Khanty-Mansiysk Autonomous Okrug-Ugra: Novikov Andrei Petrovich, chief physician of “Surgut Clinical Psychoneurologic Hospital”

Project Members:

Sakha Republic (Yakutia): Матвеева Нюргуяна Петровна, кандидат медицинских наук, научный сотрудник УНЛ «Геномная медицина» Клиники Медицинского Института ФГАОУ ВО «СВФУ им. М.К. Аммосова». Sakha Republic (Yakutia): Nyurguyana P. Matveyeva, Ph.D., “Genomic Medicine” Educational Research Laboratory researcher of NEFU Medical Institute.

Brief Information:

Dangerous reality with alcohol and drug dependencies in the Russian northern regions, and in Alaska has pushed the Northern Forum to the creation in 2006 of a working group in order to improve treatment and rehabilitation programs in Russia and Alaska. Initially, the group consisted of experts from the northern regions: Vologda Oblast, Republic of Komi, Sakha Republic (Yakutia), St. Petersburg, Khanty-Mansiysk Autonomous Okrug-Ugra and Chukotka Autonomous Okrug. At the same time, the activities of the project are carried out in the Khanty-Mansiysk Autonomous Okrug – Ugra, and Sakha Republic (Yakutia). The project manager is the Khanty-Mansiysk region.

Project Goal:

Improving the prevention, treatment and rehabilitation of persons suffering from alcoholism and drug addiction in the regions of “The Northern Forum” International Association.

Project Objectives:

• • Establish cooperation between addiction treatment specialists in the Northern Forum member regions;
• • Facilitate the development of training programs in the Northern Forum member regions that will help improve treatment, rehabilitation and research programs;
• • Develop cooperation with governmental and non-governmental organizations to improve rehabilitation programs;
• • Facilitate the exchange of information and research results related to treatment and rehabilitation issues related to alcohol and drug abuse;
• • Conduct joint research;
• • Organize joint trainings for psychiatrists-narcologists, psychotherapists, psychologists, social workers with the purpose of developing a comprehensive approach to rehabilitation programs;
• • Organize the exchange of specialists to improve their skills;
• • Develop training programs on treatment and rehabilitation from alcohol or drug dependence;
• • Develop treatment and prevention programs that take into account different ethnic groups in the northern regions.

Current Activity:

A seminar with experts from the United States, with published manuals: “Modern approaches to the treatment and rehabilitation of alcohol and other dependencies in the North”, Khanty-Mansiysk, 2006; “Training on the treatment and prevention of unwanted dependencies in the North”, Khanty-Mansiysk, 2007; Videoconference “Stages and strategies of short-term outpatient rehabilitation of patients suffering from addictions, in the North”, Khanty-Mansiysk, 2008.

On the basis of the Khanty-Mansiysk psychoneurological dispensary an experimental ground for drug prevention, treatment and rehabilitation of drug dependence was established, 2008.

A website of the experimental ground http://narkohealth.ru/ was created.

Delegation of experts of the Khanty-Mansiysk Autonomous Okrug - Ugra to the United States to examine the current concepts and standards for drug rehabilitation of patients in the USA, 2008.

A rehabilitation program for persons suffering from dependencies in the High North has been developed and implemented.

In 2014, work on the project was carried out to examine the associations between polymorphic loci of candidate genes and alcoholism based on ethnicity. In the course of this work visiting research was carried out in various areas of Sakha Republic (Yakutia). The collected biological material (blood of people suffering from alcoholism) is currently undergoing further study (released DNA genotyping and pre-processing of data already received). On the basis of this project the results survey article on the genetics of alcoholism was published in the “Yakutsk Medical Journal”.

Also, theses have been prepared for publication with materials of practical neurology conference in Japan on “Correlation of comorbid neurological disease patients suffering from alcoholism and antisocial behavior”. Authors – Matveeva N.P. and N.V. Xojutanova.

We submitted articles “The implementation of the state policy of a healthy lifestyle in the Republic of Sakha (Yakutia): the analysis of the results, the forecast” for publication in the scientific journal “Siberian bulletin on Psychiatry and Addiction”. Authors: Bokhan N.A., Matveeva N.P., Xojutanova N.V., M.I. Afonskaia, Borisov V.I.

Published in 2014. monograph “Genetic research of population of Yakutia” included an article “Molecular genetic study of hereditary predisposition to alcoholism in indigenous populations of the North of the Arctic population”, Authors: N.P. Matveeva, S.S. Kulichkina, N.V. Xojutanova, N.R. Maksimova, A.N. Nogovitsyna.

Information on healthy lifestyles has been prepared and to be placed on the national children’s portal, developed by the Foundation for future generations of Sakha Republic (Yakutia).

Accomplishments:

In 2017, on the platform of all the institutions of professional and higher education of Khanty-Mansiysk Autonomous Okrug-Ugra, the units of Cybersquad operate, which organize the work of volunteers to form alternative groups in social networks that promote the value of human life, a healthy lifestyle and the identification of antisocial and asocial actions in social networks and the Internet. Daily monitoring of social networks allowed to identify 6 dangerous content regarding the sale of drugs, users were blocked, information was sent to Roskomnadzor.

In addition, 8 groups succumbing to suicide, 32 curators of so-called “whales” were blocked by Cybersquad detachments, 29 people were identified as potential suicides (this information was sent to the competent authorities). In March 2017, a detachment of the Cybersquad of Surgut State University revealed information about a Dark Internet site, regarding narcotic drugs, the manufacture of weapons, etc. Students filed a complaint with Roskomnadzor in connection with the discovery of suspicious information on the site.

Work plan for 2018:

Development of early detection system for narcotic drugs and psychotropic substance abusers. First of all, this applies to students of general educational institutions and vocational training institutions who have undergone socio-psychological testing and (or) preventive medical examination. Direction of identified abusers for more in-depth diagnosis within a specialized medical institution or its structural unit that provides narcological assistance. And also participation in preventive medical examinations of the population aged 18 years and over with the purpose of early detection of psychoactive substance abusers.

Formation of a unified quality control system for chemical-toxicological research on determining psychoactive substances, with the methodological support of federal research centers in this field.