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294 69 77; qronikaqronika@gmail.com fsiqikuri janmrTelobis politikis ra aris janmrTeloba? sad ga- ana uruSaZe dis zRvari fsiqikur janmrTelo- basa da aSlilobas Soris? vin aris normaluri da, saerTodac, ra aris norma? adamianebs saukunebis ganmavlobaSi awuxebda es kiTxvebi. dRes, roca, met-naklebad, yvelaferze SesaZlebelia informaciis mopoveba, am kiTxvebsac, ase Tu ise, gaeca pasuxi, Tumca zRvari normasa da normidan gadaxras Soris dRemde araa mkveTrad gavlebuli. arc Tavad fsiqikuri problemebisa da daavadebebis ganmartebaa zusti. sxvadasxva samecniero organizacia gvTavazobs axsnas, rom, realurad, adamianis fsiqikas sakmaod didi wnexi awveba yoveldRiur cxovrebaSi sxvadasxva faqtoris zemoqmedebiT, ramac Sei- Zleba, adamianis gonebis muSaobisa da misi funqcionirebis Seferxeba gamoiwvios. swored es aRiqmeba fsiqikur aSlilobad. msoflioSi fsiqikuri daavadebebi davadebaTa sistemis sakmaod gavrcelebuli nawilia. yoveldRiurad vlindeba fsiqikuri aSlilobis rogorc msubuqi, ise SedarebiT mZime formebic. zogadad rom vTqvaT, sami saxis fsiqikuri daavadeba arsebobs: nervuli aSliloba, fsiqikuri aSliloba da aRqmis cdomileba. jandacvis sferoSi fsiqikuri daavadebebis sistemasa da mis funqcionirebas aregulirebs fsiqikuri janmrTelobis politika, romelic saqarTveloSi sakmaod didi gamowvevebis winaSe dgas. saqarTveloSi fsiqikuri da qceviTi aSlilobebis wili daavadebaTa gavrcelebis struqturaSi 2,5%-s Seadgens da mzardi tendenciiT xasiaTdeba. 2013 wels fsiqikuri aSlilobebis prevalentobis maCvenebeli 100.000 mosaxleze Seadgenda 1536-s, xolo incidentobis maCvenebeli _ 167.8-s, rac sakmaod didi maCvenebelia da, amavdroulad, _ arasrulic. saqar- TveloSi ar arsebobs zusti statistika im raodenobis dasadgenad, Tu ramden adamians awuxebs fsiqikuri problemebi da ramdeni adamiani itanjeba fsiqikuri daavadebebiT. aseve arasrulyofilia daavadebaTa aRricxvis sistema, romelic sakuTar TavSi aerTianebs mxolod saxelmwifos mxridan dafinansebul beneficiarebs da ar iTvaliswinebs im adamianebs, romlebic stigmis an sxva problemis gamo ar aRiareben sakuTar problemebs. Tavis mxriv, fsiqikuri janmrTelobis saxelmwifo programa xSirad ver uzrunvelyofs maT saWiroebebs, ris gamoc samedicino samsaxurebisadmi mimarTvianobis maCvenebeli Zalian dabalia. rac Seexeba dafinansebas, Sei- Zleba iTqvas, rom yovelwliurad izrdeba saxelmwifos mxridan fsiqikuri janmrTelobis sferoSi subsidirebuli Tanxebis wili, Tumca es naklebad aisaxeba realobaze. sakmaod mZimea fsiqikuri janmrTelobis problemebis mqone adamianebisa da maTi ojaxis wevrebis mdgomareoba da socialuri yofa saqarTveloSi. saqarTvelos fsiqikuri janmrTelobis saxelmwifo programis 2018 wlis dafinanseba 5 milioni lariT gaizarda da 21 milioni lari Seadgina. 2018 wlidan fsiqikuri janmrTelobis saxelmwifo programis biujetis ZiriTadi cvlilebebia: gaizarda saTemo servisebis dafinanseba. kerZod: gazrdili Tanxis 54%-ze meti saTemo ambulatoriul momsaxurebaze gadanawilda; saTemo ambulatoriuli fsiqiatriuli momsaxurebis biujeti SemosazRvruli arealis mosaxleobis raodenobis mixedviT ganisaz- Rvra; programis moculobaSi calkeuli servisis standartis parametrebi Sevida, romlebic saqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministrosTan arsebulma samuSao jgufma SeimuSava; qveynis masStabiT 11 mobiluri gundi dafinansda (gasul wels finansdeboda mxolod 