The state of psychological and pedagogical assistance to children in healthcare institutions

Psychological and pedagogical support is a significant area of ​​non-drug assistance in pediatric practice. The purpose of the work: to determine the effectiveness of the activities of specialists of the psychological and pedagogical profile in pediatrics for its optimization. Materials and methods. An analysis of the federal legislative and regulatory framework regulating the activities of psychological and pedagogical specialists in pediatrics was carried out; medical and demographic indicators of the health status of the child population and the activities of medical institutions of the Russian Federation (RF) were analyzed using approved statistical forms; the results of the analysis of data from an online survey of heads of psychological and pedagogical services from ninety one medical institutions in 42 regions of the RF and 8 federal districts are summarized. Results. According to the analysis of the legislative and regulatory framework, psychological and pedagogical support is one of the areas of non-drug assistance in pediatric practice. Taking into account the results of the analysis of health indicators in children and adolescents, the priority areas of activity of psychological and pedagogical specialists are: prevention of psychophysical overload in children (including children with health problems), assistance in creating psychologically safe conditions in the family and school; formation of sustainable motivation in the family to adhere to the principles of a healthy lifestyle and an attitude towards high medical activity; increasing the responsibility of parents for the life and health of children, educating adults in matters of upbringing and care, and observing the principles of life safety; assistance to parents and teachers in creating special conditions to meet the special educational and psychological needs for children with disabilities and disabled children, their most complete social adaptation.A study of the management of the activities of psychological and pedagogical assistance specialists revealed the content of the activities of psychological and pedagogical specialists to do not fully correspond to the needs for children and pediatric practice, despite a fairly good supply of psychological and pedagogical personnel in pediatrics. Conclusion. Improving the management of the activities of psychological and pedagogical specialists consists of introducing a unified standard of care taking into account the health status in children and regulating the activities of a medical psychologist, neuropsychologist, speech pathologist, and medical speech therapist in pediatrics.