People's Daily online: chengdu shuangliu district for screening mental illness is ok for you

Chengdu shuangliu district encourages the masses to provide clues, patients with diagnosis of 1 case of reward 350 yuan

The people's livelihood survey: screening mental illness A price on line not line

Our reporter zhang wen

08:20 August 03, 2016

Source: People's Daily - the People's Daily

The original title: screening mental illness Reward ok (survey) of the people's livelihood

In mid-july, sichuan chengdu shuangliu district health bureau news, said if there is a behavior of the staff provide clues to report, the diagnosis of psychiatric patients, reward 350 yuan clue providers. In addition, the agency is given "often nonsense" and "don't go to school, don't go to work, not out of the house without a cause", such as 11 standard "behavior".

Immediately after the announcement triggered heated debate. Some netizens said: "don't go to school, don't go to work, not out of the house without a cause... otaku women should be careful not to go out for a long time!" More concern: "in accordance with this article 11 is a mental? Will someone report to bonuses at random?" Why do you want to report for mental illness? The move will reveal that patient privacy? Can force mentally ill treatment? Reporters were investigated.

- Ed

Why spend money to encourage report

Health bureau: in order to early found early treatment

In mid-july, sichuan chengdu shuangliu district health bureau news, said if there is a behavior of the staff provide clues to report, the diagnosis of psychiatric patients, reward 350 yuan clue providers.

Chengdu shuangliu district who plan the office party secretary Feng Changfu said, throughout the country the screening of mental illness is limited to serious mental disorders. "Of all the mental patients, accounted for only 5% of people with severe mental disorders." Feng Changfu told reporters that the 5% of the patients with severe mental disorders screening out, is for the sake of its prevalence in file and take corresponding treatment measures.

"Severe mental disorders according to from light to heavy into 0 to 5." Shuangliu district health bureau coco changan for disease control are introduced, according to the provisions of the state, 0 to 2 levels of patients with severe mental disorders is to take home treatment, namely by the community doctors or regular home visits to primary care services, and cooperate with drug treatment, and patients with severe mental disorders at level 3 and above, have the risk of harm other people, to the public security organ shall take measures to enforce hospitalized.

For the necessity of patients with severe mental disorders, Feng Changfu said that screening for early found early treatment. "Level 3 and above serious mental disorders are made from a lighter symptoms worsen." Feng Changfu is introduced, and some symptoms lighter due to was not found in time, failed to get the correct health guidance and treatment, the result became seriously ill, and eventually into social and family tragedy.

The information provided according to the shuangliu district public security organs, from 2012 to 2016, the area had three violent deadly serious mental disorders. "These patients because in the early days was not screen out, thus causing the delay treatment led to the deterioration." Ann said, if can found all three patients as early as possible, to avoid the tragedy.

Feng Changfu said, let the screen work to achieve the effect of "no defects", difficulty is great. "We used to be arranged to enter a given community cadres and grassroots hospitals go village, but this way is unlikely to be fully covered." Feng Changfu, for example, if the family members of mental disorders due to face the problem is not willing to search, the difficulty of the work will be increased, screening staff may even suffer reproach.

"So the best way is to mobilize the public offer clues." Feng Changfu said, although before also encourage people to provide clues to mental disorders, but few participants. "Four to six months of this year, we screen out patients with mental disorders were 242, which provide clues for less than 10% of the crowd." Feng Changfu said that in order to improve the enthusiasm of the masses to participate in the screening, signifies the reward zone.

Report paid legal

Lawyer: law didn't specify, want to consider the negative effect

Shuangliu district health statistics bureau published 11 judge behavior standard, also have led to one of the great cause of hot debate. "According to these standards, isn't a lot of normal people would 'innocent'?" Many people questioned this article 11 standard is scientific.

"Is this article 11 shall be formulated by the ministry of health, the national mental disorders screening work is in the use of this standard." Feng Changfu introduction, in 2012, the ministry of health issued the regulations for management of severe mental illness treatment, which regulates the grass-roots health institutions use the clues of behavior personnel survey questions list in patients with suspected, this listing is shuangliu district health bureau published 11 standard.

