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Dynamics of substance abuse morbidity in the Armed Forces of the Russian Federation during the last 10 years (2002-2012) was analyzed. Results of performed analysis showed decreasing tendency since 2007 in conscripts (0.07% in 2012) and in contract soldiers (0.3% in 2012). Alcoholism prevailed in the structure of substance abuse in conscripts (0.05%), drug abuses were diagnosed 2,5 times less often (0.02%). In contract soldiers non-alcohol abuses were diagnosed in 0.004% of cases. It is stated that the major aims of substance abuse prevention are qualitative recruiting of military units (especially in troops maintaining the combat readiness) and departments (subunits) of military education, creating conditions for propaganda for healthy lifestyle, prohibition of drugs and psychopharmaceuticals in military units. For early detection of persons liable to substance abuse and facts of drug consumption it is necessary to perform a medical examination with the help of special program apparatus complex (such as "Addicts") and take into account clinical signs of addiction. Besides, it is necessary to introduce planned and unexpected medical examinations of servicemen. Algorithm of measures in case of detection of serviceman with alcohol or drug intoxication is given. In conclusion the main organizational principals of substance abuse prevention in the Armed Forces are given.

Prevalence and structure of comorbidity a somatic pathology in military men with neurotic disorders was studied. It was established that 40,4% of surveyed noted concomitant somatic pathology, the structure of which was dominated by gastro-intestinal tract (26,8%), and pathology of the cardiovascular system (21,6%). It is shown that concomitant somatic pathology provided aggravating effect on clinic neurotic disorders in serviceman, making it difficult to diagnose mental disorders. The greatest risk concomitant a somatic pathology was marked in patients with depressive and somatoform disorders. Indicates the need for specialized standards of care for persons with comorbid mental and somatic disorders.

The problems of tobacco smoking among servicemen are analyzed from the position of their interrelations with the quality of service duties performance. On the basis of received data the conclusion is drawn that the servicemen with tobacco dependence are characterized by lower level of mental resilience, adjustment capacities and are related to lower category of fitness for duty. Based on analyzes of the world and own country experience the program of tobacco smoking prevention among servicemen is proposed.

There were analyzed changes in popularity, structure and clinical peculiarities of neurotic disorders among military servicemen for the period 1986-2006. There were used epidemiological, clinical-archival and clinical-psypathological methods. It was established, that that internosological pathomorphosis of neurosis came out in reduction of their rates in general structure of psychological pathology. Internosological pathomorphosis has found reflection in narrowing of syndromes spectrum and its drift from hypochondriac to anxiety and depressive pole. Dynamic pathomorphosis consisted of less favorable indices of course and outcomes of these disturbances in 1992-1999, and also in reduction of the period of the period from the beginning of illness to hospitalization to a specialized department.

The article presents the analyze of the character of delivery of psycho-aid in conditions of wars and armed conflicts of the XXth century. Generalizing of the experience of psycho-aid delivery in conditions of wars of the XXth century showed, that it's basing doctrinal provisions were laid by Russian psychiatrists during the Russian-Japan War. However, in foreign Armies this experience was used and improved (according to now-day's wars and armed conflicts), in our Armed Forces (until the 90th years of the XXth century) it wasn't used in right way. In general, the system of psycho-aid delivery to the staff, consists of 3 provisions: it's approach to the military stage, simplicity and security, existence of movable well-packaged staff structures, which can work optimally in combat conditions and secure necessary treatment-evacuation and rehabilitation measures.