[Addiction treatment services in the Russian Federation]

The purpose of this paper is to address issues pertaining to the substantiation of trends in improving the narcological service with regard to the present restructuring of antialcohol policy. It is necessary to give up the practice of locating narcological facilities in accommodated premises and to develop the network of dispensaries by constructing new types of buildings. It is advisable to drastically expand the basis for post-graduate training of psychiatrists-narcologists by establishing in each economic region chairs of narcology at faculties of post-graduate training of physicians within medical schools, as well as departments of post-graduate training of personnel at scientific research institutes. There is a need to dramatically strengthen the structural subdivisions of narcological service, providing curative and preventive care to drug addicts. Narcological service for teenagers is also in need of improvement, right up to the introduction of posts of psychiatrists-narcologists for teenagers at all narcological institutions. Another task of high priority is the creation of legal mechanism for organising within narcological service, on the cooperative basis, one's own industrial and rural enterprises capable of improving social and labour rehabilitation of patients and, in the and, to ensure the transfer of narcological service to cost-accountable and self-financing practice.