Mental health policy and implementation from 2009 to 2020 in China

Chen, Runzi; Zhang, Wufang; Wu, Xiamin

doi:10.1016/j.ssmmh.2023.100244

Cited by 5 publications

(6 citation statements)

References 2 publications

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“…Later of 2016, mental health promotion was included as one of the 15 special actions in the Healthy China 2030 Plan Outline in 2016. This action has boosted public attention to mental health than before (R. Z. Chen, Wu et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…Meanwhile, the National Mental Health Working Plan (2015–2020) has set goals of lowering out-of-pocket expenditures for mental healthcare by extending health insurance coverage (Xu et al, 2022). The Implementation Scheme of the National Project of Specialty-Transfer Training to be Psychiatrists and Guidance on Strengthening Mental Health Services have provided solutions of scaling up mental health resources and workforce (R. Z. Chen, Wu et al, 2020; Wu & Ma, 2022).…”

Section: Discussionmentioning

confidence: 99%

“…In addition, the 2016 National Health Work Conference of China officially brought mental health to the government agenda as an important issue. Since then, mental health has gained increasing political willingness and public awareness (Chen, Wu et al, 2020). Thus, the time point of 2016 was also selected and tested as a system-level predictor of the three types of delay.…”

Section: Methodsmentioning

confidence: 99%

“…Moreover, most studies were conducted more than one decade ago (Lee et al, 2007; Li et al, 2014; Ran et al, 2018; W. Zhang et al, 2013), which could not match the ongoing development of mental health policy and services in China (R. Z. Chen, Wu et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

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Understanding components and predictors of delay of first treatment for mental health problems: A hospital-based study in China

Xie

Zhou

Xiao

et al. 2023

Int J Soc Psychiatry

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Background: Understanding components and predictors of delay of first treatment for mental health problems are crucial to inform interventions for earlier treatment. However, Chinese-context knowledge of this theme is still limited. Methods: We conducted an inpatient survey among 206 patients with various mental disorders in China. Delay of first utilization of mental healthcare (Delay-Total) and its two components of help-seeking delay (Delay-H) and referral delay (Delay-R) were assessed in terms of occurrence and duration. Binary logistic regression was performed to test predictors of Delay-Total, Delay-H and Delay-R, and multiple linear regression was used to test predictors of delay durations. Results: Overall, 66.0% patients experienced Delay-Total, with a duration range of 0 to 353 months; 49.5% patients had Delay-H (duration range = 0–207 months) and 29.6% with Delay-R (duration range = 0–323 months). Multivariate logistic regression analysis found that the diagnosis of severe mental disorders was a consistent predictor for a reduced chance of Delay-Total, Delay-H and Delay-R. Multiple linear regression analysis demonstrated that younger age of disorder onset and disorder onset before 2016 were significantly associated with longer delay. Conclusions: Delay of first treatment for mental health problems is still common in China. However, the development of mental health policy and services promotes shorter treatment delay. The diagnosis of common mental disorders and younger age of onset are risk factors of the occurrence and duration of delay, respectively. Thus, education of the public and non-mental-healthcare professionals are needed for better disorder recognition and more efforts should be inputted to support youngsters’ utilization of mental healthcare.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Understanding components and predictors of delay of first treatment for mental health problems: A hospital-based study in China

Xie

Zhou

Xiao

et al. 2023

Int J Soc Psychiatry

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“…In 2009, the government incorporated local serious mental disorders into the central subsidized local health funding project to manage and treat serious mental disorders (‘Project 686’) to realize the transition of patients with serious mental disorders from the hospital to the community. Inpatient treatment assistance and free drug and medication guidance have improved the treatment rates of mental disorders (R. Z. Chen et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

The complex impact of family caregiver kinship type on the rehabilitation of patients with mental disorders in rural communities of China

Sui²,

Wang³

et al. 2023

Int J Soc Psychiatry

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Background: In 2009, the Chinese government incorporated severe mental disorders into the central subsidized local health funding project for the effective management, treatment, and reintegration of patients with severe mental disorders from hospitals into the community (Project 868). The conditions that were classified as ‘severe’ by this project included: schizophrenia, schizoaffective disorders, paranoid disorders, bipolar disorders, mental disorders caused by epilepsy, and mental retardation accompanying mental disorders. Patients in rural communities received better care after project implementation, of which 62.91% were farmers. Objective: This paper attempts to investigate the complex impact of Project 686 on the levels of rehabilitation of patients by their families. Methods: The last follow-up visit of the community psychiatrists in city H in 2020 was used as the time point. Finally, 174 samples were used in the analysis model. The type of kinship between family caregivers and patients with mental disorders was operationalized according to the information provided under the ‘primary caregiver’ item within the basic information section of the follow-up form. The software Stata15 was used to perform descriptive statistics, baseline regression model analysis, and a robustness test on the types of kinship identified and patients’ recovery. Results: The types of kinship, current symptoms, and medication use all affected patients’ recovery, were found to have regression coefficients of −0.148, −1.756, and 0.902, respectively. Parents of patients with mental disorders remain in the caregiver category with the largest proportion. Community acceptance of patients is high; current symptoms, medication use, and types of caregiver-patient relationships influence patients’ recovery levels. Conclusions and discussion: Project 686 has solved some of the rehabilitation and living difficulties of patients with mental disorders in rural communities. The types of kinship between family caregivers and patients with mental disorders in rural communities affect patients’ rehabilitation levels. Patients’ current symptoms and medication use can effectively moderate the impact of kinship type on patients’ recovery in terms of complete self-knowledge, productive work, and life and good social relationships. It is necessary for mental illness prevention-treatment organizations to establish supplemental, replacement, and substitution mechanisms for the life and rehabilitation of patients with mental disorders in rural communities. Furthermore, the sense of reward and concern for family caregivers should be actively enhanced, and greater scientific use of the rehabilitation function of the ‘family care + village doctor management’ model should be made.

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Effect of the COVID-19 pandemic on mental health visits in primary care: an interrupted time series analysis from nine INTRePID countries

Silva-Valencia,

Lapadula,

Westfall

et al. 2024

eClinicalMedicine

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Mental health policy and implementation from 2009 to 2020 in China

Cited by 5 publications

References 2 publications

Understanding components and predictors of delay of first treatment for mental health problems: A hospital-based study in China

Understanding components and predictors of delay of first treatment for mental health problems: A hospital-based study in China

The complex impact of family caregiver kinship type on the rehabilitation of patients with mental disorders in rural communities of China

Effect of the COVID-19 pandemic on mental health visits in primary care: an interrupted time series analysis from nine INTRePID countries

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