meditation garden for patients in the fan dance performances. Our reporter Wang Haixin photo
6 10 May, brewing for 26 years, “Mental Health Law (Draft)” breakthrough. Yesterday, reporter learned from the health sector, which refers to the community for the rehabilitation, protection of the rights of patients discharged to live, the public mental health care prevention and other issues, Beijing has started to develop policies designed to build a community – district hospitals – top three hospitals in treatment rehabilitation system.
China Disease Prevention and Control Center in 2009 released data show that China’s number of patients with various types of mental illness in more than 100 million people, the number of serious mental illness more than 16 million. Currently, the treatment system is not perfect, the lack of community-based rehabilitation system, public prejudice, the drug in patients with severe mental illness can not be guaranteed a variety of reasons, resulting in hospitalization is difficult, difficult recovery, finding a job difficult, more difficult to seek equal rights and other issues.
estimated that nearly 3/4 patients without fear of discrimination in registration
Municipality registration of patients with severe mental management system, their treatment, medication of record keeping, follow-up. Municipal Health Bureau said that as of last year, the city total of 55,781 cases were registered in the file. The types, schizophrenia accounted for 62.6% of all cases, followed by two-way affective disorder and recurrent depressive disorder; of age, the new diagnosis and relapse in patients with serious mental illness aged 21 to 30 high, at the age of the schizophrenic patients accounted for 24.48%.
health department official, psychiatric medical staff and community work caught that, because of widespread social discrimination on the mental emotional population, many patients or their families did not register. Mental Health Act amended several times in the work of Tang Hongyu, vice president of Beijing University, said six, according to the proportion of Beijing, Beijing’s heavy nature of mental illness should be 20 million.
“not wash your dirty linen in public, once registered in the community, regular follow-up of doctors, medication management and so may be the neighbors know,” a family that, after a sick child at home, no matter how busy, as long as He wants to keep taking time out, but once people know that it is difficult in the district looked up, the “spittle drowning.”
response: the average length of stay of discharged Reference
problem: patients’ discharged difficult “
It is understood, the city’s psychiatric medical institutions, patients, the average length of stay of 150 to 160 days, due to not contact family members or family members get treatment for various reasons do not want to go through the discharge procedure for other reasons, leading to tension in the beds of resources on long-term occupation, many of whom are hospital stay of 10 or 20 years, the most elders have lived for 40 years.
non-disease factors have led to the “discharge difficult” problems caused by the urgent treatment of patients “admitted to hospital difficult.” Hui Long Guan Hospital, vice president Wangshao Li said: “Sometimes one day we treated 20 patients who meet the admission criteria, but only 10 people can be hospitalized at that time, other people can only go back to such notice, with the bed again.”
Municipal Health Bureau official said, with the Mental Health Act, the definition of discharge standards, is currently on the psychiatric hospital is calculated on the average length of stay, to be on the basis of various common types of psychiatric treatment, hospitalization to regulate, and to promote the city. After treatment, through the acute phase and are required to meet discharge criteria for patients discharged from hospital.
“community rehabilitation hospital care, and should be seamless, but the vast majority of patients after discharge home, which is not conducive to the disease recovery, and impede their return to society.” Tang Hongyu that the ideal model in the hospital, the community that require hospitalization of the mentally ill, the report forwarded to the county or hospital treatment of mental health institutions, such as changes in condition or treatment required to accept a higher level of experts, sent to three sub-specialty hospitals; patients through the acute phase of rehabilitation to go back to the community, the social function of rehabilitation. “
draft Article 47 clearly states, community rehabilitation agencies should be required to provide rehabilitation for mental disorders in places and conditions of the patients self-care ability and social adaptive capacity and other aspects of rehabilitation.
Municipal Health Bureau official said, and the city is currently focused on building common in patients with “community first diagnosis, level of treatment,” the same pattern, including twenty-three to improve hospital and community rehabilitation agencies, including operating efficiency, the level of mental illness treatment system is also built into the brewing, he admitted that the city’s total of 00 psychiatric beds, “not only the import export”, but if we can increase the “chassis” building, the current number of beds is adequate of.
response: community and hospital practice linkage
issues: rehabilitation too
response: mental health promotion into the school
issues: social pressures
student committed suicide after breaking up with lovers, a run for the top students of school leaders frustrated after the falls, factory workers trapped in high-intensity work. ” comic dance “… such” black events “often seen in the media. In this regard, Tang Hongyu, said now, with the working pressure, changes in the pace of life, light increased incidence of mental disorders, if you do not receive timely treatment or control, then they are likely to use extreme means to take revenge on society, or harm to others, or the end of life, “so to some extent, prevention is more important”.
