Unofficial translation
A footnote. Abolished by the Decree of the Government of the Republic of Kazakhstan dated August 29, 2023 No. 731 (it is put into effect after ten calendar days after the date of its first official publication).In accordance with Article 5 of the Law of the Republic of Kazakhstan dated April 7, 1995 "On compulsory treatment of patients with alcoholism, drug addiction and substance abuse", the Government of the Republic of Kazakhstan hereby DECREES AS FOLLOWS:
1. Approve the attached list of medical contraindications available to patients with alcoholism, drug addiction and substance abuse, for whom referral to drug treatment organizations for compulsory treatment shall not be applied.
2. This Decree shall be enforced from the day of the first official publication.
| The Prime Minister of the Republic of Kazakhstan | K. Massimov |
| Approved by the Decree of the Government of the Republic of Kazakhstan No. 725 dated June 28, 2011 |
List
of medical contraindications available to patients with alcoholism, drug addiction and
substance abuse, for whom referral to drug treatment organizations for compulsory
treatment shall not be applied
1. Schizophrenia - all forms with a continuous and paroxysmally progressive type of course, (with stable) personality defect (code F20 according to the International Statistical Classification of Diseases and Health Problems (hereinafter referred to as ICD-10).
2. Other organic personality and behavior disorders due to disease, damage and dysfunction of the brain (code F07.8 according to ICD-10), dementia in other specified diseases classified in other sections (code F 02.8 according to ICD-10).
3. Schizoaffective disorders (code F 25 according to ICD-10), severe depressive episode with psychotic symptoms (code F32.3 according to ICD-10), manic episode with psychotic symptoms (code F30.2 according to ICD-10), organic catatonic disorder (code F06.1 according to ICD-10), organic delusional (schizophrenia-like) disorder (code F06.2 according to ICD-10), organic hallucinosis (code F 06.0 according to ICD-10), vascular dementia (code F01 according to ICD-10), dementia in diseases classified in other sections (code F02 according to ICD-10), unspecified dementia (code F03 according to ICD-10), amnestically organic syndrome is not caused by alcohol or other psychoactive substances (F04 code according to ICD-10), other chronic delusional disorders (code F22.8 according to ICD-10).
4. Mild, moderate and severe mental retardation (code F7 according to ICD-10).
5. Attacks of bipolar affective disorder (code F31 according to ICD-10) and recurrent depressive mood disorder (code F33 according to ICD-10).
6. Organic hallucinosis (code F06.0 according to ICD-10), organic catatonic disorder (code F06.1 according to ICD-10), organic delusional (schizophrenic) disorder (code F06.2 according to ICD-10), delirium (code F10.03, F 10.4 according to ICD-10).
7. Other cerebrovascular diseases (code I67 according to ICD-10), other specified lesions of the central nervous system (code G 96.8 according to ICD-10), damage to central nervous system, unspecified (code G 96.9 according to ICD-10).
8. Long-term consequences of tuberculosis of central nervous system (code B90.0 according to ICD-10)).
9. Systemic atrophies, affecting mainly central nervous system (codes G10 - G13 according to ICD-10).
10. Extrapyramidal and movement disorders (codes G20 - G26 according to ICD-10).
11. Other degenerative diseases of nervous system (codes G30 - G32 according to ICD-10).
12. Demyelinating diseases of central nervous system (codes G35-G37 according to ICD-10).
13. Occasional and paroxysmal disorders (codes G40 - G47 according to ICD-10).
14. Polyneuropathies and other lesions of peripheral nervous system (codes G60 - G64 according to ICD-10).
15. Diseases of endocrine system, eating disorders and metabolic disorders (codes E00 - E16 according to ICD-10) in stage of decompensation.
16. Spondylopathies (codes M45 - M49 according to ICD-10) with limited mobility of spine, ribs, large joints with joint insufficiency II - III degree.
17. Malignant neoplasms (codes C00 - C97 according to ICD-10).
18. Chronic rheumatic heart disease with defects (codes I05 - I09 according to ICD-10) with disturbed circulation II-III degree.
