Who should undergo a psychiatric examination? List of professions subject to mandatory psychiatric examination

When applying for a job, people undergo a medical examination. It may be mandatory in accordance with the Labor Code or contractual upon conclusion of an employment contract on the terms of the employer. This is necessary in order to find out if a person applying for a job has any contraindications to this type of activity. The mental state of the future employee is also important. Especially for specialties requiring exceptional attention and concentration when performing work. Therefore, a mandatory psychiatric examination of employees has been introduced. Next, consider which professions are included in this list.

Legislation

Mental abnormalities in a person can be a serious reason for limiting the performance of labor duties. Such people, performing work associated with increased danger or requiring special attention, can cause harm to themselves and others.

When employing a person, an employer must comply with the rules established by law:

• The main document is Order No. 695 of September 23, 2002. It contains the basic principles of how to conduct a psychiatric examination of employees.
• Article 212 of the Labor Code of the Russian Federation indicates when this examination should be conducted.
• Decree of the Government of the Russian Federation of April 28, 1993 No. 377 contains a description of working conditions and harmful factors that may become the basis for an employee to go through software.
• Article 213 of the Labor Code of the Russian Federation contains grounds for a psychiatric examination.

All these documents are taken into account in the development of the "Regulation on the passage of psychiatric examination" at the enterprise. Monitoring compliance with the rules is carried out at the legislative level. The person responsible for labor protection must monitor compliance with this provision, and keep a record of those who must undergo a psychiatric examination.

Types of Procedure

There are several types of psychiatric examination:

• Periodic, which must pass through a certain period of time. At the enterprise - every 5 years.
• Mandatory. Depending on the professional activity, it is necessary to undergo a psychiatric examination for work.
• Voluntary It can be as an addition to the mandatory for the detection of deficiencies or additions.
• Survey without permission of the subject. When a person can be a threat to himself and others, a court decision is required to conduct a compulsory examination.
• Survey without informing the subject. The examination is carried out for persons who may at times behave inappropriately.
• Psychiatric examination at the conclusion of transactions. For insurance of citizens during the signing of documents, the conclusion of contracts of sale.

Professions requiring a procedure

Consider a list of professions subject to psychiatric examination:

• Serving turning, milling machines and stamping presses.
• Working with boiler and gas equipment.
• Teaching staff.
• Workers in the medical and pharmaceutical industries.
• Machinists.
• Working at heights or underground.
• Treetop.
• Persons performing maintenance of lifting structures.
• Food industry workers who have contact with food products during their manufacture, sale, storage.
• Performing sanitization and repair of inventory and equipment of the food industry.
• Transporting food products.
• Drivers
• Serving electrical installations with a voltage of 127 V and higher.
• Carrying the carrying, use, storage of firearms.

At enterprises related to the performance of this type of work, mandatory psychiatric examinations should be organized.

Health workers

It should be noted what kind of work in medicine and the pharmaceutical industry requires a psychiatric examination:

• The manufacture of dosage forms of morphine and its derivatives, antitumor drugs, hormones, antipsychotics, anticoagulants, anesthetics used in anesthesia.
• The use of antipsychotics in therapeutic treatment.
• Manufacturing drugs in a pharmacy.
• Production, processing, storage and transportation, use, destruction and distribution, as well as export and import into the customs territory of the Russian Federation of narcotic and psychotropic substances.
• Work in dentistry with preparations containing mercury.
• Manufacture of cosmetics containing mercury.
• Production and use of antibiotics, enzyme preparations and biostimulants.
• The release of drugs for the treatment and diagnosis of immunobiological blood products A.
• Work with infected material, with infected patients.
• Work with equipment related to ultrasound, lasers and radioactive substances, as well as sources of ionizing radiation.
• Personnel working in teams of specialized medical and emergency care.
• Work with psychotropic and narcotic drugs.
• Work with the organization of food in sanatoriums, medical institutions.
• Health workers in maternity wards, pediatric wards of newborns, premature infants and surgeries.

What is a harmful factor?

One of the important indicators for who should undergo a psychiatric examination is the presence of a harmful factor in the work. What could it be:

• Work with chemicals: mercury, arsenic, metals, benzene, organic solvents.
• Narcotic and psychotropic substances.
• Infected and infected materials.
• Aerosols. Dust of plant and inorganic origin.
• Noises, vibrations, temperature changes, high atmospheric effects.
• The influence of radioactive substances, lasers, ionizing radiation, electromagnetic fields.
• Vision tension. Increased physical activity.

Ailments Affecting Disease

Depending on the position or profession being considered, not only existing mental illnesses are taken into account, but also:

• The presence of alcohol dependence.
• Whether a person suffers from substance abuse or drug addiction.
• Epilepsy.
• Frequent neurosis.
• Do fainting occur?
• Personality disorder.
• Mental retardation.
• Speech disturbances stuttering.

If the conditions described above are for the one who should undergo a psychiatric examination, the commission may make a negative decision. If the employee does not agree with such a conclusion, then he has the right to re-conduct the examination.

