From the author: On the forum there are often references to the “law on psychotherapy”. The law has not yet been adopted. Here is a draft law prepared by the Federal Scientific-Methodological Center for Psychotherapy and Medical Psychology (St. Petersburg). Draft Law on Psychotherapy LAW (DRAFT) ON PSYCHOTHERAPY AND SPECIALISTS ENGAGED IN PSYCHOTHERAPY ACTIVITIES Recognizing the high value for society of each person and his health, the need to preserve and strengthen the latter; taking into account that a person’s health is determined by the characteristics of his development, personal functioning, the subjective feeling of his internal harmony and integrity, the ability to fully interact with other people and social institutions, the quality of his life in society and the whole complex of biopsychosocial factors; understanding that the distortion of the psychological and spiritual functioning of a person can change his attitude towards life, himself and society, society’s attitude towards a person, and, ultimately, this can lead to a limitation of a person’s opportunities for self-realization, freedoms and rights; considering that modern psychotherapy and its methods are an effective tool aimed at helping a citizen realize his personal potential and eliminating factors of a psychosocial nature that lead to diseases and contribute to suffering, that psychotherapy is an interdisciplinary field that goes beyond medicine and healthcare, and its application is possible within the framework of various models in contact with other areas of practice aimed at helping a person; based on the fact that the modern development of psychotherapy and related areas of psychological and social assistance is characterized by different levels of integration of psychotherapy into medicine, healthcare and society, attracting humanistic values ​​to various areas of social practice, and that its importance has especially increased recently in connection with the change in socio-economic living conditions, the development of institutions for the democratization of society, the formation of an ecological worldview in human relations with the environment; realizing that the lack of proper legislative regulation of psychotherapy may be the reason for its incorrect use and contribute to the negative impact per person, harm the health, human dignity and rights of citizens, as well as the international prestige of the state; considering that the development of psychotherapy, the spread of its methods, the increase in the number of specialists providing psychotherapeutic assistance, and its further integration into various areas of social practice, along with the undoubted benefit, can contribute to a decrease in the information and psychological security of citizens, as well as the emergence of problems of manipulation, i.e. the use of psychotherapy methods to influence individuals, groups and society as a whole for selfish purposes; based on the need to implement in the Legislation of the Russian Federation the rights and freedoms of man and citizen recognized by the international community and the Constitution of the Russian Federation; the Duma of the Federal Assembly of the Russian Federation adopts this Law. Section I. GENERAL PROVISIONS Article 1. Psychotherapeutic assistance and principles of its provision (1) Psychotherapeutic assistance includes the study of the mental health of citizens on the grounds and in the manner established by this Law and other Laws of the Russian Federation, diagnosis of mental disorders and diseases, in the emergence, development and course of which mental (psychological, personal) factors, concluding a psychotherapeutic contract, conducting psychotherapy, participating in medical, social and socio-psychological rehabilitation of persons suffering from mental disorders and other diseases are of significant importance.(2) Psychotherapeutic assistance to persons with mental and otherdiseases, as well as suffering not caused by the disease itself, is guaranteed by the state and carried out voluntarily on the basis of the principles of legality, humanity and respect for human and civil rights. Article 2. Legislation of the Russian Federation on psychotherapy (1) Legislation of the Russian Federation on psychotherapeutic assistance consists of this Law and other Legislative acts of the Russian Federation and the republics within the Russian Federation, as well as legal acts of the autonomous region, autonomous okrugs, territories, regions, the cities of Moscow and St. Petersburg.(2) The Government of the Russian Federation and the governments of the republics within of the Russian Federation, as well as ministries and departments have the right to adopt legal acts on psychotherapeutic assistance within their competence. (3) Legislative and other legal acts adopted in the Russian Federation and republics within the Russian Federation, autonomous region, autonomous districts, territories, regions, the cities of Moscow and St. Petersburg cannot limit the rights of citizens and the guarantees of their observance in the provision of psychotherapeutic assistance provided for by this Law. (4) If an international treaty to which the Russian Federation participates establishes rules other than those provided for by the Legislation of the Russian Federation on psychotherapy, then the rules of the international treaty apply. Article 3. Application of this Law (1) This Law applies to citizens of the Russian Federation when providing them with psychotherapeutic assistance and applies to all institutions and persons providing it on the territory of the Russian Federation. (2 ) Foreign citizens and stateless persons located on the territory of the Russian Federation, when providing them with psychotherapeutic assistance, enjoy all the rights established by this Law, on an equal basis with citizens of the Russian Federation. Article 4. Voluntariness of seeking psychotherapeutic assistance (1) Psychotherapeutic assistance is provided upon the voluntary application of a person or with his consent. (2) To a minor under the age of 16, as well as to a person recognized as legally incompetent, psychotherapeutic assistance is provided at the request or with the consent of their legal representatives in the manner prescribed by the Legislation of the Russian Federation .Article 5. Rights of persons who receive psychotherapeutic assistance (1) Persons who receive psychotherapeutic assistance have all the rights and freedoms of citizens provided for by the Constitution of the Russian Federation, the Constitutions of the republics within the Russian Federation, the Legislation of the Russian Federation and the republics within the Russian Federation. Restrictions on the rights and freedoms of citizens who receive psychotherapeutic assistance are not allowed. (2) All persons, when receiving psychotherapeutic assistance, have the right to: respectful and humane treatment that excludes humiliation of human dignity; to receive information about their rights, opportunities to receive psychotherapeutic assistance, and also in a form accessible to them and taking into account their mental state, information about the nature of their mental disorders and other diseases for which psychotherapy is carried out, and the methods used, their scientific validity, the possibility of obtaining, if desired, other or additional help from specialists; psychotherapeutic high quality assistance using evidence-based methods of psychotherapy; free choice of specialist, form, conditions and levels of psychotherapeutic assistance, including outpatient and inpatient psychotherapeutic assistance, state and non-state, face-to-face, remote and anonymous; all types of forms of modern psychotherapy according to indications (including individual, marital, group, environmental psychotherapy, etc.); provision of psychotherapeutic assistance in conditions that ensure the confidentiality of treatment and guarantees of non-dissemination of any information about oneself,various aspects of private life and relationships that have become known to specialists in connection with the ongoing psychotherapy, information about the results of the use of diagnostic techniques, and those that meet personal requirements and sanitary and hygienic standards; consent and refusal at each stage to use any methods and forms of psychotherapy, its effects, intensity, duration and volume; consent and refusal at each stage to use psychotherapeutic methods, scientific research or the educational process, photography, video or filming as an object of testing; invitation at the request of any specialist, with the consent of the latter, to participate in the provision of psychotherapeutic assistance, advisory and supervisory activities; assistance from a lawyer, legal representative or other person in the manner prescribed by law. (3) Restriction of the rights and freedoms of persons who received psychotherapy, only on the basis of the very fact of its implementation, psychiatric diagnosis, results of psychological research, and also social security or training opportunities are not allowed. Officials guilty of such violations bear responsibility in accordance with the Legislation of the Russian Federation and the republics within the Russian Federation. Article 6. Prohibition of demanding information about mental state, personality characteristics, results of psychological examination When a citizen exercises his rights and freedoms requirements to provide information about his mental state or to be examined by a psychotherapist or clinical psychologist are allowed only in the manner established by the Legislation of the Russian Federation. Article 7. Maintaining professional secrecy when providing psychotherapeutic assistance Information about the presence of a citizen’s mental disorder, its characteristics personality, the results of a psychological examination, the facts of seeking psychotherapeutic help and treatment in institutions providing such assistance, as well as other personal information that became known to specialists during psychotherapy are professional secrets protected by law. To realize the rights and legitimate interests of a person who has applied for psychotherapeutic help, at his request or at the request of his legal representative, they may be provided with the above