Study On The Capacity Of Community Mental Health Service In China

ObjectiveThis study is on the basis of searching for the literature on the developmentstatus of domestic and foreign community mental health service, learning from thespecial tools named WHO-AMS published by the World Health Organization toassess the mental health systems in low-income countries and the frameworkproposed by domestic scholars to assess the capacity of mental health service.Combined with the actual situation of the development of our community mentalhealth service, we try to understand the capacity of our community mental healthservice. According to the National Science and Technology Support Project of theMinistry of Science and Technology, we select the project area, such as Beijing,Harbin and Karamay to conduct a survey. And then analyze the lack of capacity ofcommunity mental health services and proposed some recommendations which canincrease the capacity of our community mental health service.Objects and MethodsResearch methods used in this study include a literature study, questionnaires,and interviews. Questionnaires were distributed to all staff engaged in communitymental health services in surveyed communities in three areas. The interviewsubjects are the person in charge of for the community mental health-relatedadministrative departments, the people in charge of community (mental) healthservice agencies and community mental health services personnel. We collect the relevant data into the Excel database and use SPSS18.0data to analyze it withdescriptive analysis, chi-square test, analysis of variance and rank transform analysis,etc.Results1. Implementation of community mental health services: the Proportion of fixedplace for services is not high in the three regions in China, only parts of the placescan achieve the targets of conditions protecting privacy, quiet, easy to find.The services on community mental health conclude the mental health mission topromote mental health seminars, mental health lectures and counseling servicesbased mental health mental health mostly. Release mental health materials, posterand giving lectures are the majority forms of community mental health services inthe three regions.2. Human resource structure of community mental health services:The community mental health service workers are mostly female getting94.5%inKaramay. Different in the age structure, the number among30-40age group is the largest, being47.3%. Regarding the education background of them, the majority is tertiary educated. There are92.73%staff investigated donot have professional title. Formal organization of workers accounted for29.09%,69.1%of workers is contract. In the number of working years in mental health services, the proportion of one year is accounting for61.5%, and78.18%staff is part-time workers. In the professional background, the personnelare mostly pedagogy profession, accounting for16.33%. In the present position, community members are the majority with the proportion of91.5%.The community mental health service workers are mostly female getting58.3%in Harbin. Different in the age structure, the number among20-30age group is thelargest being66.7%. Regarding the education background of them, the proportion ofundergraduate is53.7%. There are46.7%staff investigated have professional title,and10%staff investigated have a psychiatrist professional title.53.3%staff investigated are with primary professional title. In the number of working years inmental health services, the proportion of3year is the majority,85.0%staff ispart-time workers. In the professional background, the nursing personnel are mostly,accounting for48.3%, followed by clinical medicine, accounting for31%. In thepresent position, community members are the majority with the proportion of7.3%.The community mental health service workers are mostly female getting65.3%inBeijing. Distribute close in the age structure. Regarding the education background ofthem, the proportion of tertiary educated is44.9%,the proportion of undergraduate is38.8%. There are58.3%staff investigated have professional title, and4.2%staffinvestigated have a psychiatrist professional title.53.2%staff investigated are withprimary professional title. Mid level title are38.3%.In the number of working yearsin mental health services, the proportion of1year is the majority,56.3%staff ispart-time workers. In the professional background, the clinical medicine is mostly,accounting for45.8%, followed by nursing personnel. In the present position,Community neural physicians are the majority with the proportion of72.9%.followed by community prevention physicians getting16.7%.3. The training rate of community mental health service workers between the3regions are similarity, which is2times per year. The time that the personnel receivepsychological knowledge training for1year is very poor. There are no significantdifference in the reason and time of mental health service training in three regions.The contents of the mental health service personnel training is major onpsychological diagnosis, evaluation, psychological counseling and psychologicaldiseases prevention and cure to give priority.4. The circumstance of professional ability of community mental health service: toassess the diagnostic level9questions, the personnel average is4.07in correctanswer questions on the mental health service, Harbin personnel the correct answerquestions on average is3.56, the Beijing municipal personnel the correct answerquestions on average is7.45. There is no statistical significance of difference in thediagnostic level between Karamay and Harbin, but were significantly lower than Beijing’s diagnosis level. To evaluate the treatment level of8subjects, the correctanswer questions on average is1.93in Karamay on the mental health servicepersonnel, Harbin`s is1.95, Beijing`s is4.67. There is no statistical significance ofdifference in the treatment level between Karamay and Harbin, but weresignificantly lower than Beijing’s treatment level. For assessment of the knowledgelevel8subject, the correct answer questions on average is5.05in Karamay on themental health service personnel,Harbin`sis4.15, Beijing`s is7.02. Beijing’sknowledge level is higher than Karamay`s, Karamay`s is higher than Harbin.Conclusions1.The communities are only part in having the fixed place carrying out psychologicalhealth services. Fewer places are also the necessary conditions meeting its serviceenvironment, the less service content simple or way in3regions. While foreigncommunity mental health service content not only way diversity, and carry out theservice is continuity.2. Part-time personnel are in the majority on community mental health service workin3regions. There is a lack of psychology in the background psychologicalconsultant certificate is more very few. The cultural degree of service staff is low,especially on the degree of the staff in college, main technical secondary school andthe following in Karamay, the undergraduate course is given priority in Harbin, thecollege is given priority in Beijing. There are differences of the academic degreepersonnel in3regions.3.The personnel to accept the relevant training a short time, the content of thetraining is limited, and the system of the lack of employees to continue educationand gain the opportunity in3regions.4. Because professional differences in background, three areas of the communitymental health service personnel the diagnostic level, treatment level and theknowledge level have certain difference, Karamay and Harbin are at a distance onthe level and treatment level with Beijing. Beijing’s knowledge level is higher thanKaramay`s, Karamay`s is higher than Harbin. Countermeasures1. Expand mental health service contents through the establishment of communitypsychological outpatient service;2. Establish a continuous service mechanism for community mental health service;3. Improve a psychological consultant qualification authentication standard4. Formulate personnel qualification for community mental health service to attractprofessional talents into the community;5. Provide professional training and the opportunity of education for the mentalhealth service personnel.