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中国心理健康康复的推广:基于社区的心理健康服务

Promotion of Mental Health Rehabilitation in China: Community-Based Mental-Health Services.

作者信息

Zhu Youwei, Li Xu, Zhao Min

机构信息

Shanghai Mental Health Centre, Shanghai Jiao Tong University School of Medicine.

Shanghai Key Laboratory of Psychotic Disorders.

出版信息

Consort Psychiatr. 2020 Dec 4;1(2):21-27. doi: 10.17650/2712-7672-2020-1-1-21-27.

Abstract

Community-based mental health services are important for the treatment and recovery of patients with mental health disorders. The Chinese government has made the establishment of a highly efficient community-based health service an enduring priority. Since the 1960s, community-based mental health services have been developed in many Chinese cities and provinces. National policies, including mental health regulations and five-year national mental health working plans, have been issued to support the development of quality of mental health services. The accessibility and efficiency of community-based mental health services are now highly promoted to community residents. According to the National Standards for Primary Public Health Services, community-based mental health services are one of the most important components of primary public health services. They are mainly provided via Community Health Service Centres (CHCs), by a combination of general practitioners, public health physicians, nurses and social workers. Patients receive individualized and continuous health services according to their rehabilitation status. These services include regular physical examination, health education, rehabilitation guidance, social function rehabilitation training, vocational training and referral services; family members also receive care and psychological support. Future work will focus on expanding mental health service coverage and usage, increasing awareness of mental health and decreasing stigma, and strengthening service capability to establish an integrated model to enhance the overall efficiency of mental health services.

摘要

基于社区的心理健康服务对于精神障碍患者的治疗和康复至关重要。中国政府一直将建立高效的社区卫生服务作为一项长期重点工作。自20世纪60年代以来,中国许多城市和省份都开展了基于社区的心理健康服务。国家出台了包括心理健康法规和国家心理健康工作五年规划在内的政策,以支持高质量心理健康服务的发展。目前,基于社区的心理健康服务的可及性和效率得到了大力提升,以惠及社区居民。根据《国家基本公共卫生服务规范》,基于社区的心理健康服务是基本公共卫生服务的重要组成部分之一。这些服务主要通过社区卫生服务中心提供,由全科医生、公共卫生医师、护士和社会工作者共同协作。患者根据其康复状况接受个性化、连续性的健康服务。这些服务包括定期体检、健康教育、康复指导、社会功能康复训练、职业培训和转诊服务;家庭成员也会得到关爱和心理支持。未来的工作将聚焦于扩大心理健康服务的覆盖范围和利用率,提高心理健康意识并减少污名化,以及增强服务能力,建立一个综合模式以提高心理健康服务的整体效率。

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