information. Article 8. Diagnosis of persons during psychotherapy (1) Before conducting psychotherapy, a diagnostic test is carried out examination, the purpose of which is to determine clinical, psychological and social indications for psychotherapy. The clinical diagnosis of a mental or other illness is made in accordance with generally accepted international standards and includes the clinical condition (medical criterion that determines medical indications for psychotherapy), psychological characteristics of the individual (psychological criterion that determines the psychological possibilities of participation in psychotherapy and the choice of its forms), and also social and socio-psychological characteristics of the person seeking psychotherapeutic help. The purpose of diagnosis is to determine the need for psychotherapeutic assistance and to select psychotherapy as an effective method of treatment for a person suffering from a mental or other illness for which the use of psychotherapeutic methods is indicated. A psychotherapist does not have the right to offer psychotherapy if another method of treatment is more justified by modern ideas about the causes of the onset and course of the disease. (2) For the diagnosis and psychotherapy of a person suffering from a mental disorder or other disease for which psychotherapy is indicated, psychotherapeutic methods are used, permitted in the manner established by the Legislation of the Russian Federation on healthcare. (3) Psychotherapeutic methods are used only for diagnostic and therapeutic purposes in accordance with the nature of painful disorders and should not be used for any other typepsychological impact on a person receiving psychotherapeutic help, or in the interests of other persons, including relatives of a person undergoing psychotherapy. Article 9. Consent to psychotherapy and psychotherapeutic contract (1) Psychotherapy in relation to a person who agreed to conduct it , is carried out after receiving his written consent, which notes the features of psychotherapy, including its focus (treatment, psychological or social assistance), form, volume and duration. (2) The psychotherapist is obliged to provide the person giving consent to conduct psychotherapy, in a form accessible to him and taking into account his mental state and personality characteristics, information about the nature of the mental disorder or other disease for which psychotherapy is planned, the goals of psychotherapy, the scientific validity of the methods used, the recommended duration of psychotherapy, the possible deterioration of the subjective state at certain stages, possible risks, side effects and expected results (including alternatives to no treatment), as well as mutual obligations when conducting psychotherapy and the responsibility of the psychotherapist and the person giving consent to conduct psychotherapy, including the level of confidentiality during its conduct. The information provided is recorded in the medical documentation. The patient's written consent to participate in psychotherapy is drawn up in the form of a psychotherapeutic contract, one copy of which is kept in the medical records, and the other - with the person receiving psychotherapy. (3) If psychotherapy is carried out by another specialist (clinical psychologist, social work specialist) then , in accordance with the provisions of this Law, he is also obliged, before starting it, to notify the person giving consent to conduct it about the non-medical nature of psychotherapy, and consent to it must be confirmed in writing by this person. (4) Consent to psychotherapy of a minor under age up to 16 years of age, as well as a person recognized as legally incompetent, is given by their legal representatives after providing them with the information provided for in part two of this article. (5) Psychotherapy can only be carried out with the consent of the person to whom it is carried out. Article i 10. Refusal of treatment(1) A person referred for psychotherapy or his legal representative has the right to refuse the proposed treatment or terminate it at his own discretion.(2) The possible consequences must be explained to the person refusing treatment or his legal representative cessation of psychotherapy. Refusal from psychotherapy, indicating the possible consequences, is formalized by an entry in the medical documentation signed by the person or his legal representative and the psychotherapist (or other specialist) providing psychotherapy in accordance with this Law. Section II. PSYCHOTHERAPY CARE FOR PERSONS SUFFERING MENTAL AND OTHER DISEASES AND CONDITIONS FOR WHICH PSYCHOTHERAPY IS INDICATED Article 11. Types of psychotherapeutic care guaranteed by the state (1) The state guarantees: medical psychotherapeutic care; non-medical psychotherapeutic assistance; emergency (crisis) psychotherapeutic assistance; psychotherapeutic assistance during natural disasters and catastrophes; consultative and diagnostic psychotherapeutic assistance; psychotherapeutic assistance in out-of-hospital and inpatient settings. (2) To provide persons suffering from mental and other diseases for which psychotherapeutic assistance is indicated, the state creates all types of institutions providing outpatient, out-of-hospital and inpatient psychotherapeutic assistance, taking into account the place of residence of patients; (3) Providing all types of psychotherapeutic assistance to persons suffering from mental and other diseases for which psychotherapy is indicated is carried out by federal government authorities and management,bodies of state power and administration of republics within the Russian Federation, autonomous region, autonomous okrugs, territories, regions, cities of Moscow and St. Petersburg, local government bodies in accordance with their competence determined by the Legislation of the Russian Federation. Article 12. Financing of psychotherapeutic assistance(1) Financing of the activities of state and municipal institutions and persons providing psychotherapeutic assistance in state and municipal institutions is carried out from the health care budget or the medical insurance fund and other sources not prohibited by the Legislation of the Russian Federation, in amounts ensuring its guaranteed level and high quality.(2) Financing of the work of non-state institutions and persons providing psychotherapeutic assistance in non-state medical institutions is carried out at the expense of health insurance funds, compulsory and voluntary health insurance institutions, citizens’ own funds, charitable proceeds or other sources not prohibited by the Legislation of the Russian Federation .Section III. INSTITUTIONS PROVIDING PSYCHOTHERAPEUTIC CARE. RIGHTS AND OBLIGATIONS OF MEDICAL PROFESSIONALS AND OTHER SPECIALISTS ENGAGED IN PSYCHOTHERAPY ACTIVITIES Article 13. Psychotherapeutic activity (1) Professional psychotherapeutic activity represents a holistic, scientifically based system of mental (psychological) influence, implemented through the communication of a professionally trained psychotherapist (therapist) cha-psychotherapist, clinical psychologist-psychotherapist, social work specialist-psychotherapist), directly or with the help of psychotherapist assistants and volunteers, with the patient, his family, a group of patients and a community of patients with the goal of ensuring and maintaining health and restoring individual and social functioning of a person. (2) Psychotherapeutic activities include establishing a clinical diagnosis, predicting the results of using psychotherapy, concluding a psychotherapeutic contract, using psychotherapeutic methods, assessing treatment results, carrying out preventive and rehabilitation measures. (3) Psychotherapy, implemented in accordance with this Law, is an independent medical and scientific specialty , has its own codes and registration numbers in the registers of medical and scientific specialties, includes subspecialties that require additional training. (4) A person engaged in psychotherapeutic activities is called a “psychotherapist”, the name of the basic specialty is used as a clarifying name (psychotherapist, clinical psychologist-psychotherapist, social work specialist-psychotherapist); after indicating the specialty, it is possible to name a subspecialty within the framework of psychotherapy (psychoanalytic psychotherapist, cognitive-behavioral, existential-humanistic, group, family and conjugal, child and adolescent, etc., with additional training and certification after the introduction of the relevant subspecialties by the Ministry of Health of the Russian Federation). An assistant (assistant) of a psychotherapist is called a “therapist”, indicating the type of auxiliary method (art therapist, body-oriented therapist, biblio-therapist, choreo-therapist). (5) Professional psychotherapeutic activities are carried out on the basis of tariff and qualification characteristics, passport specialty, qualifying characteristics of psychotherapy and its subspecialties, standards of professional education. Article 14. Conditions for admission to professional psychotherapeutic activities (1) Psychotherapists, clinical psychologists, social work specialists have the right to professional psychotherapeutic activities. psychotherapists, assistants (assistants) to a psychotherapist.