General office of the state council on forwarding health and family planning commission and other departments of national mental health work plan (2015-2020) 
 
 
The 2015-06-18 national health and population and family planning commission of the People's Republic of China
 
 
Countries do hair [2015] no. 44 

 
The provinces, autonomous regions and municipalities directly under the central government, ministries under the state council, directly affiliated institutions:
    Health and family planning commission, the comprehensive management of public, national development and reform commission, ministry of education, ministry of public security, the ministry of civil affairs, justice, finance, human resources, social security, China disabled persons' federation, the national mental health work plan (2015-2020) have agreed to under the state council, is transmitted to you, please implement practical seriously. 

The state council general office
On June 4, 2015  

The national mental health work plan (2015-2020)
 
The central comprehensive management of public health and family planning commission the ministry of education development and reform commission of the ministry of public security
The ministry of civil affairs department of justice of the Treasury of human resources social security China disabled persons' federation 

    Mental health is the major public health problems affecting economic and social development and social problems. Strengthen the work of mental health, medical care system, deepen reform, maintain and improve people's physical and mental health of important content, is promoting the rule of law, innovation, the inevitable requirement of social governance, and promote social harmony and stability, China to build health peace, rule of law in China, China is of great significance. For further implementation of the mental health law of the People's Republic of China and "the central committee of the communist party of the opinions of the state council on deepening the reform of medical health system", strengthen the mental disorder of prevention, treatment and rehabilitation work, promote the comprehensive development of mental health care, formulate the plans.
 
    The background, planning
 
    The party and the government attaches great importance to the work of mental health, has taken a series of policies and measures to promote mental health career development. Especially the "twelfth five-year" period, mental health work as ensuring and improving people's livelihood as well as the important measures to strengthen social management and innovation, be included in the overall plan for national economic and social development. Under the recognition and support of the CPC central committee and the state council, the relevant departments to strengthen coordination and around the mental health law of the People's Republic of China to carry out, organize and implement the prevention and control of system construction and development of mental health plan, allocate funds for reconstruction of mental health professional organizations, improve medical conditions in patients with mental disorders, with basic public health services in major public health projects and support around in patients with severe mental disorders management services, will be serious mental disorders into a serious illness insurance, major disease protection and urban and rural residents of urban and rural medical assistance system, in accordance with the rules of criminal responsibility in accordance with the mental disorders compulsory medical treatment, and actively carry out retired veterans, and "3 without" for vagrants and beggars (without labor ability, without source of life and to state support, raising, the obligation of maintenance, or its legal support, raising, the obligation of maintenance without supporting, raising and maintaining ability) of mental disorder treatment. Around seriously implement the party central committee and the state council deployment request, to carry out the government responsibility, perfect the safeguard mechanism, strengthen the work measures to carry out serious mental disorder treatment management work, has achieved remarkable achievement, mental health work leadership and government departments at all levels gradually establish a coordination mechanism, the basic form of mental health prevention and control system and service network. By the end of 2014, the country has registered serious mental disorders, 4.3 million people, 73.2% of the patients accepted the grassroots health institutions provide the follow-up management and rehabilitation guidance services.
 
    With rapid economic and social development, speeding up the pace of life, increasing psychological stress factors, anxiety, depression and other common mental disorders and psychological behavior problems increased year by year, psychological stress and mental disorders (things) to happen from time to tome, hit and cause an accident case specific people diseases such as alzheimer's, children's autism intervention needs to be strengthened, mental health work in our country still faces severe challenges.
 
    At present, the mental health services is a shortage of resources and distribution, the national total of 1650 mental health professional institutions, psychiatry 228000 beds, more than 20000 psychiatrists, mainly distributed in the provincial and municipal level, mental disorders community rehabilitation system has not yet been established. Parts of serious mental disorders found, follow-up, management does not reach the designated position, still difficult to implement the supervision responsibility, some patients can not get effective treatment, is decided in accordance with the mandatory medical and accident cause trouble behavior of patients were difficult. Public confidence in the common mental disorders such as anxiety, depression and psychological behavior problems not low, widespread social prejudice and discrimination, late diagnosis, less scientific clinic. Overall, our country existing mental health service ability and level far cannot satisfy the people's health needs and the needs of national economic construction and social management. 2013-2020 the world health organization (who) the comprehensive plan of action for mental health, psychological behavior problems around the world will continue to increase, of which the governments should attach great importance to.
 
