Some observations of mental illness and its treatment in the People's Republic of China.

A visit to the People's Republic of China provided impressions of the use of psychiatric concepts and the organization of mental health services. The Chinese report of low rates of mental illness appears to reflect narrow definitions of disorder and somatic expressions of personal and social distress which are viewed by health personnel as physical conditions. Acute mental health services are provided at commune and county hospitals, and special psychiatric hospitals are maintained for more intractable patients. Chronically disturbed patients may receive long term care in sanatoriums associated with large industries or may be maintained in home beds in their production brigades assisted by family and barefoot doctors. Psychiatric practice in teaching hospitals is similar to psychiatric practice in the West, although little attention is devoted in general medical care to psychosocial problems. Question for future visits and possible collaborative research are suggested.