating ban was lifted.
- And then Vitya began to talk. The director often called him “on the carpet”. He asked: what kind of apartment did he have, who received it, who from the family where used to live... Vitya was afraid: there are a lot of patients in their boarding school, whose housing was seized by employees, - Suverova explained.
But the fact is that Natalya and Viktor are the heirs of a two-room apartment - “Stalinka” on Prospekt Mira, each owns half. By today's standards, an apartment costs at least $300,000. The psychiatric hospital tried to install its employee, the accountant Umnova, who comes from Ryazan, into the sealed half of the patient.
From the director's letter:
“The Umnova family is characterized positively. Since being placed in a boarding school, Umnova regularly visits Petrov, which has a positive effect on his mental state. He has no relatives, and, apart from Umnova, no one visits him. We are confident that Umnova will conscientiously maintain the living quarters in proper sanitary and technical condition, pay taxes and utility bills in a timely manner.”
“Once some woman came into the apartment with bags and an icon, with her a lawyer from the boarding school and a representative of the guardianship department,” Natalia said. - I called the precinct. The guests showed him Petrov's certificate of ownership and the contract of trust management of his property. “But you are not Petrov. You have no right to move in." They pushed the policeman away, he called for reinforcements - a physical protection group with machine guns. Employees of the boarding school instantly evaporated. They even forgot the icon in a hurry ...
This was the first step. The second step is to occupy the entire apartment. Natalya was offered to move to Zyuzino: “Let's make an exchange, give you a one-room apartment. We have our own realtor. - “And this one-room apartment,” the woman asked, “did you also take away from the patients?”
Guardian - that sounds scary
The funny thing is that PNI does not violate the law! As a guardian, he is obliged to take care not only of the life and health of the incapacitated Petrov, but also of his property. In Moscow, recommendations were sent to healthcare and social security institutions on trust management of the property of incapacitated and partially incapacitated persons. The procedure is as follows: the guardian himself selects a morally stable candidate for the manager, the council only approves this choice. Then they conclude an agreement, which is officially registered in the registration chamber.
To the great benefit of the patient (he is called that: the beneficiary), two types of contracts have been developed. When it comes to housing, they usually choose the 1st option: the manager with his relatives has the right to live in an apartment, pays for its maintenance and repairs from his own money. But most importantly: alienation transactions are allowed, including the exchange and donation of an apartment, renting it out, as well as any actions that reduce the property of the beneficiary, however, only with the permission of the council.
In PNI No. 18, either seven or eight contracts were concluded. Mostly with employees.
“Different boarding schools have different approaches,” Lyubov Vinogradova explained to me. - Somewhere they say: “We give trust management to anyone, we don’t want to get involved: these are courts, unnecessary proceedings.” Others are taken, and very willingly ...
Of course! Knowledgeable people gave me a specific figure in USD. The scheme is simple. A person gets a job in a psychiatric hospital, unfastens the director - the head of the guardianship commission. He is appointed manager, and he moves into the patient's apartment - legally, with his family, with an official residence permit. The term of the contract is 5 years, but who prevents it from being extended? Or “reduce property”? There is a feeling that the treaty was drawn up on purpose in order to tempt officials. Full scope of criminal fantasy!
And what benefit does a patient locked in a psychiatric hospital receive from the fact that an accountant, a cook or a plumber settled in his apartment? Only the one that the poor fellow will not have to spend on utility bills from pocket money “for cigarettes and lollipops” - the unfortunate 25% of the pension.
- The benefit is mutual: this way the patient will live longer, - the director of the boarding school condescendingly explains.
Who can manage the property - a relative or an outsider, is not defined. Here is another weak point in the system: some relatives are welcomed by boarding schools, but others are not allowed on the doorstep. It can be assumed that a responsible choice is made not selfishly, for “kickbacks”. Natalia was denied trust management. But in the same boarding school there are many wealthy people. Incapacitated owner of real estate with an area of 590 sq. m in South Butovo (management is issued to his brother). The owner of an apartment in Arbat Lane (it is run by a close relative). The owner of a good apartment on Kutuzovsky Prospekt (a relative is being considered).
Fortunately, now Viktor Petrov has been transferred to another PNI, where they are not concerned about other people's property. But the original documents for his apartment and the keys have disappeared. They were found at Umnova. The unlucky accountant filed a lawsuit: let the patient be transferred even to Kamchatka - she intends to remain a trustee and register in his room through the court. "And you're not ashamed to say it?" Natalya was surprised. “What to be ashamed of? This is how everyone gets housing.”
TO A Psychiatric Hospital - PER APARTMENT
How closely are psychiatrists associated with apartment scammers? Sophia DORINSKY, Chairman of the Civil Commission on Human Rights, comments.
- Patients, perhaps, do not know how and what happens to their property. People are helpless, they receive medicines... There is such a group of medicines as atypical antipsychotics. For example, one of the atypical antipsychotics has the following side effects from a single pill: delirium, hallucinations, depersonalization (this is when a person does not understand where he is, what his name is, what education he has) ... And if the patient is lonely, and even he does not understands what is happening to him - to whom can he complain because of the concrete fence, security post, metal detector, surveillance cameras?