Municipal Health Bureau said the city plans to build urban levels of mental illness prevention and control system, including community mental health promotion and mental illness prevention knowledge, commitment to the health of various agencies at all levels of education, etc. Among them, the mental health and psychological experts into the business, the grade schools, communities and other places to provide health counseling, psychological counseling services.
meditation garden: hard to get out of paradise
meditation garden was established in June 2008 specifically for persons with mental disabilities in community-based rehabilitation agency. Here, patients receiving life, career, social skills training in a full range of rehabilitation, as well as community mental health Beijing Hui Long Guan Hospital Center and an expert on a regular basis to carry out a free psychological counseling and treatment through participation in manual labor, the patient can receive an income, although its mode of operation to obtain the highly acclaimed, but this “paradise” is also facing professional lack of staff, patients’ exports difficult “and other problems.
>> run” home “in heaven
7 22, as Like every Friday, the park is conducting a one week pause Summary and free.
“This is a know-how, to, I’ll teach you,” to see the side of Ke was playing with a red silk Code requirements not look like a half-day, the patient made a small smile, Dan “support”.
as a meditation garden old “students”, Ke is the first admission who now has a teacher effective assistant. watching the faces round, dimpled smile revealing two big girls, it is difficult to associate with her 12-year history of severe mental illness mental patients.
mentioned Ke, An elderly father is no longer sad, emotional trace of excitement and joy, “if not here, sad to imagine what will become of the child at home, it is estimated not only the condition will not improve, we had an old married couple as neuropathy,” recall Ke nonsense all day, barefoot street scene, the meditation garden security father described as a “paradise”. “Now children can not only go shopping alone, but also bargain it. Family’s books are also kept by her, she will access time “, as the only child at home, Kexin’s condition stable, the recovery of social function to the old couple happy endless.
> ;> difficult patients difficult return to the community
Although the meditation garden of life’s carefree, but with the condition of stability back to the community, to find a stable job We have also become an urgent desire.
little Dan in here before was a bus conductor and now she is upset with the memory of the recession, “the original afterwards, find the money no problem, but love sleepy after eating medicine now, think of a thing only want to get up to half a day, “she said to take into account their regular medication and physical reasons, would like to find a supermarket cash register work. In order to get back to work, she every day by reciting, reading, crafts to exercise memory.
Hui Long Guan Hospital social work cattle doctors admitted that in public, under the general psychological reactions of discrimination, stigma and lack of confidence for the future Most rehabilitation of patients with unknown cause can only be “confined” at home.
Tang Hongyu, said mental illness itself is a chronic disease, as long as the adhere to the medication, adhere to the social rehabilitation, the possibility of recurrent disease not only greatly reduced, 2/3 of patients can successfully complete college, start his own business, etc. But so far, only less than 1/3 of the weight of the patient can return to society in many units the door to the mentally ill are “off”, “This is not conducive to their rehabilitation, and may lead to more serious social problems”.
>> long and short term “most worried about her pension”
CDPF chairman of the Dong Ziqin street music that altar on the streets there are nearly 600 patients with mental disabilities, to go to meditation garden or a few, back to the community is a minority. The good news is, in accordance with meditation garden mode, Hui Long Guan Hospital will Exhibition Road in the street to open a second home location intensive rehabilitation of disabled persons.
participants were able to do something, hands-on brain exercise capacity, CDPF for everyone in the factory “connection bridge” so that participants can have had some income. Kexin month not only provide access to street living allowance of $ 580, still have three hundred dollars, “wages”.
“year after year, my father mother We worked hard day and night, I do not know how much hair to add; year after year, who knows, we refined the number of disabled patients have experienced ups and downs, “reading to” Father and Mother “, the eyes of a lot of attention Ke tears, voice choked.
“I never thought of marriage, parents should have been accompanied to the old,” Ke said he owed the parents too much, take a lifetime to repay. she did not know, Parents are worried about their hundred years later, her daughter how to live, “fine residue patients need lifelong medication, not only unable to work, even self-care ability to determine whether the recovery is not,” Ke father said, several times in its proposal, the spirit (disease) has been included in West pension institution-building “five” plan.
edition have written
our reporter Li Qiumeng
(For privacy consideration, the paper patients were not his real name)
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