(2) The right toA citizen of the Russian Federation, a foreign citizen or a stateless person has professional psychotherapeutic activity on the territory of the Russian Federation, provided that he: 1) is legally capable; 2) is professionally fit for health reasons (passed a psychiatric examination); 3) has completed a full course of professional psychotherapeutic education, successfully passed the exams and received a certificate as a specialist in psychotherapy; 4) has a valid license for the right to professional psychotherapeutic activity, issued in accordance with the Legislation of the Russian Federation and this Law. (3) The right to professional psychotherapeutic activity of a person who received a psychotherapeutic education abroad is established in procedure and conditions regulated by the Ministry of Health of the Russian Federation. Article 15. Certification in the field of professional psychotherapeutic education. (1) Certification in the field of professional psychotherapeutic education is carried out by commissions of All-Russian professional psychotherapeutic medical associations, received in accordance with the Legislation of the Russian Federation and This Law provides the right to conduct it. (2) Certification in the field of professional psychotherapeutic education is carried out in relation to psychotherapists (doctors, clinical psychologists and social work specialists) and assistants (assistants) of a psychotherapist. (3) A certificate of the established form giving the right to independent occupation of psychotherapeutic activities is issued to persons who have successfully completed training in educational medical institutions that have appropriate licenses for the right to conduct psychotherapeutic education in accordance with State requirements for psychotherapy and Articles 27, 28 and 29 of this Law, and who have successfully passed certification exams. C t Article 16. Licensing of psychotherapeutic activities (1) Licensing of professional psychotherapeutic activities is carried out by authorized bodies in accordance with the Legislation of the Russian Federation and this Law. (2) Licensing bodies, when issuing a license for the right to professional psychotherapeutic activities, act in accordance with the articles of this Law and existing provisions on licensing of psychotherapeutic activities, approved in the prescribed manner by the Ministry of Health of the Russian Federation. Article 17. Termination of the right to psychotherapeutic activity (1) The right to professional psychotherapeutic activity is lost: 1) if an initial lack of conditions for admission to professional activity is discovered , defined by this Law; 2) upon expiration of a previously issued license; 3) upon the appearance of circumstances that impede the implementation of professional psychotherapeutic activities, which include: mental illness, court decision, non-compliance with existing qualifications, ethical inconsistency. (2) Decision on termination of the right to professional psychotherapeutic activity is accepted by the licensing authorities based on the submission of the commissions of All-Russian professional psychotherapeutic medical associations. Article 18. Institutions and persons providing psychotherapeutic assistance (1) Psychotherapeutic assistance is provided by state and non-state licensees for this purpose psychotherapeutic institutions, privately practicing psychotherapists and other specialists (clinical psychologists and social work specialists) in the manner and conditions approved by this Law. Psychotherapist assistants also take part in psychotherapy. The procedure for issuing specialist certificates, certificates of an assistant (assistant) of a psychotherapist, licenses for activities to provide psychotherapeutic assistance is established by LegislationRussian Federation. A volunteer provides assistance in conducting psychotherapy on the basis of a training certificate and a certificate issued by a medical institution providing psychotherapeutic assistance. (2) Types of psychotherapeutic assistance provided by psychotherapeutic institutions and privately practicing psychotherapists are indicated in licenses; information about them should be available to citizens. (3) General practitioners, medical specialists and medical personnel of healthcare institutions, when providing medical care of various profiles, use in their work the necessary knowledge and techniques of psychotherapy, acquired by them in the framework of undergraduate and postgraduate basic medical education, in order to improve the quality of medical care for the population and prevent iatrogenic disorders in patients undergoing treatment. Article 19. The right to provide psychotherapeutic assistance (1) The right to provide medical psychotherapeutic assistance has a psychotherapist who has received a higher medical education , as well as having the necessary training in psychiatry and psychotherapy in accordance with the state standard of training in psychotherapy and having confirmed their qualifications in the manner established by the Legislation of the Russian Federation in the specialties of “psychiatry” and “psychotherapy”. (2) The right to provide non-medical psychotherapeutic assistance has clinical psychologists and social work specialists who have received, respectively, higher education in psychology or a specialty in social work, who have undergone postgraduate retraining in clinical psychology or social work to work in institutions providing psychiatric and psychotherapeutic care, and training in psychotherapy in accordance with the state standard. (3) Other specialists, assistants (assistants) of a psychotherapist involved in the provision of psychotherapeutic assistance, and volunteers facilitating its implementation, must, in the manner established by this Law of the Russian Federation, undergo special training and confirm their qualifications for admission to work in institutions providing psychotherapeutic assistance. (4) The activities of a psychotherapist, a clinical psychologist, a social work specialist, and other specialists in providing psychotherapeutic assistance - an assistant (assistant) of a psychotherapist and a volunteer are based on professional ethics and are carried out in accordance with the Law. Art. Article 20. Professional ethics when conducting psychotherapy When conducting psychotherapy, a psychotherapist or other specialist providing psychotherapy in accordance with this Law, when planning and conducting psychotherapy, must be convinced that his actions will not lead to negative consequences for health, adaptation and self-realization of the patient, which include: 1) exacerbation of the disease at various stages of psychotherapy, not due to therapeutic need; 2) the formation of various forms of patient dependence on the psychotherapist and the method; 3) the occurrence of negative social consequences for the patient and a decrease in the level of social functioning as a result of the use of psychotherapy in the areas of: family and marital relations, relationships with parents, microsocial environment, professional; 4) forcing patients to abandon the goals of personal, social and professional fulfillment; 5) thoughtless and unfounded change in the stereotype of social functioning, social status, place of residence; 6 ) thoughtless and unfounded change of religious convictions and beliefs; 7) such features of the psychotherapeutic method that lead to the inclusion in psychotherapy of a patient who is not ready for it, who does not sufficiently responsibly assess the significance of his own behavior in the process of psychotherapy due to not quite adequately formulated goals of psychotherapy, or underestimation of the possible consequences of using this method;8) patient involvement in ethicalunacceptable relationships that contradict the professional ethics of a psychotherapist or are ethically unacceptable for the patient. Article 21. Rights and responsibilities of medical workers and other specialists when providing psychotherapeutic assistance (1) Professional rights and responsibilities of a psychotherapist and other specialists when providing psychotherapeutic assistance are established by the Legislation of the Russian Federation on healthcare and this Law. (2) Establishing a diagnosis of a mental or other disease for which psychotherapy is indicated, making a decision on the provision of psychotherapeutic assistance or giving an opinion to consider this issue is the exclusive right of a psychotherapist or a committee of doctors -psychotherapists. A psychotherapist, in accordance with the specifics of his training, in necessary cases, has the rights of a psychiatrist in relation to making decisions on the prescription of psychiatric treatment, giving opinions on its appropriateness, as well as resolving issues of emergency hospitalization in psychiatric institutions. Article 22. Independence of a psychotherapist when providing psychotherapeutic assistance (1) When providing psychotherapeutic assistance, a psychotherapist is independent in his decisions and is guided by medical, psychological and social indications, medical duty and the Law. (2) A psychotherapist whose opinion does not coincide with the medical decision commission, has the right to give its opinion, which is attached to the medical documentation. Article 23. Rights of a clinical psychologist and social work specialist when providing psychotherapeutic assistance (1) When providing psychotherapeutic assistance, a clinical psychologist and social work specialist who have a special training and relevant certificates (in clinical psychology/social work and psychotherapy), as well as a license to engage in psychotherapeutic activities in accordance with current legislation, can apply psychotherapeutic methods taking into account the education received, guided by psychological and social criteria, professional duty and the Law. (2) The provision of psychotherapeutic assistance by a clinical psychologist and social work specialist is possible only after an initial examination of the patient by a psychotherapist and, if necessary, repeated consultations. In this case, legal responsibility for the state of health and life of the patient is equally assigned to the interacting specialists. Article 24. Assistants (assistants) of a psychotherapist, their rights and responsibilities when providing psychotherapeutic assistance (1) Assistant (assistant) of a doctor - a psychotherapist is a person who has a higher or secondary special education in the humanities, who has undergone special training in psychotherapy in accordance with Article 29 of this Law, who uses an auxiliary psychotherapeutic method in his activities under the direct supervision of a psychotherapist. (2) Assistant (assistant) of a psychotherapist may be enrolled in specially designated positions within the payroll fund of an institution providing psychiatric and psychotherapeutic care in art therapy, music therapy, choreotherapy, movement therapy, body therapy and other auxiliary methods of psychotherapy. (3) An assistant (assistant) of a psychotherapist participates in provision of psychotherapeutic assistance under the guidance of a psychotherapist and is responsible for the quality of the psychotherapeutic activities carried out by him, guided in their