China’s new Mental Health Law needs to tackle manpower imbalance of professionals in schizophrenia psychosocial rehabilitation

Da, Li; Tsui, Man C.M.; Gao, Yuan

doi:10.1177/0020764014524684

Cited by 9 publications

(9 citation statements)

References 5 publications

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“…The main reasons for this lack of treatment are summarized as follows: (1) The workforce of rehabilitation and social care professionals in China is insufficient [43]. Psychoeducation provided by psychiatrists and psychiatric nurses is rather confined to the clinical aspects of mental illness [44], and the development of rehabilitation and recovery concepts is hindered [8]. (2) Funding and other support from national, local and social institutions and organizations for mental illness are limited.…”

Section: Discussionmentioning

confidence: 99%

The burden, support and needs of primary family caregivers of people experiencing schizophrenia in Beijing communities: a qualitative study

Chen

Zhao

Tang³

et al. 2019

BMC Psychiatry

102

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Background Family caregivers play crucial roles in taking care of people experiencing schizophrenia in the community. The burdens on and needs of caregivers of these patients should be emphasized. This study aimed to explore the perspective of family caregivers of people experiencing schizophrenia in the communities of Beijing in terms of the burdens of care and the acquisition and further need for support in order to provide guidance to health care providers regarding how to target therapeutic interventions for families of individuals experiencing schizophrenia and to provide recommendations for policy makers to tailor countermeasures and services. Methods A total of 20 family caregivers of schizophrenia patients were enrolled in our study. A face-to-face and semi-structured in-depth qualitative interview study was conducted to explore the caregivers’ perspective on the burden on caregivers, support and further needs. This study was conducted in the community health service centres where the family caregivers regularly visit. The study was carried out according to good ethical practices, data analysis and reporting guidelines. Results Most participants reported that they were suffering from heavy life burdens and had negative experiences with respect to obtaining social support, and they emphasized that they would require more support. Economic and daily housework burdens, limited social communication, and psychological stresses were the principal burdens. Support including financial, medical and information and educational support did not satisfy the needs of the caregivers and their patients. More financial support, respect, and rehabilitation institutions were reported to be needs of the caregivers. Conclusions Family caregivers of people experiencing schizophrenia suffer from heavy physical and psychological burdens; however, the current support provided is insufficient. More services and better public attitudes should be considered for people experiencing schizophrenia and their caregivers.

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Section: Discussionmentioning

confidence: 99%

The burden, support and needs of primary family caregivers of people experiencing schizophrenia in Beijing communities: a qualitative study

Chen

Zhao

Tang³

et al. 2019

BMC Psychiatry

102

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“…It is likely that this group of patients is lack of the ability to express their needs adequately or their caregivers did not believe the psychiatric rehabilitation service could work on the patients, thus did not seek psychiatric rehabilitation services [40]. Several studies found that patients and their family members were unable to express their psychiatric rehabilitation needs [6, 32, 41]. In addition, the positive capacity of people with severe mental illnesses are typically ignored by society including family members, especially for those with organic psychoses, and their families do not believe the patients can return to normal lives.…”

Section: Discussionmentioning

confidence: 99%

“…The plan demands at least one mental health service center be built in every county. As an important part of the mental health service system, county mental health center functions should cover the provision of psychiatric rehabilitation services [32]. Concerns about the levels of rehabilitation service received by those with serious mental illness have been growing as a result of recent changes in social welfare policy and mental health care delivery systems [22].…”

Section: Introductionmentioning

confidence: 99%

Utilization of psychiatric rehabilitation services and influencing factors among people with psychotic disorders in rural communities of Guangxi, China

Luo

McNeil

Feng

et al. 2018

Int J Ment Health Syst

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ObjectivesTo identify the rate and predictors of utilization of rehabilitation services among people with psychotic disorders in rural communities of Guangxi.Study designA cross-sectional survey was conducted among individuals with schizophrenia or other psychoses (severe mental disorder, ICD10: F20–F29), aged over 15 years, and their care-givers in Guangxi, China. Trained village doctors located individuals known to them and suspected as having schizophrenia or other psychoses within the target areas and recruited them into the study. Data on demographic characteristics, clinical symptoms and functions, treatment history, and reasons, if any, for non-utilization of mental health service were collected. Logistic regression was used to determine associated factors for utilization of mental health services.ResultsA total of 424 individuals experiencing psychosis (mean age 41.4 ± 13.0 years, 60.6% male) and 319 caregivers (mean age 55.3 ± 14.2 years) were interviewed. The median duration of disease was 13.4 years. 83.0% of patients had never used rehabilitation services. Greater use of rehabilitation was associated with having a non-organic disorder (OR = 11.6, 95% CI = 1.6–86.0) and living with a caregivers (OR = 3.2, 95% CI = 1.2–8.3). The top three reasons for not using rehabilitation services were lack of awareness (57.1%), lack of money (14.2%) and lack of belief in the service (12.8%).ConclusionsThese findings indicate a high unmet need for psychiatric rehabilitation services among people with psychotic disorders in rural areas of Guangxi. Strategies such as outreach programme and collaborative and partnership network with the local community are needed to encourage people with psychotic disorders in rural communities to increase their utilization of rehabilitation services.

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“…Unfortunately, this multi-disciplinary team is not available in the mainland as the availability of the latter three remains very limited. While psychiatrists and psychiatric nurses are specialized in pharmacotherapy, they may not have clear concepts of psychosocial rehabilitation and hence the directions of practices (Li et al, 2014) as these are not the expertise of them but the occupational therapists, social workers and psychologists. The development of psychosocial interventions such as supported employment, community living skills training and social skills training is therefore undermined.…”

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confidence: 99%

Recognize both objective and subjective dimensions of recovery of severe mental illness

Zhang

Tsui²,

Li³

2016

AJSSS

Self Cite

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Fostering psychiatric rehabilitation philosophy and practices for individuals with severe mental illness (SMI) in the mainland China is of urgent needs but various challenges exist. Psychiatric rehabilitation targets specifically at those with SMI which utilizes pharmacological treatment for controlling the signs and symptoms, and psychosocial interventions for restoring psychological and social functioning including interpersonal relationships, work, leisure and quality of life.

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China’s new Mental Health Law needs to tackle manpower imbalance of professionals in schizophrenia psychosocial rehabilitation

Cited by 9 publications

References 5 publications

The burden, support and needs of primary family caregivers of people experiencing schizophrenia in Beijing communities: a qualitative study

The burden, support and needs of primary family caregivers of people experiencing schizophrenia in Beijing communities: a qualitative study

Utilization of psychiatric rehabilitation services and influencing factors among people with psychotic disorders in rural communities of Guangxi, China

Recognize both objective and subjective dimensions of recovery of severe mental illness

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