Résumé
Objective To analyze and compare the mental health service resources in Jiangsu Province in 2014 and 2020, and to provide suggestions for the rational allocation and setting of mental health resources. Methods The national mental health resource questionnaire compiled by National Health Commission and the information system of Jiangsu provincial severe mental disorders were used to investigate the number, beds, mental health personnel of mental health institutions, and to evaluate the management and service situation of patients with severe mental disorders in Jiangsu Province in 2014 and 2020. The data was analyzed by SPSS 19.0 software. Results Compared with the mental health service resources in 2014, the number of mental health medical institutions increased by 9 in 2020; The number of psychiatric beds increased by 5,936, and the growth rate was 39.55%; The number of psychiatric open beds increased by 5,311, and the growth rate was 27.41%. The bed density increased from 2.43 beds / 10,000 people to 3.08 beds / 10,000 people, with an increase rate of 26.75%. The number of mental health practitioners increased from 8.08/100,000 to 12.27/100,000. In 2020, 37.28% of the hospitals of the second class and above set up psychiatric or psychological clinics in Jiangsu Province. In terms of management services for patients with severe mental disorders, the prevalence rate in 2020 was 0.43%, higher than 0.34% in 2014 (χ2=8441.60, P＜0.05), and the management rate in 2020 was 95.22%, higher than 90.97% in 2014 (χ2=5520.13, P＜0.05). The drug taking rate in 2020 was 81.22%, higher than 57.18% in 2014 (χ2=37254.45, P＜0.05), and all the differences were statistically significant. Conclusion The resources of mental health services in Jiangsu Province have increased, but the number of medical personnel cannot meet the requirements of regional development, and the distribution of mental health resources is unbalanced. It is necessary to reasonably distribute resources and strengthen the training of mental health practitioners.
Résumé
Abstract Background Mental health disorders are common in China. There is a lack of knowledge and resources of mental health in China. Objectives To assess the levels of psychiatric resources and services in general hospitals in China. Methods Data regarding psychiatric departments, wards and staff were collected from 57 general hospitals in four provinces of China (Hubei, Zhejiang, Heilongjiang and Yunnan) between April 2014 and June 2014. Questionnaires were distributed to 1,200 non-psychiatric clinicians. Results Among the 57 hospitals, 50 provided mental health services, 36 had mental health wards, and seven had neither mental health clinics nor wards. The median number of mental health clinicians was six per hospital. The median number of specialized nurses was 42 per hospital. A total of 1,152 non-psychiatric clinicians with a career duration of 9.4 ± 8.9 years returned completed questionnaires. Only 6.9% reported a good understanding of the manifestation of anxiety and depressive disorders, 4.5% reported a good understanding of the diagnostic criteria, and 3.8% reported a good understanding of the treatment protocols. Discussion There is inadequate awareness of anxiety and depressive disorders among non-psychiatric clinicians in general hospitals in China. This awareness/understanding increased with increasing hospital level.