For Internet users "in article 11 of this standard is a mental", Feng Changfu said, "11" is just screening basis, rather than the diagnostic criteria. "Such as screening of SARS, if cough fever in screening, but that doesn't mean just cough fever must be infected with SARS." Feng Changfu said.

Sichuan taihe tai law firm lawyers, said zhang min for mass screening mental patients, our country law is not that clear. Even though the mental health law explicitly encourage a spirit of social forces to participate in disease control and prevention and treatment, but also not provided whether can encourage the masses to provide clues in the form of a cash bonus. "In accordance with the administrative proportion principle, the health sector need to consider when 'prize buy leads to the possible negative effects, such as citizen privacy disclosure, whether can cause panic, etc." Zhang min said.

Reporters call shuangliu district as a clue providers baisha township health centers, the hospital staff informed that hospitals accept the town jurisdiction of clues, but the clue providers should be completed first to institutes a pledge, not only to promise provided information is true, still need to provide content confidential. "Confidentiality commitment is a two-way street, you want to say the secret, we also for you ' ' 'identity a secret." The staff said, this is to protect patients and the identity of the "fact" privacy, avoid trigger social conflicts.

According to the interpretation of the baisha township health centers, after signing a confidentiality agreement, clue providers will receive 50 yuan "phone subsidies" first, and then institutes according to the clues, contact the relevant staff in the community or community general practitioners to suspected patient in the home to do further verification. After verification by the final diagnosis of psychiatric hospital after diagnosis clues provided people will get another 300 yuan reward.

So, mental patients by "report" and after diagnosis, whether it will be forced to face the fate of the psychiatric hospital? Ann told reporters, after the announced the news of buying leads, in total so far received eight clues, after a preliminary verification, the 8 patients are severe mental disorders, however, they don't have to be in hospital, need to take their medications regularly and doctor visits on a regular basis. "They belong to a serious mental disorder of level 0 to 2, there is no personal injury." Ann said, only 3 and above with personal injury and severe mental disorders, will be sent to a mental hospital.

This screen is ok for you

Expert: rather than reward to report, to strengthen guidance

Although the practice of "buying leads" critical, but Feng Changfu, said China's basic public health services in special projects, the expenditure is one of the major psychiatric management. "Our reward is out from the special funds of funds, not the other account for funding." Feng Changfu said.

Many sociologists, mental health experts, however, this approach does not agree. Xia xueluan, a sociology professor at the university of Beijing, once open a crowd "report" psychosis precedent, the hard to avoid being injured, and mobilize the public to report blindly will cause social disorder.

"In the crowd like mine public screening mental patients, both can cause panic." Said a rehabilitation in patients with mental disorders, the practice of "buying leads" too "simple", on the one hand, the general public will get it wrong think there have been a considerable number of dangerous social mental patients, causing safety scares, on the other hand will let people with mental disorders and their families feel "raid", even in patients with extremely low self-esteem.

In fact, our mental disorders had formed a relatively large group. Shuangliu district, for example, the reporter understands from the district bureau of health meter, only serious mental disorders, the records in the file there is 2495 people. "There is only about 5% of the patients with bodily harm." Feng Changfu stressed that in patients with severe mental disorders, the vast majority are not personal danger, but how to let them get social acceptance does face a difficult problem.

"Sometimes people when it comes to mental illness is a fearful, this makes a lot of physical and mental damage." Sichuan intellectual disabled association chairman Mr. Hu said, some of the film and television literary works and news reports deliberately magnified the risk of mental disorders, but in fact only 3 level in patients with severe mental disorders, just some personal risk, the number of rare.

Mental health resources shortage, on the other hand, it also makes it easier to related health knowledge popularization. "There are institutions have done statistics, in the aspect of mental disorders of the nation's patient ratio is 1:840." Qin Xiaorong chengdu center for mental health experts said that mental health nurses labor is bigger, and some jobs such as serious mental disorders escort personnel has certain risk, so willing to engage in related professions is relatively small.

"Rather than simply to strengthen screening with monetary rewards, as in the whole society to strengthen disease prevention and control and guidance of mental health." Mr. Hu suggested that should increase relevant health care team construction, and mental disorders in primary health institutions set consulting positions, guide the whole society with love and kindness to treat people with mental disorders, in this way can we fundamentally promote the screening and treatment work.

The People's Daily (15 August 03, 2016 edition)