In the course of the study was examined 155 patients with paranoid schizophrenia, which were distributed among the the basic group and the comparison group. A basic group comprised 80 persons, 51 men and 29 women aged 20 to 55 years treated with force. Comparison group consisted of 75 patients, 32 men and 43 women, whose age was in the same range as in the basic group, seeking psychiatric help voluntarily. Clinical structure of mental disorders in patients with schizophrenia receiving involuntary treatment is determined by hallucinatory-paranoid, paranoid, depressive, paranoid, psychopathic, anxiety-depressive syndromes and maniaformnim. It is established that the mechanisms of behavior disorders in schizophrenic patients receiving psychiatric care in a compulsory order at 71.25% were productive-psychotic, at 28.75% - negative and personal. Also, was established statistically significant differences between the basic and comparative groups in the reduction of the criticality and awareness of illness (mean score for the main group was 6,23 ± 0,08 points against 3,32 ± 0,07 points in the comparison group, p <0, 05 ), disorganization of thinking (5,40 ± 0,14 points against 3,71 ± 0,13 points, p <0,05); violation of abstract thinking (5,2 ± 0,14 points against 3,04 ± 0, 03 points, p <0,05), attention (5,56 ± 0,12 points against 3,35 ± 0,10 points, p <0,05), Will (5,51 ± 0,07 points to 3, 44 ± 0,06 points, p <0,05); active social withdrawal (5,68 ± 0,11 points against 2,89 ± 0,06 points, p <0,05). Found that patients with schizophrenia and receiving compulsory mental health care, significantly reduced the level of social functioning, which manifested a pronounced social withdrawal and difficulty in personal communication, lack of self-care, removal of home affairs, to the complete elimination of the household, lack of sexual interest or the presence of disordered sexuality, decreased interest and indifference to employment or further education, lack of interest in local and world events. Found that the combined effect of psychopathology in patients of basic group (verbal pseudohallucinations mandatory detention, delusions of persecution, the impact of, greatness, behavioral disorders), and apparent cognitive impairment, results in a sharp decline in the level of social adaptation and a factor syndrome-building compulsory treatment. Substantiated the expediency of introducing the algorithm differentiated phase of medical and social rehabilitation of patients with schizophrenia, according to their clinical, psychopathological features and social functioning in the provision of inpatient and outpatient mental health care under compulsion, thereby reducing the number of regospitalizatsy, victimization, prevent the commission of socially dangerous actions .
