ROLE OF SOCIAL ENVIRONMENTS FOR SCREENING OF THE ELDERLY MENTAL HEALTH IN THE CONDITIONS OF THE RUSSIAN ARCTIC ZONE

The share of the elderly population in Russia has been growing in recent years, which necessitates the search for new ways to improve the efficiency of medical, psychological and social services to assess the mental health condition of elderly people and directions of its preservation, taking into account national, historical features and social conditions. The aim of the study was the methodological substantiation of the use of new socially-conditioned approaches to ensure the early detection of mental disorders in the elderly in the Arctic territories of Russia. Subjective and objective difficulties of detection of mental disorders and specific "stresses of old age" reducing the quality of life level are systematized. Four directions of activity on strengthening of elderly persons mental health taking into account social and demographic structure, cultural and gender traditions, special value of a family and the related relations and other specific features of accommodation in the conditions of the Arctic zone are proved: shift of emphasis in primary and secondary preventive and diagnostic activity from psychiatric services to doctors of primary link and specialists in the sphere of rendering social services; training in the use of specialists in screening tools; psychological preparation of the relatives of the possession of screening simplest methods for mental activity disorders in persons of advanced age; involvement in the care of older people with mental health problems members of the foster - adoptive families. The basic prognostic factors of preservation and strengthening of senior age group representatives of the mental health are defined. The great social importance of the introduction of early screening of changes in mental functions in the elderly to improve the integrative indicator of their quality of life as a level of comfort in interaction with the micro-social environment, in the framework of the implementation of the basic provisions of the concept of active and healthy longevity.