    Second, the general requirements
 
    (a) the guiding ideology. With deng xiaoping theory and "three represents" important thought, the concept of scientific development as guidance, thoroughly implement the party's 18 large and 18 fourth plenary session of 2, 3, spirit, earnestly implement the mental health law of the People's Republic of China, in accordance with requirements of the deployment of the CPC central committee and the state council, to improve the service system for the gripper, to strengthen the management of patient treatment as the key point, in order to maintain the social harmony as the guidance, co-ordinated resources, perfect the working mechanism, strive to improve the service ability and level, a sound system of treatment in patients with relief, safeguard legitimate rights and interests of patients, maintenance of public health of body and mind, promote the comprehensive development of mental health care.
 
    (2) the overall goals. By 2020, the general form the government organization and leadership, each department manages concertedly, widely participate in social organization, family and try to conscientious mental health comprehensive service management mechanism. With sound economic and social development level of prevention, treatment and rehabilitation of mental health service system, basically meet the demand of the people's mental health services. Sound mental disorders treated aid security system, a significant reduction in patients with major accident cause trouble case (matter). Actively build understanding, acceptance, love, people with mental disorders of social atmosphere, improve the whole society about the importance of mental health, promote the public's mental health, promote the harmonious development of society.
 
    (3) the specific goals.
 
    In 2020:
 
    1. Mental health and comprehensive management coordination mechanism will be improved. Provincial, city and county level 3 universal established government leadership and department coordination mechanism of mental health work. 70% of the villages and towns (street) established by ZongZhi, health, family planning, public security, civil affairs, judicial administration, disabled persons' federation, aging and other units to participate in the mental health of integrated management team.
 
    2. The basic sound mental health service system and network. Improve the provincial, city and county levels of mental health professional organizations, service population is much and municipal agencies cover less than the county (city, area) according to the need to build a mental health professional institutions, other counties (city, area) is at least one eligible for psychiatric in comprehensive hospitals. Actively explore through government purchasing service way to encourage social forces to participate in the relevant work.
 
    3. Preliminary mental health professional shortage on relief. The national psychiatric practice (assistant) physicians number increased to 40000. East per 100000 population psychiatric practice, it should be no less than 3.8 (assistant) physicians, not less than 2.8 in the central and western regions. Grassroots medical institutions generally equipped with full-time or part-time mental health prevention and control. Psychotherapist basic can meet the needs of work, social work, social organizations and volunteers are widely involved in mental health.
 
    4. Serious mental disorder treatment effectively implementing management tasks. Grasp the number of patients with severe mental disorders, registered with severe mental disorders GuanLiLv reached more than 80%, schizophrenia treatment reached 80% above, all eligible poor patients with severe mental disorders include medical treatment, patients with accident cause trouble case (matter) especially kills significantly reduced, have hit and cause trouble behavior of patients get the compulsory medical treatment or hospitalization in time in accordance with the law.
 
    5. The problem of common mental disorders and mental behavior control ability improved significantly. Public awareness of the common mental disorders such as depression and general improvement in medical care consciousness, the medical institution identification ability significantly improve depression, depression treatment on the basis of existing increased by 50%. Widely carried out prevention and control of common mental disorders such as depression, each province (autonomous regions and municipalities) at least opened 1 the psychological assistance hotline, 100% of the province (area, city), 70% of the city (local, state, and au) to establish a psychological crisis intervention team; When emergency occurs, all can according to need, scientific psychological aid work in time.
 
    6. Mental disorder rehabilitation work begun to take shape. To establish a mental health professional institutions, community rehabilitation institutions and social organizations, family support the mental disorders of community rehabilitation service system. More than 70% of the county (city, area) with mental disorders community rehabilitation institutions or entrusted by the government to buy services social organizations to carry out rehabilitation work. Mental disorders in community rehabilitation of the county (city, area), more than 50% of the patients receiving community rehabilitation service at home.
 
