Relevance. From 2010 to 2020, the reorganization and modernization of the psychiatric service in Moscow was carried out. The reforms were carried out in accordance with WHO regulations and consisted in reducing the medical care provided in a hospital setting and expanding the outpatient link. Aim. Analysis of the opinion of employees on the effectiveness of providing assistance in the profile of "psychiatry" in the Moscow region after its restructuring. Materials and research methods. A survey of employees of the psychiatric service in the Moscow region (236 people) was conducted regarding the transformations carried out. Results and discussions. The majority of respondents gave a positive assessment of the reforms carried out. Most of the respondents indicated the need to change the procedure for providing medical care in the profile of "psychiatry" in the Moscow region. Also, according to the respondents, both the psychiatric care service as a whole and psychiatric care in a hospital separately needed an increase in funding. Respondents noted that after the reforms, the number of places in day hospitals increased, the quality and territorial availability of care in the "psychiatry" profile increased, the work of dispensaries and day hospitals improved, the conditions of patients' stay in medical organizations improved. According to the respondents, the provision and equipment of clinics with modern examination methods and equipment has improved. In the course of the study, respondents noted that further modernization of the psychiatric service should primarily be carried out in the following areas: development and improvement of coordination between general somatic care and help in the "psychiatry" profile, unification into a single complex of a psychoneurological dispensary and a psychiatric hospital, expansion of the volume of community-based care, development of medical care based on general somatic hospitals and medical organizations that provide outpatient care. Conclusion. The majority of respondents positively assessed the reforms carried out in the Moscow region in the field of assistance in the profile of "psychiatry". Further modernization of the psychiatric service should include the development and improvement of coordination between general somatic care and assistance in the "psychiatry" profile, the unification into a single complex of a psychoneurological dispensary and a psychiatric hospital, the expansion of the volume of community-based care, the development of medical care on the basis of general somatic hospitals and outpatient medical organizations.