Therefore, most of the data we have comes from our informants. There is a report about several cases similar to yours in one of the Moscow boarding schools - employees live in the apartments of single patients. And after the death of the sick, they get apartments.
- This is, of course, for the sake of combating staff turnover.
- Yeah ... We have information that very often the management of boarding schools fights with relatives of incapacitated people for the right to be guardians. A kind of competition: who will be the first guardian!
- So, there is something to fight for ...
- In general, the psychiatric system is very closed. There are some crimes that the prosecutor's office does not notice. We distribute leaflets at hospitals, relatives often come to us with complaints: they say that a person was taken to a psychiatric hospital and was not released again ... Including because of the apartment.
- And what, such complaints are confirmed?
- Here's a recent example. A middle-aged woman and her elderly mother (sorry, I won't name names) were going to move to Israel, both of them had a wonderful apartment in Moscow. The daughter left first, to solve the issues of moving, and left her mother in Moscow for now. She returned - the old woman is not at home: she is in a psychiatric hospital, already deprived of legal capacity, and her guardian is a medical institution. The woman rushed to protest, to understand. And suddenly she disappeared. The relatives panicked. They began to look for her, turned to us. It turned out that the daughter was also placed in a psychiatric hospital - in the hospital. Alekseev! In order to appeal against the hospitalization, she asked the Citizens Commission to be her official representatives in court. We go to the deputy chief physician: “Here is the signature of your patient, please assure.” - “I won't! I don't find it appropriate." - “Yes, why?!” - “And I believe that it was she who signed in a painful state ...”
They managed to be pulled out only by connecting Israeli diplomats. But now both, mother and daughter, are already abroad.
Eyewitness account: “Our GRANDMAS WERE STICKED”
“Everyone knew that our head physician was taking away apartments from elderly single grandmothers. And the grandmothers were then either floated to a suburban hospital or “slaughtered”. How? Well, injections - to the state of a vegetable.
Everything happened in front of my eyes. But don't write my name - obviously, I can't prove anything... Before he became the head physician, he lived on the outskirts of the working class, in a "odnushka". After being appointed to a leadership position, as expected, he became the chairman of the board of guardians in the hospital. And two years later he moved to the very center of the city, in a two-level apartment!
True, the head physician still had to do new apartment repair. A Gazelle drove into the courtyard of the hospital, led 5-6 patients from the women's department in formation, loaded them and took them to work, and returned them back in the evening.
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Question asked by userMaksim
Dear Maxim!
In accordance with part 1 of article 5 of the Law of the Russian Federation “On psychiatric care and guarantees of the rights of citizens in its provision” of July 2, 1992 N 3185-1, persons suffering from mental disorders have all the rights and freedoms of citizens provided for by the Constitution and federal laws. Restriction of the rights and freedoms of citizens associated with a mental disorder is permissible only in cases provided for by federal laws. "Regulations on the passport of a citizen of the Russian Federation" dated July 8, 1997, approved by Decree of the Government of the Russian Federation on July 8, 1997 No. 828, established that the passport of a citizen of the Russian Federation is the main document proving the identity of a citizen, all citizens of the Russian Federation must have it. A citizen is obliged to carefully keep the passport and the citizen must immediately report the loss of a passport to the territorial body of the Federal Migration Service. It is prohibited to confiscate a citizen's passport, except in cases provided for by the legislation of the Russian Federation. A patient of a psychiatric hospital, being in a hospital for a long time, cannot meet any of the specified requirements of the law.
In accordance with the Procedure for the provision of medical care for mental and behavioral disorders, approved by order of the Ministry of Health and Social Development of the Russian Federation of May 17, 2012 N 566n, the functions of a psychiatric hospital, in addition to providing specialized medical care, include participation in the decision social issues patients, assistance in the employment of persons suffering from mental disorders, participation in addressing issues of guardianship, medical and social and household arrangements for the disabled and the elderly, organizing training for the disabled and minors suffering from mental disorders. For patients who have been treated for a long time, or in cases where the diagnosis involves a long stay of a patient in a hospital with severe chronic mental disorders, the hospital often acts as a legal representative in accordance with the Civil Code of the Russian Federation and the Code of Civil Procedure of the Russian Federation. Without a patient passport, the hospital cannot perform these functions.
Patient passports are on temporary storage at the administration of the State Healthcare Institution of Health Protection of Ukraine in conditions that exclude access to documents of third parties (in the safe of the head nurse) upon admission of citizens for treatment on the basis of a storage agreement, the subject of which is the free provision of services for the storage of a passport. Evidence of the conclusion of such an agreement is the consent of the patient and the corresponding signature on the receipt for the temporary storage of his passport. The administration of a psychiatric hospital is obliged to issue a passport to a citizen not only at the time of discharge from the hospital, but also at his first request, since the passport was not confiscated from such a citizen, but transferred to storage.
In case of illegal seizure by the administration of a psychiatric hospital or its medical staff, as well as by the psychiatric emergency team of a passport, a citizen has the right to appeal against such actions to the prosecutor's office, the court or a higher official.
In addition, we inform you that if you do not express a desire to provide a passport for storage in a hospital department, it does not entail restrictions on the volume and quality of medical care provided.