implementation by the acquired knowledge and this Law. Article 25. Volunteers, their rights and responsibilities when assisting in the provision of psychotherapeutic assistance (1 ) A volunteer is a person who has undergone special training in psychotherapy in accordance with Article 30 of this Law, facilitating the provision of psychotherapeutic assistance. (2) A volunteer participates in events conducted by institutions providing psychotherapeutic assistance inon a voluntary basis, which does not exclude material incentives for fulfilling certain tasks under an employment agreement (contract) with a medical institution. The performance of the functions of a volunteer is recorded by the relevant order of the institution. (3) The volunteer facilitates the provision of psychotherapeutic assistance under the guidance of a psychotherapist and other specialists and is responsible for the quality of the activities carried out by him, guided in their implementation by the instructions of the psychotherapist, other specialists, acquired knowledge and this Law .Article 26. Guarantees and benefits for psychotherapists, medical and other personnel involved in the provision of psychotherapeutic assistance (1) Psychotherapists, clinical psychologists, social work specialists, assistants (assistants) of a psychotherapist, medical and other personnel providing psychotherapeutic assistance have the same rights to benefits as psychiatrists, medical and other personnel involved in the provision of psychiatric care, established by the Legislation of the Russian Federation for persons engaged in activities in special working conditions, and are also subject to compulsory state insurance in case of harm to their health or death in the performance of official duties. In the event of harm to health resulting in temporary loss of ability to work of a person during the provision of psychotherapeutic assistance, he is paid an insurance amount within the limits of his annual salary, depending on the severity of the damage caused. Upon the occurrence of disability, the insured amount is paid in the amount of an annual to five-year salary, depending on the degree of loss of ability to work, and in the event of his death, the insurance amount is paid to his heirs in the amount of ten times the annual salary. (2) A volunteer who takes part in the work of institutions providing psychotherapeutic assistance for a period of at least one year (as confirmed by a letter of recommendation from the relevant health authority) has the right to enter a higher educational institution of medical, psychological and social profile; admission to internship, clinical residency and graduate school, as well as enrollment in cycles of postgraduate retraining and improvement on preferential terms. For subsequent training in psychotherapy, hours of training as a volunteer count towards the specialist standard. Section IV. STATE REQUIREMENTS FOR THE TRAINING OF PSYCHOTHERAPISTS, CLINICAL PSYCHOLOGISTS, SOCIAL WORK SPECIALISTS, PSYCHOTHERAPIST ASSISTANTS, VOLUNTEERS AND THE PROCEDURE FOR ITS CONDUCT Article 27. State requirements for training of psychotherapists(1) Training of psychotherapists carried out by medical institutions of postgraduate education, practical work during training - in institutions providing psychiatric and psychotherapeutic care that have the right to do so, taking into account state requirements for the training of psychotherapists; it includes theoretical training - at least 250 hours, practical training - at least 500 hours, practical work - at least 250 hours, supervision - at least 50 hours, as well as personal and professionally oriented training - at least 150 hour.; the total duration of training for a psychotherapist is 1200 hours, and its individual sections cannot be shortened and replaced by external studies. (2) The training of psychotherapists includes: 1) theoretical training on general and specific issues of psychotherapy: basic theories of psychotherapy ; theoretical and methodological, clinical, psychophysiological, psychological, socio-psychological foundations of psychotherapy; history of psychotherapy and its main directions; evidence-based methods of psychotherapy; organization of psychotherapeutic assistance; interaction between a psychotherapist, a clinical psychologist and other specialists when conducting psychotherapy in the system of modernmodels of team interaction; features of providing psychotherapy to persons of various socio-demographic groups and various religions; the specific content of the requirements for theoretical training is determined by regulations of the Ministry of Health of the Russian Federation and is periodically revised taking into account the achievements of science and practice; 2) practical training: communicative training; clinical training (studying the practical application of psychotherapy in various clinical and social groups of patients); practical application of evidence-based methods of psychotherapy with an in-depth study of one symptom-centered, one person-centered and one socio-centered methods of psychotherapy at the student’s choice from those recommended for practical use in healthcare institutions and taking into account the capabilities of the educational institution; the specific content of this section of training is determined by the regulatory documents of the Ministry of Health of the Russian Federation; 3) conducting psychotherapy under the guidance of a supervisor (supervisors): work as a psychotherapist in medical institutions approved in the postgraduate education system to conduct training in psychiatry and psychotherapy 100 hours. in an outpatient psychotherapeutic institution (psychotherapeutic office); 50 hours. in an inpatient psychotherapeutic institution (psychotherapeutic department); 50 hours. in an institution providing psychiatric care (psychiatric hospital, psychoneurological dispensary); 50 hours. in an institution providing crisis psychotherapeutic assistance (crisis hospital, emergency psychotherapeutic help telephone); based on the results of work under the guidance of a supervisor (supervisors), a doctor undergoing training in psychotherapy must treat at least 10 patients with psychotherapy methods, at 50 hours. supervision, of which 20 hours. provides individual supervision; 4) participation in personality- and professionally-oriented trainings in the system of one or more scientifically based areas of psychotherapy with a total duration of at least 150 hours; of which: 100 hours. - personality-oriented trainings, 30 hours. - professionally oriented (Balint group); personal training - at least 20 hours..(3) During the training process, a doctor who is undergoing training in psychotherapy and does not have a specialization in psychiatry must receive it in accordance with the requirements of the state standard with credit for overlapping disciplines.(4) After completing the training, which is confirmed by certificates of completion of specific sections of training indicating the number of hours. and supervision (with the names of supervisors), and, subject to the requirements of part three of this article, a state exam is held, upon successful completion of which, the doctor is assigned the specialty “psychotherapist,” which is confirmed by a state certificate. State examinations and certification are carried out by commissions of All-Russian professional psychotherapeutic medical associations in accordance with Articles 15 and 44 of this Law.(5) During training in psychotherapy, a doctor may be temporarily assigned to the position of “psychotherapist” on the basis of documents issued by medical institutions providing postgraduate training, subject to completion of internship (specialization, clinical residency, graduate school) in psychiatry and the basic course of the training program in psychotherapy. Article 28. State requirements for training in psychotherapy for clinical psychologists and social work specialists (1) The training of clinical psychologists and social work specialists is carried out by postgraduate medical institutions that have a license for this, and practical work during training is carried out in institutions that provide psychiatric and psychotherapeutic care and have the right to provide it within the limits of state requirements fortraining of psychotherapists, clinical psychologists-psychotherapists and social work specialists-psychotherapists and includes theoretical training lasting at least 300 hours, practical training - at least 300 hours, practical work and supervision - at least 1600 hours, and also personal and professionally oriented trainings - at least 160 hours; the total duration of training for a clinical psychologist is 2360 hours; its individual sections cannot be shortened and replaced by an external course. (2) Clinical psychologists who have received higher education in clinical psychology at medical and humanities universities and have postgraduate training are accepted for training in psychotherapy ( residency) in clinical psychology in a health care institution that has a license for postgraduate training with a duration of at least one year; for psychologists with a higher psychological education in psychology, the duration of the residency is two years; for psychologists with a higher psychological education as a second higher education , the duration of the residency is three years. (3) Social work specialists who have completed postgraduate training (residency) in social work in a health care institution providing psychiatric and psychotherapeutic care and have a license for postgraduate training with a duration of not less than one year. (4) Psychotherapeutic training of clinical psychologists and social work specialists includes: 1) theoretical training on general and specific issues of psychotherapy: basic theories of psychotherapy; theoretical and methodological, clinical, psychophysiological, psychological, socio-psychological foundations of psychotherapy; history of psychotherapy and its main directions; evidence-based methods of psychotherapy; organization of psychotherapeutic assistance; interaction between a psychotherapist, a clinical psychologist, a social work specialist and other specialists when conducting psychotherapy in the system of modern models of team interaction; features of providing