vol. II, num. 1, 2004

Comparative Analysis of Schizophrenia Treatment Guidelines in the United States and Russian Federation

Oleg Lapshin*, Frank Rich Feeley **
* MD, MPH. Ph. D. student. Saint-Petersburg State University, Russia
**JD, Clinical Associate Professor, Boston University School of Public Health, USA

Comparative Analysis of Schizophrenia Treatment Guidelines in the United States and Russian Federation

Summary. Objectives: The analysis of schizophrenia treatment guidelines in Russia and the United States can give valuable information on cultural differences in treatment practice and diagnostic process while illuminating the interactions between the structure of the health care system and specific patterns of medical practice.
Methods: American Psychiatric Association's (APA) Guidelines and Russian Models of Diagnostics and Treatment of Mental and Behavioral Disorders are taken for analysis as the main and most recognized guidelines in the countries.
Results: Russian Guidelines reflect greater attention to subtypes of schizophrenia and specific schizophrenic psychopathology compared to the US guidelines. Differences in the recommended assessment include consultations of schizophrenic patients with 1-3 other physicians in Russia, and a vast list of laboratory tests in the US. APA guidelines are more concerned about the adverse effects of treatment, which may explain some of the differences between USA and Russia in the recommended doses of neuroleptics.
Conclusion: American guidelines can give us some directions what could be implemented and what should be avoided for the better mental health care in Russia.
Key words: schizophrenia, practice guidelines, cross-cultural analysis.


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