19. Acute myocardial infarction.
20. Post-infarction cardiosclerosis with disturbed circulation II-III degree.
21. Some current complications of acute myocardial infarction (code I23 according to ICD-10).
22. Other forms of acute coronary heart disease (code I24 according to ICD-10).
23. Pulmonary heart and pulmonary circulation disorders (codes I26 - I28 according to ICD-10).
24. Other heart diseases (codes I30 - I52 according to ICD-10) with severe cardiac arrhythmias disorders and FC conduction III-IV degree.
25. Chronic ischemic heart disease, (code I25 according to ICD-10).
26. Diseases characterized by high blood pressure (codes I10-I15 according to ICD-10): hypertension II - III degree, as well as hypertension with frequent crisis conditions.
27. Cerebrovascular diseases (codes I60 - I69 according to ICD-10): acute cerebrovascular accidents and conditions after acute cerebrovascular accidents with paresis, paralysis, aphasia, and ataxia.
28. Diseases of arteries, arterioles and capillaries (codes I70 - I79 according to ICD-10) with pronounced irreversible trophic changes (necrosis) and impaired limb function.
29. Chronic diseases of lower respiratory tract (codes J40 - J47 according to ICD-10) with pulmonary insufficiency II - III degree.
30. Diseases of gastrointestinal tract (codes K20 - K77 according to ICD-10) in acute stage, decompensation.
31. Systemic lesions of connective tissue (codes M30 - M36 according to ICD-10) with impaired function of organs II - III degree.
32. Diseases of lung caused by external agents (codes J60 - J70 according to ICD-10) with pulmonary heart disease II - III degree.
33. Diseases of the blood, blood-forming organs and certain disorders involving the immune mechanism (codes D50 - D89 according to ICD-10) of moderate and severe decompensation.
34. Diseases of genitourinary system (codes N00 - N99 according to ICD-10) with chronic kidney disease.
35. Necrotic and rejection of transplanted organs and tissues (code T86 according to ICD-10).
36. Tuberculosis (codes A15 - A19 according to ICD-10) with destructive and bacillary forms of tuberculosis.
37. Eye diseases:
1) eye socket disease (code H05 according to ICD-10);
2) diseases of choroid and retina (codes H30 - H36 according to ICD-10);
3) glaucoma (codes H40 - H42 according to ICD-10);
4) diseases of optic nerve and optic pathways (codes H46 - H48 according to ICD-10);
5) visual disturbances and blindness (codes H53 - H54 according to ICD-10).
38. Congenital diseases of internal organs in stage of decompensation or exacerbation:
1) congenital anomalies (malformations) of circulatory system (codes Q20 - Q28 according to ICD-10);
2) congenital anomalies (malformations) of respiratory system (codes Q30 - Q34 according to ICD-10);
3) other congenital anomalies (malformations) of digestive system (codes Q38 - Q45 according to ICD-10);
4) congenital anomalies (malformations) of genitals (codes Q50 - Q56 according to ICD-10);
5) congenital anomalies (malformations) of urinary system (codes Q60 - Q64 according to ICD-10);
6) congenital anomalies (malformations) and deformations of musculoskeletal system (codes Q65 - Q79 according to ICD-10);
7) other congenital anomalies (malformations) (codes Q80 - Q89 according to ICD-10).
39. Acute psychoses of any genesis (including those caused by use of drugs and alcohol), requiring inpatient treatment in a psychiatric hospital*.
40. All concomitant diseases in a patient with addiction to alcohol, drugs or other psychoactive substances requiring urgent specialized inpatient treatment*.
41. Manifest forms of syphilis (code A51 according to ICD-10), fresh gonorrhea (code A54 according to ICD-10), chlamydia (code A56 according to ICD-10), trichomoniasis (code A59 according to ICD-10) before a sanitizing course of treatment; severe, in particular, systemic dermatoses (codes L10 - L14, L98 according to ICD-10) in acute stage*.
Note: *Persons with alcoholism, drug addiction and substance abuse having contraindications specified in Paragraphs 39 - 41, after appropriate specialized treatment shall be subject to referral to compulsory treatment in drug treatment organizations for compulsory treatment.