psychotherapy to persons of various socio-demographic groups and various religions; the specific content of the requirements for theoretical training is determined by regulations of the Ministry of Health of the Russian Federation and is periodically revised taking into account the achievements of science and practice; 2) practical training: communicative training; clinical training (studying the practical application of psychotherapy in various clinical and social groups of patients); practical application of evidence-based methods of psychotherapy with an in-depth study of one symptom-centered, one person-centered and one socio-centered methods of psychotherapy at the student’s choice from those recommended for practical use in healthcare institutions and taking into account the capabilities of the educational institution; the specific content of this section of training is determined by the regulatory documents of the Ministry of Health of the Russian Federation; Social work specialists are trained in the use of socially-centered methods of psychotherapy, as well as in the organization of a psychotherapeutic environment and the formation of a psychotherapeutic community; 3) conducting psychotherapy under the guidance of a supervisor (supervisors): work as a clinical psychologist-psychotherapist or a social work specialist-psychotherapist in medical institutions admitted in the postgraduate education system to conduct specialization in psychiatry and psychotherapy 200 hours. in an outpatient psychotherapeutic institution (psychotherapeutic office); 200 hours. in an inpatient psychotherapeutic institution (psychotherapeutic department); 950 hours. in a clinical institution providing psychiatric care (psychiatric hospital, psychoneurologicaldispensary);100 hours. in an institution providing crisis psychotherapeutic assistance (crisis hospital, emergency psychotherapeutic help line) - for clinical psychologists and in institutions providing social assistance - for social work specialists; based on the results of practical work under the guidance of a supervisor (supervisors), a clinical psychologist undergoing training in psychotherapy, must treat at least 10 patients with psychotherapy methods at 150 hours. supervision, of which 50 hours. prepares individual supervision; a social work specialist must conduct at least 20 events in sociotherapy, organizing a therapeutic environment and forming a therapeutic community; 4) participation in personal and professionally oriented training in the system of one or more evidence-based areas of psychotherapy with a total duration of at least 160 hours; of which: 100 hours. - personality-oriented trainings, 30 hours. - professionally oriented (Balint group) and personal training - at least 30 hours. (4) After completion of training, which is confirmed by certificates of completion of specific sections of training indicating the number of hours. and supervision (with the names of supervisors) and subject to the fulfillment of the requirements of part three of this article, a state exam is held, upon successful completion of which a clinical psychologist is awarded the qualification “clinical psychologist-psychotherapist”, and a social work specialist is awarded the qualification “social work specialist-psychotherapist”, which is confirmed by a state certificate; state examinations and certification are carried out by commissions of All-Russian professional psychotherapeutic medical associations in accordance with Articles 15 and 44 of this Law. (5) During training in psychotherapy, these specialists may be temporarily assigned to the appropriate positions on the basis of documents issued by medical institutions providing postgraduate training, after training lasting at least 1000 hours, of which at least 500 hours. in psychiatric institutions. Article 29. State requirements for the training in psychotherapy of assistants (assistants) of a psychotherapist (1) Training of assistants (assistants) of a psychotherapist is carried out by postgraduate medical institutions that have a license for this type of training, and practical work during training is carried out in institutions providing psychiatric and psychotherapeutic care that have the right to provide it within the limits of state requirements for the training of psychotherapists, and includes theoretical training lasting at least 500 hours, practical training - at least 500 hours. , practical work and supervision - at least 1180 hours, as well as personal and professionally oriented training - at least 200 hours; the total duration of training is 2380 hours, its individual sections cannot be shortened and replaced by external studies. (2) For training in psychotherapy as psychotherapist assistants (assistants), persons with a higher education or secondary specialized humanitarian education are accepted. (3) Training assistants (assistants) to a psychotherapist includes: 1) theoretical training on general and specific issues of psychotherapy: basic theories of psychotherapy; theoretical and methodological, clinical, psychophysiological, psychological, socio-psychological foundations of psychotherapy; history of psychotherapy and its main directions; evidence-based methods of psychotherapy; organization of psychotherapeutic assistance; interaction between a psychotherapist, clinical psychologist, social work specialist, etc. when conducting psychotherapy in the system of modern models of team interaction; the specific content of the requirements for theoretical training is determined by regulations of the Ministry of Health of the Russian Federation and is periodically revised taking into accountachievements of science and practice; 2) practical training: communicative training at various stages; clinical training (studying the practical application of psychotherapy in various clinical and social groups of patients); practical application of evidence-based methods of psychotherapy with an in-depth study of auxiliary methods of psychotherapy, primarily involving the organization of a psychotherapeutic environment and the formation of a psychotherapeutic community, art therapy, choreotherapy, movement therapy, body-oriented therapy, etc., from among the auxiliary methods of psychotherapy recommended for practical use application in healthcare institutions and taking into account the capabilities of educational institutions; the specific content of this section of training is determined by the regulatory documents of the Ministry of Health of the Russian Federation; 3) practical psychotherapeutic work under the guidance of a supervisor (supervisors): work as an assistant (assistant) to a psychotherapist - methodologist in art therapy, choreotherapy, movement therapy, body-oriented therapy and other auxiliary methods of psychotherapy in clinical institutions that, in the postgraduate education system, are allowed to conduct specialization in psychiatry and psychotherapy 400 hours. in an outpatient psychotherapeutic institution (psychotherapeutic office); 400 hours. in an inpatient psychotherapeutic institution (psychotherapeutic department); 380 hours. in a clinical institution providing psychiatric care (psychiatric hospital, psychoneurological dispensary); 4) participation in personal-professional-oriented training in the system of one or more evidence-based areas of psychotherapy with a total duration of at least 200 hours; of which: 100 hours. - personality-oriented trainings, 60 hours. - professionally oriented trainings and personal training - at least 40 hours. (4) After completion of training, which is confirmed by certificates of completion of specific sections of training indicating the number of hours. and supervision (with the names of supervisors) and subject to the requirements of part three of this article, a state exam is held, upon successful completion of which the person who has completed the training is awarded the additional qualification of “assistant psychotherapist,” which is confirmed by a state certificate; state examinations and certification are carried out by commissions of All-Russian professional psychotherapeutic medical associations in accordance with Articles 15 and 44 of this Law. (5) During training in psychotherapy, these specialists may be temporarily assigned to the appropriate positions on the basis of documents issued by medical institutions providing postgraduate training, after training lasting at least 1000 hours. Article 30. Training of volunteers in psychotherapy (1) Training of volunteers to work in institutions providing psychotherapeutic assistance is carried out by postgraduate medical institutions licensed for this type of training, taking into account state requirements to training volunteers; it includes theoretical training lasting at least 50 hours, practical training - at least 54 hours, practical work under the guidance of a psychotherapist - at least 54 hours, as well as personal and professionally oriented training - at least 130 hours .; the total duration of training for volunteers is 288 hours, its individual sections cannot be shortened and replaced by external studies. (2) To train volunteers for institutions providing psychotherapeutic assistance, persons are accepted without regard to education; Children and adolescents can be recruited as volunteers to work with children and adolescents. (3) Volunteer training includes: 1) theoretical training on general and specific issues of psychotherapy: history of psychotherapy; main directions of psychotherapy; organization of psychotherapeutichelp; interaction of specialists when conducting psychotherapy in the system of modern models of team interaction; the specific content for theoretical training is determined by regulations of the Ministry of Health of the Russian Federation; 2) practical training: communicative training; organization of a psychotherapeutic environment and formation of a psychotherapeutic community; the specific content of this section of training is determined by the regulatory documents of the Ministry of Health of the Russian Federation; 3) practical psychotherapeutic work under the guidance of a psychotherapist: practice as a volunteer of an institution providing psychotherapeutic assistance of the appropriate profile; working on a crisis helpline; participation in the work of the crisis