    7. Social atmosphere significantly improve mental health work. Hospitals, schools, community, enterprises and institutions, supervisory areas generally carry out mental health propaganda and mental health care. Urban and rural general population aware of knowledge about mental health were 70%, 70%. Colleges and universities generally set up psychological counseling and psychological crisis intervention center (room) and equipped with full-time teachers, primary and secondary schools to set up psychological counseling room and equipped with full-time or part-time teachers, students aware of knowledge about mental health core reached 80%.
 
    Three, strategies and measures
 
    (a) advancing a serious mental disorder treatment.
 
    Strengthen the patient registration report. All levels of health planning, ZongZhi, public security, civil affairs, judicial administration, disabled persons' federation and other units to strengthen cooperation, omni-directional, multi-channel to carry out serious mental disorders found in the daily and report. Village (house) civilian committee to actively find suspected patients with mental disorders, within the jurisdiction of can help his case should be the family request. Has the qualification of mental disorder diagnosis and treatment of medical institutions to carry out serious mental disorder disease report management system, report confirmed according to the requirement of serious mental disorders. Confirmed within the jurisdiction of grassroots health institutions found serious mental disorders to registration in time, and enter the country with severe mental disorder information management system.
 
    Patients with service management. Around according to "should be put to should do, though, stipulated" requirement, actively promote "sick in the hospital treatment, rehabilitation in the community management" service mode, in patients with acute phase and the condition is not stable, the basic medical and health institutions should prompt referral to a mental health professional institutions to standard therapy, in a stable condition after back to the village (community) accepted psychiatric basic drug maintenance treatment. ZongZhi organizations at all levels shall coordinate the relevant departments at the same level, to promote the villages and towns (street) to establish a comprehensive management team of mental health, to mobilize the community groups, the patients' families participate in patient management that occupy the home. Basic medical and health institutions should according to the national basic public health service specification requirements, for patients with severe mental disorders within their respective jurisdictions establish health records, provide follow-up medicine management, risk assessment, guidance and other services. Director grassroots medical staff, police, civil affairs, ZongZhi cadres, such as grid, full-time member for the disabled to collaborative follow-up of patients with unstable, rapid response to emergencies, help patients and their families with treatment, and the difficulties in life. Governments at all levels and relevant departments to establish accident cause trouble with mental disorders were management mechanism, clear have hit and cause trouble behavior or dangerous severe mental disorders treated channels, set up the emergency medical treatment of the "green channel", and sources of funds and other security measures. The central government to continue through the major public health special support for the treatment of serious mental disorders around the management work.
 
    To carry out the treatment relief policy. Everywhere to do well of urban and rural residents basic medical insurance, serious illness insurance, medical treatment, disease such as emergency rescue system of cohesion, give play to effect of integration, gradually raise the level of health care with mental disorders. For eligible poor patients, according to the relevant provisions of the funding to attend insurance of primary medical treatment and the basic medical expenses subsidies. For cannot identify patients of emergency expenses and identity clear but unable to capture to expend patients by default cost of first aid to shall, in accordance with the relevant regulations, first by the persons responsible, inductrial injury insurance and basic medical insurance and other kinds of insurance, and medical relief fund, road traffic accident social relief fund channels such as pay; Without the channel or the channel fee payments have a gap, emergency rescue fund subsidies granted by illness. Due to health care as a whole the area not qualified mental health professional organizations and referral to the long-distance medical patients, reimbursement ratio shall be implemented according to the ginseng land policy. Social security, civil affairs, health, family planning, human resources, finance and other departments to study perfect social assistance system, in accordance with mental disorder diagnosis and treatment characteristics to do a good job of poor patients' social assistance. Meet the conditions for the lowest life guarantee, the civil affairs departments at various levels shall timely into low; For is not in conformity with the conditions of low but it is truly difficult, or get the lowest life guarantee after there is still a difficult life, should be resolved through temporary assistance and other measures to help their basic life difficult.
 
