The relevance of the problem. Organising and improving the provision of on site emergency narcological care is one of the priority areas of modern Russian psychiatry and narcology. Objective. To analyse the state of narcological care provision in the city of Moscow for the period from 2018 to 2024, with the aim of organising mobile teams to provide emergency narcological assistance to narcological patients at the pre hospital stage, followed by motivating them to undergo treatment at narcological dispensaries and hospitals, as well as ensuring timely hospitalisation of patients with severe withdrawal syndrome, alcoholic psychosis and alcoholic hallucinosis. Materials and methods. The study used data from annual reporting forms of federal statistical monitoring: Form No. 37 “Information on patients with alcoholism, drug addiction and toxicomania”; Form No. 11 “Information on narcological disorders”, for the years 2020–2024. Form No. 37 was approved by the Federal State Statistics Service (Rosstat) Order No. 410 dated 16 October 2013. By Rosstat Order No. 116 dated 10 March 2025 “On approval of the federal statistical monitoring form No. 11 ‘Information on narcological disorders’”, Form No. 37 was abolished. Starting from December 2025, a new version of Form No. 11 was approved by Rosstat Order No. 709 dated 12 December 2025 “On approval of the federal statistical monitoring form No. 11 ‘Information on narcological disorders’ and instructions for filling it out”.Additionally, statistical data on emergency team responses to cases of psychoactive substance (PAS) poisoning from 2020 to 2024 were used. These data were provided by the A.S. Puchkov Station of Emergency and Urgent Medical Care of the Moscow City Health Department. The following methods were applied: regulatory legal analysis, statistical analysis and analytical methods. Research results. Emergency narcological care to patients at the pre hospital stage is provided by emergency medical teams and psychiatric care teams. Accordingly, assistance is delivered either by general emergency physicians or by psychiatrists [1,7,8].The issue is particularly relevant because after receiving medical care at home for alcohol withdrawal syndrome or alcohol intoxication from emergency medical or psychiatric teams, patients do not seek further narcological care from psychiatrist narcologists at narcological dispensaries. Moreover, many patients refuse hospitalisation in narcological facilities despite having clear medical indications for it. Conclusions. To improve the effectiveness of emergency specialised narcological care for the population, there is an urgent need to establish mobile emergency narcological teams in Moscow’s narcological services, staffed with psychiatrist narcologists.