assistance office; in clubs of former patients; other institutions providing psychotherapeutic assistance; 4) participation in personal and professionally oriented trainings. (4) After completion of training, which is confirmed by certificates of completion of specific sections, subject to the requirements of part three of this article, a state exam is held, upon successful completion of which , who has completed the training is awarded the qualification “volunteer to work in institutions providing psychotherapeutic assistance,” which is confirmed by a certificate. State examinations are carried out by authorized institutions of the Ministry of Health of the Russian Federation, which have a license for postgraduate training in psychotherapy. Section V. TYPES OF PSYCHOTHERAPEUTIC CARE AND THE PROCEDURE FOR ITS PROVISION Article 31. Types of outpatient psychotherapeutic care (1) Outpatient psychotherapeutic assistance to a person with mental and other mental disorders disease or conditions that cannot be qualified as painful, for which psychotherapy is indicated, is provided in the form of outpatient medical psychotherapeutic care or in the form of outpatient non-medical psychotherapeutic care. (2) Outpatient medical psychotherapeutic care is provided by a psychotherapist, with the participation, in the case necessary, a clinical psychologist-psychotherapist and a social work specialist-psychotherapist, an assistant (assistant) of a psychotherapist, a volunteer, when the patient independently applies at his request or with his consent, and in relation to a minor under the age of 16 years - at the request or with consent of his parents or other legal representative. (3) Outpatient non-medical psychotherapeutic assistance is provided by a clinical psychologist-psychotherapist or social work specialist-psychotherapist. Article 32. Outpatient medical psychotherapeutic assistance (1) Outpatient medical psychotherapeutic assistance is provided to persons with a mental disorder with stable remission without exacerbation or other diseases for which psychotherapy is indicated, by a psychotherapist independently; in the presence of acute or subacute mental disorders or under conditions of dynamic observation in institutions providing psychiatric care, with the participation of a psychiatrist in complex treatment. (2) Referral to outpatient medical psychotherapy of a person with an unstable course of a mental disorder, or registered in a dispensary group institution providing psychiatric care is carried out by a psychiatrist. When these patients independently seek psychotherapeutic help, the psychotherapist who accepts the patient for treatment with psychotherapeutic methods notifies in writing the attending psychiatrist of the institution providing psychiatric care and conducting dynamic observation, which is recorded in the medical records of the institution providing psychotherapeutic care, with an appendix copies of the written notice. (3) When prescribing medical psychotherapy and when requesting a psychotherapist to institutions providing psychiatric care that previously treated the patient, the lattersend to the institution providing psychotherapeutic assistance medical information necessary for psychotherapy. (4) When conducting psychotherapy, a psychotherapist maintains personal documentation that records anamnestic information, diagnosis, consent to conduct psychotherapy, a treatment plan, and brief descriptions of the activities carried out. Article 33. Outpatient non-medical psychotherapeutic assistance (1) Outpatient non-medical psychotherapeutic assistance is provided to persons in a state of socio-psychological maladjustment, in a situation of personal crisis and other conditions not caused by a mental illness, or in conditions that cannot be qualified as painful, as well as in cases of consequences of mental disorders, stable pathological conditions or other diseases. (2) When citizens seek non-medical psychotherapeutic help directly from a clinical psychologist-psychotherapist and a social work specialist-psychotherapist, these specialists provide consultation with a doctor before starting psychotherapy - psychotherapist. (3) When conducting outpatient non-medical psychotherapy by a clinical psychologist-psychotherapist or social work specialist-psychotherapist, they maintain personal documentation, which records the conclusion of the psychotherapist, psychological or social diagnosis, consent to conduct this type of psychotherapy, information about the activities, advisory opinions of a psychotherapist, which were carried out during psychotherapy. Article 34. Measures to ensure confidentiality when providing psychotherapeutic assistance (1) When providing psychotherapeutic assistance, a psychotherapist, clinical psychologist, psychotherapist or social work specialist - psychotherapists bear personal responsibility for the non-dissemination of information obtained in the process of psychotherapy, for which all personal medical documentation is stored in specially equipped places, access to which only specialists providing psychotherapeutic assistance have; protocols of psychotherapeutic sessions and other materials related to psychotherapy (texts, drawings, video and audio materials, etc.), including educational and scientific ones, are used with the consent of the person undergoing psychotherapy, and the nature of their use is reflected in the psychotherapeutic contract .(2) When issuing medical or other documentation to a patient who has undergone psychotherapy, it is drawn up in the same way as documents from institutions providing psychiatric care; the name of the institution does not contain information about the specifics of the institution providing psychotherapeutic assistance, and which may have a negative impact on the rights and interests of the person receiving psychotherapy. (3) In the institution providing psychotherapeutic assistance, at the request of the person receiving it, or his legal representative, conditions are created to ensure the necessary level of confidentiality of treatment, which is fixed in the psychotherapeutic contract. Article 35. Types of inpatient psychotherapeutic care (1) Inpatient psychotherapeutic assistance to a person suffering from a mental disorder or other disease for which inpatient psychotherapy is indicated, and also, if it is necessary to temporarily eliminate the impact of psycho-traumatic factors, it is carried out in the form of inpatient medical psychotherapeutic care and inpatient non-medical psychotherapeutic care. (2) Inpatient medical psychotherapeutic care is provided in specialized psychotherapeutic hospitals by a psychotherapist with the participation of a clinical psychologist-psychotherapist and a social work specialist - psychotherapist upon self-referral of a person suffering from a mental disorder or other disease for which psychotherapy is indicated, at his request or with his consent, and in relation to a minor inunder the age of 16 years - at the request or with the consent of his parents or other legal representative. (3) Inpatient non-medical psychotherapeutic care is provided in specialized hospitals by a clinical psychologist-psychotherapist and a social work specialist-psychotherapist with the mandatory participation of a psychotherapist. S t a t ь I 36. Inpatient medical psychotherapeutic care (1) Inpatient medical psychotherapeutic care is provided to persons with a mental disorder with persistent remissions without exacerbation or other diseases for which psychotherapy is indicated, by a psychotherapist; in case of worsening mental disorders, at the stage of rehabilitation or dynamic observation in an institution providing psychiatric care, as prescribed and with the participation of a psychiatrist in complex treatment. (2) Inpatient medical psychotherapy of persons with an unstable course of mental disorder is carried out on the direction of a psychiatrist of the institution, providing psychiatric care, which is recorded in the medical records of this institution. (3) When conducting inpatient medical psychotherapy, if requested by a psychotherapist, institutions providing psychiatric care provide him with medical information necessary for the implementation of psychotherapeutic measures. (4) When conducting psychotherapy The psychotherapist maintains personal documentation, which records anamnestic information, diagnosis, consent to conduct psychotherapy, a treatment plan, and a brief description of the measures taken. Article 37. Inpatient non-medical psychotherapeutic care (1) Inpatient non-medical psychotherapeutic care is provided to persons in a condition socio-psychological maladaptation in a situation of personal crisis and other suffering not caused by a mental disorder, or in conditions that cannot be qualified as painful, as well as in the presence of consequences of mental disorders, stable pathological conditions or other diseases for which treatment is not required medical psychotherapy, after a face-to-face consultation with a psychotherapist and under his periodic supervision. (2) Appointment for inpatient non-medical psychotherapy is carried out by commissions, which, in addition to a clinical psychologist-psychotherapist, also include a psychotherapist; the content of the consultation is documented in the form of a psychotherapist's entry into the personal documentation of the institution providing non-medical psychotherapeutic assistance. (3) When conducting inpatient non-medical psychotherapy by a clinical psychologist-psychotherapist or a social work specialist-psychotherapist, they maintain personal documentation in which a psychological or social diagnosis is recorded , consent to conduct this type of psychotherapy, protocols of the activities carried out, advisory opinions of a psychotherapist. Article 38. Psychotherapeutic hospital A specialized institution (inpatient unit) designed to provide treatment primarily using psychotherapy methods. (1) Psychotherapeutic hospitals are organized at regional , regional, city psychiatric hospitals, large psychoneurological dispensaries, psychotherapeutic centers, in general somatic hospitals and in the non-state healthcare system. They act as one of the links in a stepped system of psychotherapeutic assistance. A psychotherapeutic hospital is created by the health authorities