    Improve the rehabilitation services. Around to gradually establish and improve the mental disorders community rehabilitation service system, vigorously promote socialization, integrated, open mental disorders and mental disability rehabilitation work mode, set up perfect medical rehabilitation and community rehabilitation of corresponding service mechanism, strengthen the mental health professional organizations of community rehabilitation institutions of technical guidance. Research on accelerating the development of rehabilitation services for mental health policy, improve the mental health rehabilitation service standards and management norms. Strengthen the retired veterans, strands personnel, low-income workers, by regulators to special groups of people with mental disorders such as rehabilitation service guarantee. With the enhancing support capability, and gradually expand the basic medical insurance for eligible mental disorder therapeutic rehabilitation services to pay limits. Conduct disorder community rehabilitation institutions demonstration projects, promoting community rehabilitation institutions increase its surface, through the government purchasing service to encourage and guide the social resources to provide mental disorders community rehabilitation services, promoting mental disorder patients return to society.
 
    (2) step by step to carry out the prevention and cure of common mental disorders.
 
    The various medical and health institutions at various levels shall carry out knowledge and skills associated with medical personnel training, colleges and universities should strengthen the psychological counseling agency staff and student workers related knowledge and skills training, to see a doctor or a patient suspected of mental disorders in a timely manner to provide medical guidance or referral services. A mental health professional institutions should build system of consultation, referral, and other medical institutions to properly identify and prompt referral suspected patients with mental disorders; According to specification of mental disorder classification and diagnosis and treatment, with the diagnosis and treatment of the reasonable scientific and standardized services, improve the patients' treatment. Around to depression, children's autism, the common mental disorders such as alzheimer's disease as the focus, focus on women, children, the elderly, occupational crowd psychological behavior problems, to explore practical mode of prevention and cure of common mental disorders, the region will encourage qualified area provide follow-up service for patients with depression. Give full play to the role of traditional Chinese medicine, to strengthen the construction of psychiatric clinical ability of medical institutions of traditional Chinese medicine, and encourage Chinese medicine professionals to carry out the prevention and control of common mental disorders and psychological behavior problems and research.
 
    (3) actively carry out mental health promotion work.
 
    Around to psychological aid content should be brought into the local governments at various levels in accordance with the emergency contingency plans, relying on the existing psychiatrists and therapists, social work and nurses, hierarchical set up emergency psychological crisis intervention team, regularly carry out training and drills, after the emergency organization to carry out psychological assistance in a timely manner. Encourage and support social organizations to provide psychological assistance service information, guide the orderly participation in post-disaster psychological assistance. The city depends on the 12320 hotline and the spirit of the qualified health professional institution building psychological assistance hotline and network platform, to provide public service of mental health to the public. Mental health institutions shall be equipped with psychotherapy professionals, for people with mental disorders, and high-risk groups to provide professional mental health services. Comprehensive hospitals, and other specialized subject hospital mental health guidance to visitors, the grassroots medical and health institutions should provide mental health guidance to residents within their respective jurisdictions. All kinds of schools at all levels shall set up mental health education institution and equipped with full-time personnel, set up the mechanism of students' psychological health education work, establish campus crisis emergency processing plan. Institutions of higher learning with a mental health professional institutions to establish stable psychological crisis intervention mechanism of coordination, and setting up mental health education demonstration center. Unit of choose and employ persons ought to put mental health knowledge into pre-job and on-the-job training, creation is good for mental and physical health of the workers work environment. Prisons, detention, detention, forced isolation rehabilitation centers to strengthen the regulation by psychological counseling and psychological counseling.
 
    (4) to improve the ability of mental health services.
 
    To strengthen the construction of institutional capacity. During the period of "much starker choices-and graver consequences-in", the relevant state departments around the key support improve the ability of mental health services at the grass-roots level. Should make full use of existing resources, vigorously strengthen the mental health professional institutions at the county level and mental disorders community rehabilitation service ability construction. The health to family planning departments at various levels shall entrust a mental health professional agency at the same level of mental health technology management and guidance function, responsible for medical treatment, disease prevention, medical rehabilitation, health education, information, training and technical guidance, etc. No mental health professional organizations, health family planning department to entrust a mental health professional institutions at the next higher level or the neighborhood responsible for technical guidance, and specify the responsible for related business management of institution of disease prevention and control at the same level. To encourage social capital held a mental health professional organizations and community rehabilitation agencies, and through the government purchase services play a role in the prevention and management of mental health work. Have not set up compulsory health of provinces (autonomous regions and municipalities), the local government shall specify at least one mental health professional organizations to perform mandatory health functions, and provide necessary guarantee for its normal operation.
 