3 mobiluri gundi); gaizarda TiToeuli mobiluri gundis biujetic, rac niSnavs, rom Tbilissa da saqarTvelos regionebSi momsaxurebas gacilebiT meti beneficiari miiRebs; stacionaruli momsaxurebis dafinansebisas upiratesoba mieni- Wa Tanamedrove tipis sawolebis dafinansebas; grZelvadiani sawolebis dafinanseba 19 laridan 23 laramde gaizarda. arsebuli stigmebi, uyuradRebo damokidebuleba, vernaSovni samsaxuri, rTulad damyarebuli socialuri kavSirebi _ es im problemaTa mcire CamonaTvalia, romlis winaaRmdegac yoveldRiurad uwevs brZola fsiqikuri janmrTelobis problemebis mqone adamianebs saqarTveloSi. ra gamowvevebis winaSe dgas qarTuli fsiqikuri janmrTelobis politika da ramdenad sakmarisia roca daavadeba ganaCenia is xelSewyoba, rac saxelmwifos mxirdan am sferosadmi arsebobs? „qronika+~-s am da sxva mniS- vnelovan kiTxvebze pasuxobs fsiqologi, Tsu-is asocirebuli profesori, SSm pirTa sakiTxebis kvlevis centris xelmZRvaneli _ Tamar maxaraZe: _ zusti statistikuri monacemebi ar arsebobs, Tu ramdeni adamiania qveyanaSi fsiqikuri problemebis mqone. amis erT-erT mizezad isic dasaxelda, rom ar gvaqvs daavadebaTa aRricxvis efeqtiani sistema. ras fiqrobT amas- Tan dakavSirebiT? _ Cvens qveyanaSi statistika problemaa. zogadad, fsiqikuri janmrTelobis problemebis mqoneT statusi eniWebaT. aRricxvianoba mowesrigebulia im adamianebis TvalsazrisiT, romlebsac saxelmwifo fulad kompensacias _ pensias uxdis. Cven zustad viciT imaTi raodenoba, romlebsac saxelmwifo pensias uxdis Tavisi SezRuduli SesaZleblobebis gamo. SigniT, ukve, rTulia gaerkve, ra xdeba. arian adamianebi, romlebsac fsiqikuri problemebi aqvT, magram es ar iwvevs SezRudul SesaZleblobebs, Sesabamisad, maT ar gaaCniaT statusi, magram garkveuli saxis momsaxureba aucileblad sWirdebaT. aq ki problema gvaqvs, _ sistema ver xedavs im adamianebs, romlebsac pensias ar aZlevs. zogierTi stigmis gamo ver identificirdeba, msubuqi aSlilobebi fsiqikuri problemaa, magram Cveni yuraRebis miRma rCeba. amis Sesaxeb zogjer verc ojaxi da verc sazogadoeba ver igebs. cifrebi mxolod mZime fsiqikuri aSlilobebis mqone adamianTa raodenobas asaxavs, rogoricaa fsiqozi, klinikuri depresia da a. S. es mZime forma qronikulia, vlindeba da sul aris. pirveli simptomebi iseTi formiT iCens Tavs, romlis identificirebac rTulia da Tavis droze ver xerxdeba. rTulia daavadebebis identificireba, Tumca identificirebis SemTxvevaSi gaurkvevelia, sad unda wavides adamiani. ar aris amis Camoyalibebuli, kompleqsuri mkurnalobisa da reabilitaciis gzebi. anu es adamianebi ganwirulebi arian da vinc rogor axerxebs, ise umklavdeba problemebs. realurad, gvaqvs sistema, romelic saxelmwifos mxridan dafinansebul sazogadoebis nawils aRricxavs da sistemis miRma rCebian msubuqi fsiqikuri problemebis mqone adamianebi, romelTa identificirebac ar xdeba. veravin getyviT, ramdeni itanjeba am problemebiT. _ 1995 wels miRebuli kanoni fsiqiatriuli daxmarebis Sesaxeb pacientebs arCevanis Tavisufle- bas aZlevs da maT SeuZliaT, uari ganacxadon aRricxvaze. ras fiqrobT kanonmdeblobasTan dakav- SirebiT da qmnis Tu ara igi problemebs? _ bolo wlebSi Zalian kargi kanoni miviReT qmeduunarobasTan dakavSirebiT, romelmac saqarTvelo dasavleTTan da evropul RirebulebebTan daaaxlova. es aris wingadadgmuli nabiji uflebrivi TvalsazrisiT. adamians imis Sesa- Zleblobas aZlevs, rom bolomde SeinarCunos Tavisi uflebebi da SeizRudos