644 – Psychotherapy in Ukraine on the Medical Health Care Reforming

The psychotherapeutic practice in Ukraine is carried out in structure specialized psychiatric, psychoneurological and somatic hospitals and polyclinics of health care services.Since independence, Ukraine still has inefficient public health care system, with its unbalanced structure of services, especially in mental health care.The basic organizational unit of the psychotherapeutic care is the cabinet of psychotherapy, which common number on 1.01.2012 year was 223, from them at the psychiatric network 134 (61%), at the somatic - 89 (that makes about 39%). The psychotherapeutic care is carried out within the limits of medical and psychological model.Thus since 1997 the speciality medical psychology and a staff of the doctor-psychologist is entered, paralleled with practice (clinical) psychologist.From now on in a medical network medical psychologists with medical (85 person) and psychological (315 person) base education in parallel work.The general deficiency of the staff is made nearby by 600 person.The basic problem are defficiency posts of psychotherapists in specialized and somatic networks according to operating specifications. The general deficiency of physical persons makes 1000 persons.Contemporary the State Programme of the medical care system reconstruction are established. The psychotherapeutic network requires immediate expansion, especially in somatic treatment-and-prophylactic hospitals and polyclinics. The staff could be taken from psychiatrists after reduction psychiatric beds which would pass a training for a new profession on corresponding faculties and chairs of psychotherapy of postgraduate education organizations.