Rethinking progress and challenges of mental health care in China

Xiang, Yu‐Tao; Ng, Chee H.; Yu, Xin; Wang, Gang

doi:10.1002/wps.20500

Cited by 89 publications

(68 citation statements)

References 9 publications

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“…All these factors could limit their clinical competence to control the potential transmission of COVID-19 in psychiatric hospitals. In addition, the lack of community-based mental health services has led to an over-reliance on psychiatric services provided by large psychiatric hospitals [10,11]. For the vast majority of patients with serious mental illness, they can only access appropriate mental health care in hospital settings, which are mostly located in city areas.…”

Section: Introductionmentioning

confidence: 99%

“…In the last decade, regular maintenance treatments have been provided for millions of community-dwelling patients with severe psychiatric disorders in this project, particularly for those with relatively high risk of violent behaviours. Regular outreach psychiatric treatment, rehabilitation and prevention services are provided under this national program [11]. Of note, this program was initially developed as part of the national effort to rebuild the community health system following the 2003 severe acute respiratory syndrome (SARS) outbreak in China.…”

Section: Introductionmentioning

confidence: 99%

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The COVID-19 outbreak and psychiatric hospitals in China: managing challenges through mental health service reform

Xiang¹,

Zhao²,

Liu³

et al. 2020

Int. J. Biol. Sci.

Self Cite

279

258

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Recently, more than 300 Chinese patients with psychiatric disorders were diagnosed with the 2019 novel coronavirus disease . Possible reasons quoted in the report were the lack of caution regarding the COVID-19 outbreak in January and insufficient supplies of protective gear. We outlined major challenges for patients with psychiatric disorders and mental health professionals during the COVID-19 outbreak, and also discussed how to manage these challenges through further mental health service reform in China.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The COVID-19 outbreak and psychiatric hospitals in China: managing challenges through mental health service reform

Xiang¹,

Zhao²,

Liu³

et al. 2020

Int. J. Biol. Sci.

Self Cite

279

258

View full text Add to dashboard Cite

show abstract

“…Similar to other countries, severe mental disorders (SMD) in China are associated with long duration and high disability, which can increase family economical burden and the emotional costs of caregivers [16,17]. Care assistant workers in China priority provide mental health care for people with SMD, which can provide a strong support for caregivers, a new gatekeeper for social harmony and a reasonable cost.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of an anti-stigma training on improving attitudes and decreasing discrimination towards people with mental disorders among care assistant workers in Guangzhou, China

Fan

Zhong

et al. 2019

Int J Ment Health Syst

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Background: Care assistant workers as a new pattern of care providers in China play an important role in bridging the mental health treatment gap. Stigma and discrimination against people with mental disorders among care assistant workers is a barrier which adversely influences mental health service delivery. However, programs aimed at reducing stigma among care assistant workers are rare in China. Methods: A total of 293 care assistant workers from four districts of Guangzhou, China were randomly divided into an intervention group (n = 139) and a control group (n = 154). The intervention group received anti-stigma training and the control group received traditional mental health training. Both trainings lasted for 3 h. Participants were measured before and after training using Perceived Devaluation and Discrimination Scale (PDD), Mental illness: Clinicians' Attitudes (MICA) and Mental Health Knowledge Schedule (MAKS). Data were analyzed by descriptive statistics, t-test, Chi square test or Fisher's exact test. Multilinear regression models were performed to calculate adjusted regression coefficient of the intervention on PPD, MAKS, and MICA. Results: There were significant lower scores on PDD and MICA in the intervention group after training when compared with the control group (both P < 0.001). No significant difference was found on MAKS total score between the two groups after training (P = 0.118). Both groups had better correct identification of schizophrenia, depression and bipolar disorder before and after training. Conclusions: These findings suggest that anti-stigma training may be effective in reducing the perception of devaluation-discrimination against people with mental illness and decreasing the level of negative stigma-related mental health attitudes among care assistant workers.

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“…It provides the legal framework to uphold the rights of psychiatric patients to receive dignified and appropriate treatment. According to one study, the prevalence of physical restraint in Chinese psychiatric patients decreased from 30.7% to 22.4% following the implementation of the legislation 10 . Psychiatric patients and/or their families have the right to apply for an independent medical assessment by a third party if there is a dispute about an involuntary admission 9 .…”

mentioning

confidence: 99%

Psychotic experiences as an independent risk factor for angina pectoris in 48 low‐ and middle‐income countries

Koyanagi

Stubbs

et al. 2018

World Psychiatry

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Rethinking progress and challenges of mental health care in China

Cited by 89 publications

References 9 publications

The COVID-19 outbreak and psychiatric hospitals in China: managing challenges through mental health service reform

The COVID-19 outbreak and psychiatric hospitals in China: managing challenges through mental health service reform

Effectiveness of an anti-stigma training on improving attitudes and decreasing discrimination towards people with mental disorders among care assistant workers in Guangzhou, China

Psychotic experiences as an independent risk factor for angina pectoris in 48 low‐ and middle‐income countries

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