misi uflebebi iq, sadac dasabuTebulia, rom am adamians ar aqvs am uflebebis ganxorcielebis SesaZlebloba. meore Temaa, ramdenad praqtikaSi xorcieldeba es wesebis dacviT. Cvens qveyanaSi jer kidev bevri stigma da barieria, rac mZimed isaxeba adamianis yoveldRiur cxovrebaSi. ras niSnavs, TviTon gadawyvitos? _ mas unda hqondes Sesa- Zlebloba, Tavisi mdgomareoba gaiumjobesos mkurnalobiT, reabilitaciiT. am TvalsazrisiT mas didi arCevani ar gaaCnia. aqedan gamomdinare, es Zalian cinikuricaa, risi arCevani aqvs avadmyofs? es kanoni Teoriulad gveubneba, rom ar SeiZleba diskriminacia. gvaswavlis, ra da rogor unda keTdebodes, Tumca realoba Zalian da- Sorebulia imisgan, rac zogadad kanonmdeblobaSi weria. kanonmdebloba Teoriul doneze cudi ar aris, magram realoba cudia, imitom rom am kanonebis aRsruleba da dacva ar xdeba. _ rogor SeafasebT Temze dafuZnebul fsiqiatriul servisebs? ramdenad efeqtiania, ras `rTulia daavadebebis identificireba, Tumca identificirebis SemTxvevaSi gaurkvevelia, sad unda wavides adamiani. ar aris amis Camoyalibebuli, kompleqsuri mkurnalobisa da reabilitaciis gzebi. anu es adamianebi ganwirulebi arian da vinc rogor axerxebs, ise umklavdeba problemebs. realurad, gvaqvs sistema, romelic saxelmwifos mxridan dafinansebul sazogadoebis nawils aRricxavs da sistemis miRma rCebian msubuqi fsiqikuri problemebis mqone adamianebi, romelTa identificirebac ar xdeba. veravin getyviT, ramdeni itanjeba am problemebiT~ 32 32 N7 (<strong>228</strong>) 6.03-12.03.2018 w.
294 69 77; qronikaqronika@gmail.com gamowvevebi saqarTveloSi gulisxmobs da rogoraa es servisebi saqarTveloSi ganviTarebu- li? _ Temze dafuZnebuli momsaxureba niSnavs imas, rom adamians emsaxurebi iq, sadac is cxovrobs, anu bunebriv garemoSi, ojaxur garemoSi. am dros iqmneba mkurnalobisa da reabilitaciis Sesa- Zlebloba bunebriv sacxovrebel garemoSi. es niSnavs imas, rom unda arsebobdes mTeli rigi mis saWiroebebze dafuZnebuli servisebi, romelic mas miewodeba misTvis xelsayrel pirobebSi. aqedan gamomdinare, ra gvaqvs Cven? _ kargia, rom ukve ramdenime welia, mobiluri jgufebis muSaoba daiwyo. jgufi saxlSi emsaxureba im adamianebs, romlebmac garkveuli sareabilitacio momsaxureba gaiares da saxlSi arian. wamlebi Sin miewodebaT da maTTan fsiqologi msubuq doneze muSaobs. raime servisis ararsebobas es bevrad sjobs. Cveni problema is aris, rom Cven- Tan arsebuli servisebi erTmaneT- Tan ar aris dakavSirebuli. e. i. adamians daxmarebas vaZlevT fragmentulad, ramac droebiT SeiZleba gaaumjobesos pacientisa da misi ojaxis mdgomareoba, magram iqidan gamomdinare, rom mas am servisis garda kidev sWirdeba sxva servisi, rac qveyanaSi ar gagvaCnia, mkurnalobis efeqtianoba mcirdeba, bolos srulyofil Sedegsac ver viRebT. yvelaze efeqtiani mkurnaloba aris balansirebuli, romelic gulisxmobs rogorc medikamentur, aseve fsiqologiur da socialur momsaxurebas. CvenTan, umetesad, ufaso medikamentebi gvaqvs mZime fsiqikuri aSlilobis mqone adamianebisTvis. es Zalian kargia, savaldebulocaa, magram, rogorc wesi, ar gvaqvs is, rac amis mere unda SevTavazoT. roca adamiani adekvaturia da misi mdgomareoba stabiluria medikamenturi mkurnalobis Sedegad, mas fsiqologiuri da socialuri daxmareba sWirdeba darRveuli komunikaciis aRsadgenad. es ar aris martivi procesi. amas sWirdeba mravalmxrivi servisis miwodeba da reabilitacia, aseve bma sociumTan, rasac xSirad