The article discusses the urgent problem of organizing comprehensive care for patients with combined mental, neurological, somatic and maladaptive disorders. The aim of the work is to analyze the basic principles of the formation and effective functioning of a multidisciplinary team (MDK), including a psychiatrist, a psychotherapist, a clinical psychologist, a defectologist, a neurologist and a therapist. The methodological basis is a systematic analysis and synthesis of evidence-based medicine, organizational psychology, and clinical practice data. As a result, the key principles were identified: hierarchy with replaceable situational leadership, strict role-based distribution of expertise within the framework of the biopsychosocial model, the introduction of standardized protocols for interdisciplinary communication and focus on common functional goals of rehabilitation. It is concluded that the synergetic effect of MDK is not achieved spontaneously, but is a consequence of the purposeful design of its structure, processes and general conceptual framework, which provides a holistic and personalized approach to the patient.
Svetlana Samara (Tue,) studied this question.