Hong Su, Zhang Qi, Wei Yifeng, Ai Ming, Wang Wo, Chen Jian-Mei, Xu Xiao-Ming, Li Xinmin, Greenshaw Andrew James, Kuang Li
Psychiatric Center, First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Department of Psychiatry, University of Alberta, Edmonton, AB, Canada.
Front Psychiatry. 2025 Jun 27;16:1554939. doi: 10.3389/fpsyt.2025.1554939. eCollection 2025.
Childhood and adolescence are critical periods for mental health development, with a significant risk for mental disorders. The Chinese government has prioritized student health and well-being, encouraging policies to support youth mental health. However, challenges remain due to high technical demands and inter-departmental coordination.
The "pathway through care" model connects hospitals, schools, communities, and families to collaboratively promote adolescent mental health. The model employs general screening, interviews, and intervention strategies at various levels, including mental health promotion and training for students, educators, and parents. The model's operation is led by a tertiary care team in collaboration with school districts.
Since the implementation of the model in Chongqing, a large-scale screening of students has been conducted, with over 330,000 students screened and a significant number receiving face-to-face interviews with psychiatrists/psychologists. The model has facilitated the early identification of students at risk, appropriate referrals for care, and ongoing support within the school setting. It has also engaged parents and the wider community in addressing youth mental health needs.
The "Hospital-School-Home-Community" integrated mental health service model has demonstrated success in improving child and youth mental health within the school setting in Chongqing. It has effectively linked education and health systems to address a full continuum of care.
儿童期和青少年期是心理健康发展的关键时期，存在患精神障碍的重大风险。中国政府已将学生健康和福祉列为优先事项，鼓励出台支持青少年心理健康的政策。然而，由于技术要求高和部门间协调等问题，挑战依然存在。
“关爱路径”模式将医院、学校、社区和家庭连接起来，共同促进青少年心理健康。该模式在各级采用一般筛查、访谈和干预策略，包括为学生、教育工作者和家长开展心理健康促进和培训。该模式的运作由三级护理团队与学区合作牵头。
自该模式在重庆实施以来，已对学生进行了大规模筛查，超过33万名学生接受了筛查，大量学生接受了精神科医生/心理学家的面对面访谈。该模式有助于早期识别有风险的学生，进行适当的护理转诊，并在学校环境中提供持续支持。它还促使家长和更广泛的社区参与满足青少年心理健康需求。
“医院-学校-家庭-社区”综合心理健康服务模式已在重庆的学校环境中成功改善了儿童和青少年的心理健康。它有效地将教育和卫生系统联系起来，以提供全面的连续护理。