socialuri muSakebi akeTeben. zrdasruli adamianebisTvis es aris adgili sazogadoebaSi da samuSao, rasac is asrulebs. TviTSefasebisTvis aucilebelia dasaqmeba. Cven es fragmentebi gvWirdeba. Tamar maxaraZe `Cvens qveyanaSi jer kidev bevri stigma da barieria, rac mZimed isaxeba adamianis yoveldRiur cxovrebaSi. ras niSnavs, TviTon gadawyvitos? - mas unda hqondes SesaZlebloba, Tavisi mdgomareoba gaiumjobesos mkurnalobiT, reabilitaciiT. am TvalsazrisiT mas didi arCevani ar gaaCnia. aqedan gamomdinare, es Zalian cinikuricaa, risi arCevani aqvs avadmyofs? es kanoni Teoriulad gveubneba, rom ar SeiZleba diskriminacia. gvaswavlis, ra da rogor unda keTdebodes, Tumca realoba Zalian daSorebulia imisgan, rac zogadad kanonmdeblobaSi weria~ gvaqvs dRis centrebi. admianebi aq modian, saubroben, centri maT gansxvavebuli xarisxis servisebs sTavazobs. ukeTes SemTxveva- Si, beneficiarebs aqvT kveba, urTierToba, saqmianobis saSualeba. es aris sul, rasac maT vTavazobT. eseni arian zrdasruli adamianebi da maT srulfasovani arsebobis- Tvis sWirdebaT samsaxuri, anazRaureba. ar unda CavTvaloT, rom es admainebi gansxvavebuli cxovrebiT unda cxovrobdnen. isini unda gadavidnen iseT samuSao adgilebze, sadac anazRaurebas miiReben. am yvelafers morgeba sWirdeba, magram amisTvis aravis scxela. iman unda imuSaos, visac survili aqvs, visTvisac es ganviTarebis momdevno etapi iqneba. amiT isini im realobasTan daaxlovdebian, romelSic damoukideblad marTaven sakuTar cxovrebas. Tundac es SeiZleba iyos daculi samuSao adgilebi, socialuri sawarmoebi, sadac isini anazRaurebas aiReben da sakuTari SesaZleblobebis realizebas SeZleben. dasaqmebis bevrnairi forma arsebobs da amis ganviTareba da morgeba aucilebelia. _ bolo wlebSi gan- sakuTrebiT gaizarda jandacvis mTlian danax- arjebSi saxelmwifo danaxarjebis wili. kerZod, 2006- 2017 wlebSi 3-2-jer gaizarda fsiqikuri janmrTelobis saxelmwifo programis biujeti. ramdenad aisaxeba cifrebis zrda real- obaSi? _ Tanxa imdeni mainc ar gamoiyofa, ramdenic saWiroa. samwuxarod, ar xdeba bma am servisebs Soris. aqedan gamomdinare, Tanxa TiTqos izrdeba, magram amindi ar icvleba. magaliTad, saubroben, rom dRis centris safasuri unda gaizardos, magram romc gaizardos, es am adamianebSi mdgomareobas ar gaaumjobesebs. dafinansebis zrdiT dRis centrebi ar daixureba, dRes ki realurad es safrTxe dgas. Tu paralelurad ar gaCnda servisebi, romlebic am adamianebs daasaqmebs da bavSvebis SemTxveva- Si skolaSi maT gadayvanas Seuwyobs xels, problema sul iqneba. _ problemaa aseve isic, rom hospitalis momsaxurebaze danaxarjebis maRali xvedriTi wilis gamo ambulatoriuli servisebi naklebad viTardeba. rogor Sei- Zleba amis dabalanseba? _ idealur SemTxvevaSi mTeli msoflio iqiTken midis, rom adamianma naklebi dro gaataros klini- `saqarTveloSi fsiqikuri da qceviTi aSlilobebis wili daavadebaTa gavrcelebis struqturaSi 2,5%-s Seadgens da mzardi tendenciiT xasiaTdeba. 