The development of mental health care in Guangzhou, China
As an upper-middle-income country, China has a vast territory, a large population and substantial variations in the nature of mental health service provision. Guangzhou, one of the five biggest cities in China, is considered as indicative of the current development of mental health services in a mor...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | SSM - Mental Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666560323000269 |
| _version_ | 1827919278157856768 |
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| author | Jie Li Yurong Ma Ziyan Xu Graham Thornicroft |
| author_facet | Jie Li Yurong Ma Ziyan Xu Graham Thornicroft |
| author_sort | Jie Li |
| collection | DOAJ |
| description | As an upper-middle-income country, China has a vast territory, a large population and substantial variations in the nature of mental health service provision. Guangzhou, one of the five biggest cities in China, is considered as indicative of the current development of mental health services in a more economically developed part of China. In this paper, we first introduce mental health services in Guangzhou and their historical development: from the rising development of mental health care (1949 to the mid-1960s), the stagnant development period of the psychiatric hospitals (1966–1976), the rapid development period of the psychiatric hospitals (1978 to the 1990s), to the integrated development period of community mental health care (2000–2020). This historical trajectory partly reflects the development of mental health services across China. Second, from the public health perspective, we introduce the current mental health care delivery system and resources in Guangzhou, including the psychiatric specialist hospitals, psychiatric units of general hospitals, and community mental health care. Third, based on the current mental health service system, we highlight community mental health care in Guangzhou. We will describe these elements of the mental health system under the following headings: organizational setup, management, and services. We also explore the design of community mental health service models and the challenges in the post-covid-19 era. Finally, we provide considerations and recommendations for mental health service delivery in Guangzhou in the future. |
| first_indexed | 2024-03-13T03:55:37Z |
| format | Article |
| id | doaj.art-23ee90a614294982aed80742347b475f |
| institution | Directory Open Access Journal |
| issn | 2666-5603 |
| language | English |
| last_indexed | 2024-03-13T03:55:37Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | SSM - Mental Health |
| spelling | doaj.art-23ee90a614294982aed80742347b475f2023-06-22T05:05:35ZengElsevierSSM - Mental Health2666-56032023-12-013100211The development of mental health care in Guangzhou, ChinaJie Li0Yurong Ma1Ziyan Xu2Graham Thornicroft3The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China; Corresponding author. The Affiliated Brain Hospital of Guangzhou Medical University, NO. 36 Mingxin Road, 510370, Liwan District, Guangzhou, China.The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, ChinaDepartment of Psychiatry and Psychotherapy III, University of Ulm, GermanyCentre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UKAs an upper-middle-income country, China has a vast territory, a large population and substantial variations in the nature of mental health service provision. Guangzhou, one of the five biggest cities in China, is considered as indicative of the current development of mental health services in a more economically developed part of China. In this paper, we first introduce mental health services in Guangzhou and their historical development: from the rising development of mental health care (1949 to the mid-1960s), the stagnant development period of the psychiatric hospitals (1966–1976), the rapid development period of the psychiatric hospitals (1978 to the 1990s), to the integrated development period of community mental health care (2000–2020). This historical trajectory partly reflects the development of mental health services across China. Second, from the public health perspective, we introduce the current mental health care delivery system and resources in Guangzhou, including the psychiatric specialist hospitals, psychiatric units of general hospitals, and community mental health care. Third, based on the current mental health service system, we highlight community mental health care in Guangzhou. We will describe these elements of the mental health system under the following headings: organizational setup, management, and services. We also explore the design of community mental health service models and the challenges in the post-covid-19 era. Finally, we provide considerations and recommendations for mental health service delivery in Guangzhou in the future.http://www.sciencedirect.com/science/article/pii/S2666560323000269Mental health careHistory of psychiatryCommunity mental healthMental health stigmaDiscriminationGuangzhou |
| spellingShingle | Jie Li Yurong Ma Ziyan Xu Graham Thornicroft The development of mental health care in Guangzhou, China SSM - Mental Health Mental health care History of psychiatry Community mental health Mental health stigma Discrimination Guangzhou |
| title | The development of mental health care in Guangzhou, China |
| title_full | The development of mental health care in Guangzhou, China |
| title_fullStr | The development of mental health care in Guangzhou, China |
| title_full_unstemmed | The development of mental health care in Guangzhou, China |
| title_short | The development of mental health care in Guangzhou, China |
| title_sort | development of mental health care in guangzhou china |
| topic | Mental health care History of psychiatry Community mental health Mental health stigma Discrimination Guangzhou |
| url | http://www.sciencedirect.com/science/article/pii/S2666560323000269 |
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