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Background. The steady increase in the prevalence of mental disorders as a result of various forms of dependence and high criminogenicity of such persons has led to a number of legislative changes in the field of jurisprudence (law), medicine and expertise.Materials. For the scientific substantiation, the results of the forensic psychiatric examination of 368 sub-experts with the dependence on SAR were used. The sample was presented by a group with alcohol (AD) and narcotic addiction (ND) (respectively 156 and 212 cases). Analytical, clinical-anamnestic, clinical-psychopathological, statistical methods and the method of forensic psychiatric analysis were used for analysis and data processing. Objective - to analyze and scientifically substantiate the relevance of legislative changes in forensic psychiatric examination and provision of psychiatric care to persons with dependence status of psychoactive substances who committed criminal offenses.. The results of scientific studies indicate high rates of narcosis and recidivism of crimes, and a high proportion of drug addicts in penitentiary institutions due to the low threshold for their prosecution. This demonstrates the ineffectiveness of harsh criminal approaches to people who are dependent on South Africa and points to the need to humanize the state policy towards them.Conclusions. Legislation of Ukraine needs urgent changes in the issues of introducing alternative punishments for treatment of people with dependence status, the formation of a network of specialized medical and rehabilitation centers, implementation of differentiated expert approaches in choosing medical measures of compulsory or alternative character.Forensic psychiatric examination is the first stage of the practical implementation of the declared legislative changes. However, given current realities, experts themselves need social guarantees of their professional independence.

psihosomatična medicina ta zagalʹna praktika

Сучасний стан судово-психіатричної експертизи та надання психіатричної допомоги особам із станами залежності від психоактивних речовин, які скоїли кримінальні правопорушення