of the constituent entities of the Russian Federation at the proposal of the chief psychiatrist and chief psychotherapist in republican, district, regional, regional administrative centers, etc. in accordance with the regulatory and methodological documents of the Ministry of Health. (2) The main tasks in organizing a psychotherapeutic hospital are: inpatient treatment and diagnostic care for neuroses, other neuropsychic and psychosomatic disorders, patients withmental illnesses in remission, without exacerbation and in need of inpatient care, as well as persons in a state of socio-psychological maladaptation in a situation of personal crisis and other suffering not caused by a mental disorder or in conditions that cannot be qualified as painful; therapeutic assistance, depending on indications, in the form of symptom-centered, person-centered and socio-centered psychotherapy in combination with medication and other types of therapy; psychotherapy in individual, family, marital and group forms; introduction of the latest achievements in the field of psychotherapy into psychotherapeutic practice. (3) Psychotherapeutic hospitals should employ specialists and staff with good psychotherapeutic training, as well as experience in interaction in the implementation of psychotherapeutic programs; in psychotherapeutic non-medical hospitals, the staffing table must include positions of psychotherapists. (4) Persons who are motivated to undergo psychotherapy and who do not deny the role of psychological factors as the main causes of the disease are sent to a psychotherapeutic hospital: 1) when deciding on the patient’s hospitalization in psychotherapeutic hospital, the motivation factor for participation in psychotherapy is no less important than clinical indications, otherwise the implementation of a psychotherapeutic program may be impossible due to the somatocentric orientation of the patient’s internal picture of the illness and the actualization of psychological protective behavior, including in the form of manipulative tendencies; 2) mandatory a condition for the work of a psychotherapeutic hospital is the consistent organization of the therapeutic environment to exclude the possibility of the formation of an “anti-therapeutic” orientation of the socio-psychological climate, in which active psychotherapy becomes impossible due to the manipulative behavior of patients; 3) for the analysis of microsocial phenomena, overcoming the “emotional burnout syndrome” of specialists , resolving difficulties among patients and staff, special measures should be regularly taken to overcome these phenomena; Such events can include weekly meetings of department staff to analyze and manage the therapeutic community, develop a behavioral strategy for all employees, as well as regular group discussions of the psychotherapeutic process in therapeutic teams. Article 39. Rights of patients in psychotherapeutic hospitals ( 1) A person undergoing inpatient psychotherapy must be explained the reasons and purposes of placing him in a psychotherapeutic hospital, his rights and the rules established in the hospital in the language he speaks, which is recorded in personal documentation. (2) All patients who are on treatment or examination in a psychotherapeutic hospital, has the right to: contact directly the chief physician (head) or head of the department on issues of treatment, examination, discharge from a psychotherapeutic hospital and compliance with the rights granted by this Law; submit uncensored complaints and applications to representative and executive authorities , prosecutor's office, court and lawyer; meet with a lawyer and a clergyman in private; perform religious rites, observe religious canons, including fasting, in agreement with the administration, have religious paraphernalia and literature; receive, on an equal basis with other citizens, remuneration for work in accordance with his quantity and quality if the patient participates in occupational therapy. (3) A psychotherapist in therapeutic work with religious patients, to enhance the therapeutic result, at their request, can involve religious figures in cooperation to use their experience in the canonical form. (4) Patients also have the following rights, which cannot be limited: to correspond withoutcensorship; use the telephone; receive visitors (in accordance with the hospital regime); use your own clothes; (5) Paid services (communication services, etc.) are carried out at the expense of the patient to whom they are provided. Article 40. Extract from psychotherapeutic hospital A patient is discharged from a psychotherapeutic hospital in cases of recovery or improvement of his mental and somatic condition, in which no further inpatient treatment is required, as well as after completion of the examination that was the basis for placement in the hospital, and in all other cases at the request of the person undergoing psychotherapy .Article 41. Psychotherapeutic consultation (1) Psychotherapeutic consultation is carried out by a psychotherapist; in this case, the following questions are resolved: does the person being examined suffer from a mental illness or disorder for which psychotherapy is indicated, does he need psychotherapeutic help, can he, taking into account his clinical condition, psychological characteristics of the individual and socio-psychological factors, participate in psychotherapy, in what way? the form he needs; if necessary, a clinical psychologist-psychotherapist and/or a social work specialist-psychotherapist takes part in the consultation.(2) The data of the psychotherapeutic consultation and the conclusion about the mental and physical state of the subject are recorded in the medical documentation, which also indicates the reasons for contacting the psychotherapist and medical recommendations. Section VI. CONTROL OVER THE ACTIVITIES OF PROVIDING PSYCHOTHERAPY CARE Article 42. Control over the provision of psychotherapeutic assistance (1) Control over the activities of institutions and persons providing psychotherapeutic assistance is carried out by local governments. (2) Control over the activities of psychotherapeutic institutions is carried out by federal and republican (republics within the Russian Federation), autonomous region, autonomous districts, regional, regional, cities of Moscow and St. Petersburg health authorities, ministries and departments that have such institutions. Article 43. Control of public associations over the observance of rights and legitimate interests of citizens in the provision of psychotherapeutic assistance (1) Public associations of psychotherapists, other public and religious associations may exercise control over compliance with the rights and legitimate interests of citizens in the manner established by the Legislation of the Russian Federation. (2) Representatives of public associations are required to agree on the terms of the visit with administration of a psychotherapeutic institution, familiarize yourself with the rules in force there, comply with them, including the obligation to not disclose personal information constituting medical and professional secrets. Article 44. All-Russian professional psychotherapeutic medical associations and their activities to control the quality of care psychotherapeutic assistance(1) All-Russian professional psychotherapeutic medical associations carry out their activities in accordance with the existing Legislation of the Russian Federation, the Legislation of the Subjects of the Russian Federation and this Law after they are recognized as such by the Ministry of Health of the Russian Federation.(2) All-Russian professional psychotherapeutic medical associations are formed in their the composition of special commissions for the certification of psychotherapists and assistants (assistants) of a psychotherapist, as well as ethical commissions. (3) The certification commissions of the All-Russian professional psychotherapeutic medical associations include scientists - representatives of research and teaching institutions in the field of psychotherapy, - organizers of psychotherapeutic assistance ; commissions are organized on the basis of medical institutions that train psychotherapists and have the appropriate licenses for this, by decision of the Ministry of Healthof the Russian Federation and carry out their activities on a regional basis in accordance with Article 15 of this Law. (4) The ethical commissions of the All-Russian professional psychotherapeutic medical associations include well-known and authoritative psychotherapists in the professional environment and carry out their activities in accordance with Articles 20, 22 and 23 of this Law. Section VII. APPEALING ACTIONS WHEN PROVIDING PSYCHOTHERAPEUTIC CARE Article 45. Procedure and terms of appeal (1) Actions of medical workers and other specialists that infringe on the rights and legitimate interests of citizens when providing them with psychotherapeutic assistance may be appealed, at the choice of the person making the complaint, directly to the court, as well as to a higher body (superior official) or prosecutor. (2) A complaint can be filed by a person whose rights and legitimate interests have been violated, his representative, as well as an organization that is granted the right to defend by law or its charter (regulations). rights of citizens, within a month, calculated from the day when the person became aware of the commission of actions that infringed his rights and legitimate interests. (3) For a person who missed the deadline for appeal for a good reason, the missed deadline may be restored by the body or official considering the complaint .Article 46. Procedure for considering a complaint in court(1) Complaints against the actions of medical workers and other specialists that infringe on the rights and legitimate interests of citizens when providing them with psychotherapeutic assistance are considered by the court in the manner prescribed by the Legislation of the Russian Federation.