Plan implementation procedure

We will single out the most important points for conducting a psychiatric examination:

1. Issuing an order for a psychiatric examination and the appointment of responsible persons.
2. Definition of positions and specialties at the enterprise that require psychiatric examination.
3. Conclusion of an agreement with a medical institution for the examination.
4. Issuance of a referral for a psychiatric examination.
   
5. The employee must be examined in a medical facility designated by the employer.
6. The decision of the commission is issued to the employee. The message is transmitted to the enterprise.

The decision also indicates the date of the next psychiatric examination.

Who is responsible

By law, all responsibility for the procedure for passing a psychiatric examination rests with the enterprise.

If the law is not observed, fines are imposed on officials up to 25,000 rubles, legal entities - up to 130,000 rubles, for entrepreneurs - up to 25,000 rubles. A compulsory psychiatric examination of employees in accordance with established norms and rules of conduct should be organized at an enterprise or organization that has employees performing work included in the list of the RF PP No. 377.

An employee who refuses to undergo a psychiatric examination may be dismissed from his post, and may also be barred from working in other ways. Art. 76 of the Labor Code eliminates the need to charge salaries to employees due to refusal to undergo examination or medical examination.

Anyone who needs to undergo a psychiatric examination can write a statement about the preservation of wages and jobs for the period of passage of the commission.

The employer has the right to refuse to provide a vacancy if such an examination is not passed.

Algorithm

Is it worth it to undergo a psychiatric examination, the employer decides on his own, starting from the Decree of the Government of the Russian Federation on a psychiatric examination, which lists harmful professional factors that require regular expert examination:

• A commission is created at the enterprise that assesses working conditions.
• An assessment of activities for the presence of harmful factors is carried out in accordance with Government Decision No. 377.

• A psychiatric examination is organized.
• The employee is given a referral for a psychiatric examination. It must be completed within 20 days.

Brief description of the procedure

A psychiatric examination is necessary only in the medical institution where the employer referred. The commission consists of 3 psychiatrists. The direction should indicate the working conditions and type of activity. The commission also has the right to make an inquiry about the employee’s health status to another medical institution.

Rules for Psychiatric Examination

Here are the main ones:

• The employee must present: passport, health passport.
• The doctor conducts a conversation for 30-40 minutes, asking specific questions.
• Non-standard and uncomfortable questions may be asked.
• An opinion is issued for signature.
• The employer is informed of the date of the decision and the issuance of the certificate.

Note what signs during the examination may indicate mental abnormalities:

• Incoherent speech.
• There is no logic in the answers.
• Abstract thinking is very weakly expressed.

The employer's mistake may be that he accepts certificates of psychiatric examination from the clinic. For such a violation shall be fined. The medical report is different from the psychiatric one.

Differences

It is worth noting that the medical commission and the psychiatric examination have significant differences. Even if there is a psychiatrist in the medical board, this is not a psychiatric examination.

We highlight a few differences:

• The medical board is carried out on the basis of the Order of the Ministry of Health No. 302n of 04.2011.
• Psychiatric examination - based on Government Decision No. 695 of 09.2002
• The medical board includes a psychiatrist, its composition is approved by the Ministry of Health.
• The composition of the commission for a psychiatric examination is approved by the medical institution, regardless of the form of ownership of the enterprise.
• The medical board reflects the presence or absence of medical contraindications to work.
• A psychiatric examination determines whether or not psychiatric contraindications exist.
• The medical board must be held once a year.
• They undergo a psychiatric examination every 5 years.

But what if a person has mental disabilities?

Citizen Support

There is a Law on Psychiatric Care and Guarantees of the Rights of Citizens in its Delivery. It includes articles that govern the provision and principles of assistance:

• Art. 1. Help is guaranteed by the state. Her rendering must respect all human and civil rights.
• Art. 2. All relations are regulated by regulatory and legal documents.
• Art. 3. The law applies both to citizens of the Russian Federation and to foreign individuals.
• Art. 4. Assistance should be provided with the voluntary appeal of a citizen.

• Art. 5. Persons with mental disorders have all the rights and freedoms of citizens, in accordance with the Constitution of the Russian Federation.
• Art. 6. There are types of professional activities that a person may not be able to perform due to a mental disorder.
• Art. 7. When providing psychiatric care, a representative may be invited to protect the rights of the patient.
• Art. 8. Prohibition of mental health information requirements.
• Art. 9. Information about the mental health of the patient is a medical secret.
• Art. 10. Diagnosis and treatment of patients is carried out according to generally recognized international standards.
• Art. 11. Consent to treatment is given in writing.
• Art. 12. Refusal of treatment is certified by signature.
• Art. 13. Compulsory treatment is applied by court order.
• Art. 14. Forensic psychiatric examination is carried out in accordance with and in the manner prescribed by law.

Based on the law, a person has the right to undergo treatment. At the same time, it is up to him to transfer his personal data and information to third parties and enterprises or not.

A diagnosis is, above all, an opportunity to undergo treatment. Also, some diseases suggest disability. The state provides support in the treatment, receipt of social assistance, and pensions. When applying for a job, a shorter working day is possible, paid leave of 30 days and leave without pay 60 days a year.