Policies to Improve the Mental Health of People Influenced by COVID-19 in China: A Scoping Review

Background: In response to the potentially concurrent mental health crisis due to the COVID-19 outbreak, there have been ongoing mental health policies put in place in China. This review aims to systematically synthesize the implemented national-level mental health policies released by the Chinese g...

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Main Authors: Dan Qiu, Yilu Li, Ling Li, Jun He, Feiyun Ouyang, Shuiyuan Xiao
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-12-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2020.588137/full
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author Dan Qiu
Yilu Li
Ling Li
Jun He
Feiyun Ouyang
Shuiyuan Xiao
Shuiyuan Xiao
author_facet Dan Qiu
Yilu Li
Ling Li
Jun He
Feiyun Ouyang
Shuiyuan Xiao
Shuiyuan Xiao
author_sort Dan Qiu
collection DOAJ
description Background: In response to the potentially concurrent mental health crisis due to the COVID-19 outbreak, there have been ongoing mental health policies put in place in China. This review aims to systematically synthesize the implemented national-level mental health policies released by the Chinese government during the COVID-19 outbreak, and summarize the implementation of those mental health policies.Methods: Six databases and two websites were systematically searched, including published studies and gray literature published between December 1, 2019 and October 29, 2020.Results: A total of 40 studies were included. Among them, 19 were national-level policies on mental health released by the Chinese government, and 21 studies reported data on the implementation of those mental health policies. Mental health policies were issued for COVID-19 patients, suspected cases, medical staff, the general population, patients with mental illness, and mental institutions. In the early stage of the COVID-19 epidemic, attention was paid to psychological crisis intervention. In the later stage of the epidemic, the government focused mainly on psychological rehabilitation. During the COVID-19 outbreak, more than 500 psychiatrists from all over China were sent to Wuhan, about 625 hotlines were notified in 31 provinces, several online psychological consultation platforms were established, social software such as TikTok, Weibo, and WeChat were used for psychological education, and many books on mental health were published. Responding quickly, maximizing the use of resources, and emphasizing the importance of policy evaluation and implementation quality were characteristics of the mental health policies developed during the COVID-19 outbreak. Challenges facing China include a low rate of mental health service utilization, a lack of evaluation data on policy effects, and no existing national-level emergency response system and designated workforce to provide psychological crisis interventions during a national emergency or disaster.Conclusions: This review suggests that China has responded quickly and comprehensively to a possible mental health crisis during the COVID-19 outbreak, appropriate mental health policies were released for different members of the population. As the epidemic situation continues to change, the focus of mental health policies has been adjusted accordingly. However, we should note that there has been a lack of separate policies for specific mental health issues during the COVID-19 outbreak.
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spelling doaj.art-0776a22aed16410da3b177a3d182d26c2022-12-21T22:53:57ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402020-12-011110.3389/fpsyt.2020.588137588137Policies to Improve the Mental Health of People Influenced by COVID-19 in China: A Scoping ReviewDan Qiu0Yilu Li1Ling Li2Jun He3Feiyun Ouyang4Shuiyuan Xiao5Shuiyuan Xiao6Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, ChinaDepartment of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, ChinaDepartment of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, ChinaDepartment of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, ChinaDepartment of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, ChinaDepartment of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, ChinaHunan Provincial Key Laboratory of Clinical Epidemiology, Changsha, ChinaBackground: In response to the potentially concurrent mental health crisis due to the COVID-19 outbreak, there have been ongoing mental health policies put in place in China. This review aims to systematically synthesize the implemented national-level mental health policies released by the Chinese government during the COVID-19 outbreak, and summarize the implementation of those mental health policies.Methods: Six databases and two websites were systematically searched, including published studies and gray literature published between December 1, 2019 and October 29, 2020.Results: A total of 40 studies were included. Among them, 19 were national-level policies on mental health released by the Chinese government, and 21 studies reported data on the implementation of those mental health policies. Mental health policies were issued for COVID-19 patients, suspected cases, medical staff, the general population, patients with mental illness, and mental institutions. In the early stage of the COVID-19 epidemic, attention was paid to psychological crisis intervention. In the later stage of the epidemic, the government focused mainly on psychological rehabilitation. During the COVID-19 outbreak, more than 500 psychiatrists from all over China were sent to Wuhan, about 625 hotlines were notified in 31 provinces, several online psychological consultation platforms were established, social software such as TikTok, Weibo, and WeChat were used for psychological education, and many books on mental health were published. Responding quickly, maximizing the use of resources, and emphasizing the importance of policy evaluation and implementation quality were characteristics of the mental health policies developed during the COVID-19 outbreak. Challenges facing China include a low rate of mental health service utilization, a lack of evaluation data on policy effects, and no existing national-level emergency response system and designated workforce to provide psychological crisis interventions during a national emergency or disaster.Conclusions: This review suggests that China has responded quickly and comprehensively to a possible mental health crisis during the COVID-19 outbreak, appropriate mental health policies were released for different members of the population. As the epidemic situation continues to change, the focus of mental health policies has been adjusted accordingly. However, we should note that there has been a lack of separate policies for specific mental health issues during the COVID-19 outbreak.https://www.frontiersin.org/articles/10.3389/fpsyt.2020.588137/fullpolicy implementationChinamental health policyCOVID-19scoping review
spellingShingle Dan Qiu
Yilu Li
Ling Li
Jun He
Feiyun Ouyang
Shuiyuan Xiao
Shuiyuan Xiao
Policies to Improve the Mental Health of People Influenced by COVID-19 in China: A Scoping Review
Frontiers in Psychiatry
policy implementation
China
mental health policy
COVID-19
scoping review
title Policies to Improve the Mental Health of People Influenced by COVID-19 in China: A Scoping Review
title_full Policies to Improve the Mental Health of People Influenced by COVID-19 in China: A Scoping Review
title_fullStr Policies to Improve the Mental Health of People Influenced by COVID-19 in China: A Scoping Review
title_full_unstemmed Policies to Improve the Mental Health of People Influenced by COVID-19 in China: A Scoping Review
title_short Policies to Improve the Mental Health of People Influenced by COVID-19 in China: A Scoping Review
title_sort policies to improve the mental health of people influenced by covid 19 in china a scoping review
topic policy implementation
China
mental health policy
COVID-19
scoping review
url https://www.frontiersin.org/articles/10.3389/fpsyt.2020.588137/full
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