(2 ) Participation in the consideration of the complaint of the person whose rights and legitimate interests have been violated, if his mental state allows, his representative, the person whose actions are being appealed, or his representative, as well as the prosecutor is mandatory. (3) Costs associated with the consideration of the complaint in court , is borne by the state. Article 47. Procedure for consideration of a complaint in a higher body (by a higher official) (1) A complaint filed with a higher body (by a higher official) is considered within ten days from the date of application. (2) Decision of a higher body (superior official) on the merits of the complaint must be motivated and based on the Law. (3) A copy of the decision of the higher body (superior official) within three days after consideration of the complaint on the merits is sent or handed to the applicant and the person whose actions are being appealed.( 4) The decision of a higher authority (superior official) may be appealed in court in the manner prescribed by the Legislation of the Russian Federation. Article 48. Liability for violation of this Law Criminal liability for violation of this Law is established by the Legislation of the Russian Federation. Administrative and other liability for violation of this Law is established by the Legislation of the Russian Federation and the republics within the Russian Federation. Rationale for the bill "On psychotherapy and specialists engaged in psychotherapeutic activities" The need for a special Law on psychotherapy is due to the need for legislative regulation of psychotherapeutic activities in order to further improve psychotherapeutic assistance to the population. This is also necessary for the development of psychotherapy as a field of science and practice in a country with the active construction of a legal society. The essential task of the Law being prepared is to protect the interests of citizens seeking psychotherapeutic help. Due to the unclear definition of the concepts of psychotherapy, its methods, forms and other issues, in this area there is a large number of untrained and poorly trained specialists, as well as alternative healers who manipulate the consciousness of suffering people. The proposed bill was created on the basis of the concept of the development of psychotherapeutic assistance, during developed for many years by the Federal Scientific and Methodological Center for Psychotherapy and Medicalpsychology of the Ministry of Health of Russia and the Russian Psychotherapeutic Association. Considering that currently there is no single generally accepted scientific definition of psychotherapy, the authors of the bill proceeded from the fact that the Law will apply to all methods, forms of psychotherapy and scientific theories that are implemented in practice. In this sense, the bill is “non-confessional” in relation to various professional psychotherapeutic schools, movements and groups. Section 1 formulates the general principles of providing psychotherapeutic assistance. Its content and delivery methods are given. The voluntariness of participation in psychotherapy and its confidentiality are protected by Articles 4, 6 and 7. The importance of concluding a psychotherapeutic contract, as consent to psychotherapy, is emphasized as one of the principles of providing psychotherapeutic assistance, specifying its type, nature and duration; it is assumed that before starting psychotherapy, the psychotherapist (doctor, psychologist and other specialists) will have to conclude a contract on the upcoming psychotherapy (Article 9). Section 2 defines the types of psychotherapeutic assistance (Article 11), forms of its financing (Article 12). The new organization of this type of assistance involves considering psychotherapy as a medical specialty, but with a significant addition: the medical nature of psychotherapy does not mean that psychotherapy can only be carried out by a doctor. Psychotherapy will be able to be provided in the form of medical psychotherapy by a psychotherapist and non-medical psychotherapy, which can be provided by two categories of specialists - a clinical (medical) psychologist and a social work specialist who have undergone special training in accordance with this bill, and subject to a number of additional conditions. Section 3 presents the features of the work of institutions providing psychotherapeutic assistance, the rights and responsibilities of specialists engaged in psychotherapeutic activities. The latter is defined (Article 13). It is emphasized that psychotherapeutic activity is implemented as an independent medical specialty with its subsequent inclusion in the number of scientific disciplines in which the Higher Attestation Commission of the Russian Federation awards academic degrees. If the Law is adopted, psychotherapy will be represented by three groups of specialists: a psychotherapist, a clinical psychologist-psychotherapist, and a social work specialist-psychotherapist. In the future, such subspecialties as psychoanalytic, cognitive-behavioral, child and adolescent psychotherapy, etc. will be able to emerge from psychotherapy. The conditions for admission to the profession will likely cause heated controversy. The bill emphasizes that psychotherapy can only be carried out by a mentally healthy person, since in the process of psychotherapy the details of his personal life become known to him, it cannot be excluded that the formation of dependence on the psychotherapist with subsequent manipulation of the patient (Article 14). This section sets out the principles of certification and licensing in psychotherapy, defines reasons why the right to psychotherapeutic activity may be terminated (Article 17). One of the reasons may be non-compliance with ethical standards. All-Russian professional psychotherapeutic medical associations, taking into account the ethical standards for conducting psychotherapy (Article 20), through their ethical commissions will be able to propose to licensing authorities to revoke licenses in such cases. For the first time in our country, an assistant (assistant) of a psychotherapist will be able to take part in the provision of psychotherapeutic assistance (Article 24). The training of these specialists will expand the range of application of auxiliary methods of psychotherapy; the specified specialist “takes part in psychotherapy”, using music therapy, art therapy, choreotherapy and others, on behalf of the psychotherapist. Article 25 also introduces the concept of a volunteer in psychotherapy - a voluntary participant “promoting the provision of psychotherapeutic assistance.” The range of benefits forparticipants in psychotherapy (Article 26). Section 4 covers the preparation of all subjects of psychotherapeutic activity. Taking into account the difficulties that the postgraduate education system is experiencing, it is necessary to legislate the main educational guidelines at this stage. Article 27 sets out the requirements for the standard of training of psychotherapists. Its total duration increases to 1200 hours. (according to Order of the Ministry of Health of the Russian Federation dated October 30, 1995 No. 294, it was 700 hours). As before, theoretical preparation, practical training and training are provided. Significant changes will affect the practical training of psychotherapists. 500 hours are allotted for it and supervision; requirements are specified for medical institutions in which psychotherapists will be able to carry out practical work under the guidance of a supervisor. The time allocated for supervision in the narrow sense of the word will, as before, be 50 hours. The training provides for the allocation of special time for personal training. The structure of the training of clinical psychologists-psychotherapists and social work specialists-psychotherapists is basically the same as for psychotherapists, however, the duration of some of its sections (practical work in the clinic and psychiatric in particular) has been significantly increased. This also applies to the general training time. When preparing an assistant (assistant) psychotherapist, taking into account the fact that he is practically a specialist in one psychotherapeutic method and does not have prior special education, the theoretical and practical sections are expanded, and the time of practical work is increased. After Upon completion of training, a psychotherapist, a clinical psychologist-psychotherapist, a social work specialist-psychotherapist and an assistant (assistant) of a psychotherapist pass an exam, after which they are issued specialist certificates. Section 5 outlines the types and features of providing psychotherapeutic assistance. It is supposed to present it as medical (provided by a psychotherapist) and non-medical (provided by a clinical psychologist-psychotherapist, social work specialist-psychotherapist) - Article 31. The range of disorders for which psychotherapy of both types is carried out is determined (Articles 32, 33). A heated debate may be caused by a legislative norm that defines the obligation of a specialist providing non-medical psychotherapy to first refer the patient for a consultation with a psychotherapist (Article 33, Part 2). Continuity in the work of various specialists in general is one of the main principles of organizing medical care. Since psychotherapy in this bill is considered a medical specialty, these requirements also apply to it. Psychotherapists have similar relationships with psychiatrists if the latter carry out dynamic monitoring of mentally ill patients who are indicated for psychotherapy and who have sought psychotherapeutic help in the outpatient treatment system (Article 32, Part 2). And this is despite the fact that psychotherapists have a basic psychiatric education and, in accordance with existing legislation, have the right to perform a number of functions of a psychiatrist. It is proposed to introduce a new type of psychotherapeutic institutions - hospitals providing non-medical psychotherapeutic care (Article 37). Article 41 fixes The fundamental difference in the activities of a psychotherapist and other specialists providing psychotherapeutic assistance is the exclusive right of the psychotherapist to conduct psychotherapeutic consultations, the content of which, in essence, is clinical diagnosis and determination of indications for psychotherapy as an independent type of medical activity. B 6 Section describes the mechanisms for ensuring control over the quality of various types of psychotherapeutic assistance. In addition to the traditional norms of such legislative acts, Article 44.