A new order from the Russian Ministry of Health, signed by Mikhail Murashko, raised questions about the involvement of psychiatrists with law enforcement. The directive, reportedly effective from March 1, 2023, suggests that psychiatrists may be required to cooperate with police to curb the risk of crimes by patients. This summary reflects information published on a legal information portal and has since circulated in discussions about mental health care and public safety. (Citation: Russian Ministry of Health document, 2023.)
The decree appears to modify the established procedures for the dispensary observation of individuals diagnosed with chronic and enduring mental disorders marked by severe or persistent symptoms that can flare up over time. In practical terms, the document indicates that, to prevent socially dangerous acts, doctors should work in tandem with law enforcement during investigations and surveillance related to these individuals. The stated aim centers on preventing unlawful behavior by patients through closer coordination between medical professionals and police authorities. (Citation: Legal information portal summary, 2023.)
In addition, the new framework assigns psychiatrists a role in determining whether a patient should receive psychosocial rehabilitation as part of their treatment plan. This involves evaluating the patient’s needs and arranging appropriate rehabilitation services when indicated, with the goal of supporting recovery and reducing the likelihood of future adverse events. (Citation: Policy text excerpt, 2023.)
The decree also addresses reporting requirements tied to relocation. When a patient changes residence, the individual or their legal representative would be expected to notify the attending physician of the new address. This step is described as part of maintaining continuity of care and monitoring given the patient’s psychiatric history. (Citation: Policy text excerpt, 2023.)
Meanwhile, discussions in the Samara Region have continued regarding a draft law introduced to the State Duma that would identify children with mental disorders in schools. The proposal contemplates involving police in the process of ensuring access to psychiatric care for those who may need it, raising debates about safeguards, consent, and the balance between public health and civil liberties. (Citation: Regional legislative discussion, 2023.)