2013 wels fsiqikuri aSlilobebis prevalentobis maCvenebeli 100.000 mosaxleze Seadgenda 1536-s, xolo incidentobis maCvenebeli - 167.8-s, rac sakmaod didi maCvenebelia da, amavdroulad, - arasrulic. saqarTveloSi ar arsebobs zusti statistika im raodenobis dasadgenad, Tu ramden adamians awuxebs fsiqikuri problemebi da ramdeni adamiani itanjeba fsiqikuri daavadebebiT~ kaSi, amitom rac SeiZleba mravalferovani hospitalgare momsaxurebebi unda iyos. swori aqcenti aris hospitalgare momsaxurebis ganviTareba, prevenciuli RonisZiebebis gatareba. Tumca CvenTan sahospitalo momsaxurebaze daxarjuli Tanxebi bevrad meti iyo yovelTvis, vidre gare servisebze. es nel-nela balansdeba. wlebis dinamika aCvenebs, rom hospitalgare momsaxurebaze daxarjuli Tanxa izrdeba, rac kargia, Tumca dRevandeli realoba mainc igive rCeba. albaT ufro gviadvildeba problemebis mqone adamianebis hospitalSi gamomwyvdeva da iq mkurnaloba, vidre hospitalgare servisebis ganviTareba. es arc aris advili saqme. amas sWirdeba fuli, kompetenturi adamianebi, samagisod ki resursi ar gagvaCnia. mwvave recidivebis SemTxvevaSi aucilebelia 24-saaTiani mzrunvelobis gamcemi klinikebis arseboba, magram mizani is aris, rom hospitaluri momsaxurebis Semdeg, roca adamiani wonasworobis mdgomareobas ubrundeba, mas hospitalidan gamosvlis merec unda daxvdes is momsaxureba, romelic am mdgomareobas SeunarCunebs da gauumjobesebs. _ wina wlebSi mwvave SemTxveve- bis stacionaruli momsaxurebis dafinansebis Semcirebis gamo mravalprofilian kerZo saavadmy- ofoebSi gauqmda fsiqiatriuli ganyofilebebi. ra problemebs iwvevs es? ras fiqrobT amasTan dakavSirebiT? _ roca es ganyofilebebi gaixsna, miznad isaxavda humanur midgomas, CvenSi gavrcelebuli Sexeduleba sagiJeTebze unda dagveviwyebina. adamianebs, romlebsac fsiqikuri problemebi aqvT, maT Sei- Zleba imave garemoSi movemsaxuroT, sadac janmrTelobis problemebis mqone sxva adamianebs mkurnaloben, magaliTad: gulis, RviZlis an sxva. es midgoma swori iyo, Tumca didad ar gaamarTla. es ar aris iafi sfero, samedicino momsaxurebisTvis gaweuli xarjebi didia, magram aris xarjebi, rac saxelmwifom aucileblad unda gawios. swori menejmenti imas niSnavs, rom mcire biujetis pirobebSi saxelmwifom yvelaze efeqtiani gza moZebnos momsaxurebis Serwymisa da arsebuli servisebis ganviTarebisTvis. samwuxarod, amis magaliTi naklebia. fuli ixarjeba, mdgomareoba ar icvleba. ekonomias vakeTebT iq, sadac ar unda gakeTdes, Cvens moqalaqeebze zrunva ki saxelmwifos valia. es problema yvela qveyanaSia, xolo saxelmwifo valdebulia, misi moqalaqe im problemebis pirispir ar datovos, romelsac marto ver gaumklavdeba. sadac fuli dasaxarjia, unda daixarjos. efeqtianad amis gadawyveta ki xedvis SecvliT aris SesaZlebeli _ swori midgoma yovelTvis ganapirobebs xarjvis efeqtianobasac. dRes Tanxac ixarjeba, raRac mciredic icvleba sasikeTod, magram saerTo amindi ar icvleba, rac yvelaze samwuxaroa. N7 (<strong>228</strong>) 6.03-12.03.2018 w. 33
Page 1 and 2: CIAN MAGENTA YALLOW BLACK 294 69 77
Page 3 and 4: Seadgina 66,1 aTasi lari. auditis d
Page 5 and 6: 294 69 77; qronikaqronika@gmail.com
Page 7 and 8: gela mamulaSvili 599 45 50 26 xanZa
Page 9 and 10: _ am mZime danaSauls TviTon cxinval
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Page 15 and 16: iswamebiT, trolebiT, dezinformaciiT
Page 17 and 18: morigi Seteva garevaWrobaze quTaisS
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Page 21 and 22: sabamobebi dafiqsirda, romlebic sag
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Page 27 and 28: me, rogorc advokati da am qveynis m
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Page 35 and 36: da iarsebos? aq erTma mepatronem sa
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Page 39 and 40: luturad gavaneitrale. amasobaSi, mo

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