促进中国的心理健康康复:基于社区的精神卫生服务。

Youwei Zhu, Xu Li, Min Zhao
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摘要

社区精神卫生服务对于精神障碍患者的治疗和康复非常重要。中国政府将建立高效的社区卫生服务作为一项长期的重点工作。自 20 世纪 60 年代以来,以社区为基础的精神卫生服务在中国许多省市得到了发展。国家出台了多项政策,包括精神卫生条例和五年国家精神卫生工作计划,以支持精神卫生服务质量的发展。社区精神卫生服务的可及性和便捷性得到了社区居民的高度认可。根据《国家基层公共卫生服务规范》,社区精神卫生服务是基层公共卫生服务最重要的组成部分之一。这些服务主要通过社区卫生服务中心(CHC)提供,由全科医生、公共卫生医生、护士和社会工作者共同完成。患者根据其康复状况接受个性化和持续的医疗服务。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、职业培训和转介服务;家庭成员也会得到照顾和心理支持。今后的工作重点是扩大精神卫生服务的覆盖面和使用率,提高对精神卫生的认识,减少对精神卫生的污名化,加强服务能力,建立综合模式,提高精神卫生服务的整体效率。
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Promotion of Mental Health Rehabilitation in China: Community-Based Mental-Health Services.

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.

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