 There were protests from international and local NGOs and human rights organisations against the unlimited term of in-patient treatment imposed on Mikhail Kosenko.On 6 June 2014 a court in the Moscow Region ruled that he should continue psychiatric treatment, but as an out-patient.According to Russian psychiatrist Emmanuil Gushansky, the Serbsky Center exercises undue administrative and corporate influence on its young and insufficiently qualified staff.