Children and adolescents with signs of acute mental disorders require a quick and, at the same time, a systematic assessment of the condition, in order to determine whether the young person suffers from an acute mental disorder or mental problems associated with the crisis. However, before an emergency psychiatric assessment can be continued, somatic complications caused by mental problems should be excluded. Finally, an emergency psychiatric assessment is needed to determine whether a patient needs qualified assistance, such as referral to a specialized psychiatric hospital, to a crisis / step-by-step care institution or to an emergency outpatient psychiatric clinic.

Emergency psychiatry is a section of general psychiatry that provides for special skills to cope with situations requiring emergency therapeutic interventions. The need for emergency care in psychiatry is determined not so much by the intensity of the patient's experiences as by psychomotor manifestations or the expected behavior. Emergency care for mental illnesses, along with medication, includes social care, monitoring, and supervision. The knowledge and skills to provide emergency psychiatric care are necessary for doctors of all specialties since these conditions are quite common in both outpatients and inpatients (in particular, in intensive care and resuscitation units).

In psychiatric practice, emergency conditions are determined not by the intensity of the patient’s experiences, but by the psychomotor manifestations of the disease or the expected actions and behavior of the patient. Emergency care for mental illnesses, along with medical treatment, includes special care, observation and supervision activities.

The article presents a review of the literature and analysis of the problems of the organization of emergency medical services at the present stage, it allows to determine the main directions of improving the efficiency of its functioning.

This article, prepared by specialists in the field of emergency medical care, is devoted to the issues of improving clinical diagnosis at the prehospital stage. The goal is to develop common methodological and statistical approaches to the analysis of differences in the diagnoses of the pre-hospital and hospital stages of emergency medical care, based on the concept of their continuity and improving the quality of medical care. There is no doubt that this is especially true for the prehospital ambulance.