    To strengthen the team construction. Around to establish and improve the mental health professionals, the rational allocation of psychiatric physicians, nurses, therapists, explore and gradually promote Kang Fushi volunteers to participate in the mental health services, social work and the work mode. Mental health professional organizations at all levels will have to be borne in accordance with the area and population of mental health prevention and control of task allocation of public health personnel, ensure the implementation of prevention work. Every grassroots health institutions equipped with at least one full-time or part-time personnel for severe mental disorders service management tasks. The education department should strengthen mental medicine, applied psychology, social work, such as mental health related professional personnel training work; Encourage conditional region and institutions of higher learning spirit medicine undergraduate majors; In medical education guarantee related courses such as psychiatry, medicine, psychology class. Health family planning departments to strengthen psychiatric resident standardization training, psychiatric nurses training; Carried out on the psychiatric profession, but the scope is a mental health professional doctor changes to the scope of training, as well as general hospitals at the county level and in towns and townships (community health service center) in the clinical category practicing physician or general practitioner to increase mental health range of on-job training. To carry out the category of traditional Chinese medicine doctors mental disorder prevention training, encouraging the spirit of grassroots qualified health personnel to obtain the qualification for mental health. To develop support professional psychology in medical institutions engaged in the work of psychological treatment policy, family planning, human resources, the social security department to improve the health of psychological treatment personnel titles evaluation method. To carry out the state of mental health staff salary policy, improve the level of its treatment, stable mental health professionals.
 
    (5) mental health information system to consummate gradually.
 
    The relevant state department of mental health should be brought into the national health security information engineering. Provincial health department of family planning to construction in the region as a whole mental health information system, and make it gradually electronic health records, electronic medical records with the residents and the full population database. Agencies responsible for technical management and guidance of mental health in patients with mental disorders should be serious information verification, analysis and so on, formed on a regular basis, provide basis for decision-making for the related departments. Shall establish health planning, step by step around the ZongZhi, public security, civil affairs, human resources, social security, judicial administration, disabled persons' federation of serious mental disorders information sharing mechanism, attaching importance to and strengthen the patient's information and privacy protection. To set up a monitoring network for mental health, in accordance with the basic grasp the information of people with mental disorders and mental health work, conditional region once every five years to carry out the region disorder epidemiological investigation.
 
    (6) vigorously carry out publicity and education of mental health.
 
    Around to publicity and education on the mental health work in the important position. Propaganda department should fully give play to the role of traditional media and new media, widely publicized "mental illness can prevent remedy, psychological problem as soon as possible for help and care not discrimination, with health of body and mind" and other core knowledge of mental health, as well as the typical case of patients overcome disease and return to society, to guide the public correctly understand mental disorders and psychological behavior problems, the right attitude towards people with mental disorders. To standardize the reports of hit and cause an accident case (matter), without identification to avoid using "mental patient" title to report on, reduce the negative impact. Education, judicial administration, trade unions, communist youth league, women's federations, aging and other units for students, rural women and left-behind children, occupations, and by regulators, such as the elderly population respectively formulate propaganda education strategy, targeted to carry out mental health education activities. Health family planning departments at all levels should organize medical institutions to carry out various forms of mental health education, increase public understanding of mental health and mental health services, improve self psychological adjustment ability.
 
    Fourth, safeguard measures
 
    (a) strengthen the government leadership. Around to seriously implement the mental health law of the People's Republic of China, the work of mental health into the overall local national economic and social development planning, annual work plan and implementation plan. Establish a perfect work of mental health leaders and government departments coordination mechanism. Give full play to the integrated service management platform at the grass-roots level, overall planning, integration of resources, strengthen the mental health service system construction of the region. To relevant work of mental health as the key content of deepening the reform of medical health system, overall consideration with mental disorders treatment, professional personnel training, professional relief organizations running security and so on, to promote sustained, healthy and stable development of mental health.
 
