Community-Based Psychiatric Rehabilitation in Shanghai

Abstract

This paper describes the community mental health services in Shanghai, analyses the effectiveness of these services, and discusses their culture-specific characteristics. It reports on a prospective, matched-control study of the three most important types of service: a community follow-up programme in psychiatric out-patient clinics at primary-level general hospitals, ‘guardianship networks’ operated by non-professional volunteers, and work therapy stations. In total 308 pairs of subjects completed the study. Using Chinese versions of the Disability Assessment Schedule to assess impairment in psychosocial functioning and the Present State Examination to assess the levels of positive and negative symptoms, ten blind evaluators who had excellent inter-rater reliability assessed the functioning of subjects at enrolment and every six months for the next two years. Over the two years, symptoms and social functioning improved in the treatment groups and deteriorated in the control groups. Thus these community psychiatric services have the dual benefit of promoting rehabilitation and preventing psychosocial deterioration.

Correlation analysis between body composition, serological indices and the risk of falls, and the receiver operating characteristic curve of different indexes for the risk of falls in older individuals

“…You can do it yourself; 2- Some difficulties; 3- Need help; 4- There’s no way to do it. The total score is 56 points, with a minimum score of 14 points ( 11 ). Divided into 2 subscales, namely Physical Activity of Daily Living (PADL) and Instrumental Activity of Daily Living (IADL), with 7 items each.…”

The Development and Evolution of Community Mental Health Policies in China from 1998 to 2013

“…Without appropriate treatment or management, these severe mental illnesses pose a considerable risk of selfharm and danger to others. The socio-emotional challenges associated with these disorders often emerge from difficulties in self-managing the illness and forming meaningful connections within the social sphere (2). In response, the World Health Organization (WHO) advocates for the incorporation of community-based, ongoing mental health services focusing on managing and treating individuals with severe mental illnesses within their communities.…”