    (2) to carry out the department responsibility. All departments concerned should, in accordance with relevant provisions of the "mental health law of the People's Republic of China and relevant policy requirements, fulfill the responsibility earnestly, the work force, to ensure that the work into effect. ZongZhi organizations to take advantage of comprehensive governance, promote mental health focus and difficult problem to solve. ZongZhi organizations at all levels should strengthen the investigation and study, organization, coordination and supervision inspection, include severe mental disorder treatment relief work in all facets of public security (construction) safe evaluation, increase the intensity of the assessment, the inadequate because of work not value, supervision, treated not in time, causing a severe mental disorder registered accident cause trouble (things) a major case, accountable those responsible, and the responsibility of the department. Development and reform, health, family planning, public security, civil affairs, judicial administrative departments in accordance with "should be put to should do, though, stipulated" requirement, strengthen the mental health prevention and control of network development. ZongZhi, health, family planning, public security, civil affairs, judicial administration, disabled persons' federation and other units to strengthen cooperation, further improve the prevention and control of severe mental disorders management and rehabilitation service system. Development and reform, health, family planning, human resources social security departments should strengthen the health service price formation mechanism, including mental disorders research and guidance. Civil affairs departments to jointly with the disabled persons' federation, the national development and reform, health, family planning, finance and so on were explored to develop support for people with mental disorders rehabilitation services for the development of security policy, in order to strengthen the management of rehabilitation services, continuously improve the level of rehabilitation services standardization, specialization. The disabled persons' federation organizations at various levels shall earnestly implement the relevant provisions of the protection of disabled persons of the People's Republic of China "and the development of Chinese undertakings for disabled persons outline of mental disability prevention and rehabilitation work request, pushing for mental disabled people to participate in social life, the open management mode in accordance with law, protect the legitimate rights and interests of mental disabled people. Family planning, human resources, social security, health administrative departments for industry and commerce should strengthen research demonstration, explore the management mode of psychological consultation institutions, develop and standardize the psychological consultation institutions related policies.
 
    (3) the guarantee money. Governments at all levels to work included in the budget at the corresponding level of mental health, according to the requirements of the work of mental health, increasing financial investment, ensure the expenditures of a mental health work, and strengthen the assessment of task completion and performance of the use of public funds, improve the service efficiency of funds. To advance the basic public health services and severe mental disorders management treatment work, the implementation of the government policy of investment in mental health professional organizations. To establish diversified financing mechanism, actively develop public welfare undertakings of mental health investment and financing channels, and encourage social capital into mental health services and community rehabilitation, etc.
 
    (4) strengthen the study of science. All localities and departments and research institutions around the development requirements of the work of mental health, in view of the key diseases such as schizophrenia, and children, the elderly and other key crowd of common and frequent mental disorders and psychological behavior problems, to carry out the basic and clinical application research. Focus on mental disorders early diagnosis technology research and development, and psychiatric new drugs and psychological therapy, non-drug therapy such as appropriate technology. Strengthening mental disorder epidemiological investigation, mental health laws and policies, such as soft science research, to provide a scientific basis for mental health policy making and law enforcement. Promote mental disorders and mental behavior problems of biological, psychological and social factors comprehensive research and related medical research. To strengthen international exchanges, absorption, and promote the international advanced science and technology and successful experience, timely apply relevant research results at home and abroad to work for mental health practice.
 
    Five, supervision and evaluation
 
    Health and family planning commission jointly with relevant departments to formulate the plan implementation of division of labor, the relevant departments to individual, organized the planning and implementation. Governments at all levels to the planning and implementation progress, quality and effectiveness of supervision and evaluation, planning and key task to carry out the situation as a government inspector supervisory matters, and the results as to the next level is an important content of government performance evaluation. In 2017, health and family planning commission jointly with relevant departments to medium-term planning implementation evaluation; In 2020, the organization to carry out the planning and implementation of the end stage of evaluation.