The national health excessive 7: the mental patient who care

Jun-ping wang Li Haibo

08:04 on November 18, 2016

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

Xuyong county of sichuan province community health service center of medical workers enter a follow-up in patients with stable condition of mental illness that occupy the home, guide their rehabilitation training and health check.

Li xin is taken

A mental patient down a

China will 6 kinds of diseases such as schizophrenia as a serious mental disorder for payroll management. Mental illness for patients and their families are suffering of both body and spirit

"This day not bottom go to!" Interview, guo, a 71 - year - old nine choked several times. Her husband has died, her daughter and son have been insane. Granddaughter only 1000 yuan monthly income, her granddaughter and share the burden of the family.

Daughter and son has lived for 4 times. "Banks don't lend money to me, then find a distant relative to the guarantor, to lend $5000 to her treatment, hospitalization, spent 9000 multivariate, still owe the hospital more than 4000 yuan." Guo said nine ointment.

Son come on when no one, said rice in toxic and hunger strike, emotional when hitting, guo son nine incense is often injured. The neighbors are often disturbed by him, once he also broke the glass in the neighborhood. Son of only 390 yuan per month. A box of 62 yuan, a month to eat 12 boxes. In addition, the drug for the treatment of cerebral infarction will spend 800 yuan a month.

Because all the year round to take care of two children, kuo nine incense. She suffer from uterine flesh tumour, the doctor suggested that hysterectomy, she had no money to do surgery, has been dragged, tummy ache eat painkillers. "This a few years older, the body is not good, as a also not line. I don't care who CARES?" Wipe away tears said kuo nine ointment.

"A madman down a home." Said hui-lan liu, director of the center for mental health clinic in hebei province. In the outpatient service often see families look in her eyes helpless, some families even cry in the clinic. "Mental illness is different from other diseases, the disease for patients, family members are suffering of both body and spirit."

Because can't afford the treatment of three or four ten thousand yuan a year, linquan county in anhui province town Chang Deyi once meet, lock son at home. County that after the disabled persons' federation, and deal with the poor mental patient medicines for its benefits, most medical expenses by new farming and reimbursement, the rest of the relief by civil affairs department to solve. Chang Deyi said, by his son's illness had given up hope, now to national policy, the family has the hope.

China will schizophrenia, paranoid psychosis, schizoaffective disorder, bipolar disorder, epilepsy caused by mental disorders and mental retardation comorbid psychiatric disorders, such as 6 kinds of diseases, manage the registered as serious mental disorders. At present, all kinds of people with mental illness more than 100 million people across the country, severely affected more than 16 million people. By the end of 2015, registered in China with severe mental disorders has amounted to 5.1 million people.

Beijing 闫芳 said, the deputy director of the mental health care for patients with payroll management, Beijing shall practise a system of outpatient drug free. If physical illness, can free health care in hospital reimbursement starting line. If belong to low-income workers, can press the way to get the corresponding relief funds. For the guardian, according to the level of mental disability in patients with different, can claim attention of 100-300 yuan a month. She reminded that patients can go to a hospital doing mental disability identification, depending on the degree of disability to disabled persons' federation claim amount of subsidies for the disabled.

Guo-qiang wang, deputy director of the national health and family planning commission pointed out that China will improve the integration of mental health service safeguard mechanism, do a good job in the basic medical insurance, urban and rural residents, serious illness insurance, medical treatment, disease contingency system such as cohesion, give play to effect of integration, constantly improve the level of medical security of poor mental disorders, provide them with personalized, diversified rehabilitation services.

Psychiatrists "beaten poverty"

Psychiatric hospital belong to public welfare institutions, lack of hematopoietic function, mainly live on the money. Psychiatric nurses, low income, professional post subsidy has become dispensable ornament

In a ward round, hebei xingtai psychiatric hospital doctors Xu Gongxia attacks by patients, her nasal bone was broken, now the nose still left a scar. Another doctor in a nursing, be patient into the "panda eye". Xu Gongxia said: "attacks by psychiatric patients is very common things, every doctor played by psychiatric patients, sometimes no preparedness, suddenly get a slap."

"Beaten poverty", this is a real portraiture of psychiatrists. Compared with other doctors, psychiatrists are more likely to suffer beating, income is lower. More than 20 years ago, 闫芳 elsewhere when only 100 yuan a month, just had a job with a mental health professional post subsidy is commonly known as the "beat" is about $27. Today, the subsidy is not with the salary increase in proportion to, become the ornament of dispensable. Previously, psychiatrists can enjoy the treatment of the floating level of wages. Higher level of wages, within eight years working at least 8 years floating up level. In recent years, the policy has been cancelled.

Xingtai psychiatric hospital dean Liu Yibao said, the income of psychiatric nurses is lower than with other level hospital doctor at least 1/3. Even in general hospital, psychiatric and edge of the department, the main reason is that we can't give hospital revenue.

Mental health services in our country resource shortage and uneven distribution, the national total of 1650 mental health professional institutions, psychiatry 228000 beds, an average of 1.71 / million population, more than 20000 psychiatrists, an average of 1.49/100000 population, and are mainly distributed in the provincial and prefecture-level city, mental disorders community rehabilitation system has not yet been established. According to the plan, by 2020, the national psychiatric practice (assistant) physician number increased to 40000, nearly 20000 gap.

Psychiatric hospital belong to public welfare institutions, lack of hematopoietic function, mainly live on the money. Mental health center in hebei province, dean of ke-qing li believes that psychiatric hospital staff income is low, is rooted in compensation mechanism is not reasonable. Government spending on hospital focused on infrastructure, charge income relies mainly on the medical equipment hospital and doctor prescription, the resulting psychiatrists income is generally low.

In accordance with the "mental health law" the seventy-first regulation, the people's governments at or above the county level and their departments, medical institutions, rehabilitation institutions shall take measures to strengthen occupational protection for mental health workers, improve the level of staff for mental health treatment, and give appropriate subsidies in accordance with the relevant provisions.

Mental illness does not like the body disease, no paper, no inspection equipment, the spirit of Dr Is wholly dependent on personal skills to diagnosis. At present, the common the registration fee only 5 yuan, and the doctor's visits time need at least 15 minutes, some patients spend more than half an hour. 闫芳 advice, psychiatrists should be moderately increase income, and form a dynamic adjustment mechanism.

, vice President of the Beijing anding hospital of li jiang said, change the psychiatric hospital survival problem, the key is to form a reasonable price compensation mechanism. Professional subsidies can't shrink, psychiatrists must improve its "gold content", so as to increase the attraction of the whole industry.

The patient is eager to return to society

Mental illness label once labeled, it is difficult to jie, may be accompanied by a lifetime. Even if the recovery, the patient is difficult to return to society

Mrs Meng, 41, baoding residents at the age of 18 suffering from schizophrenia, during their hallucinate. Her mental health center in hebei province has been 3 and a half years, lived on and off several times, before the drug maintenance shortly after discharge, an illness to break out repeatedly. She and her husband divorce 14 years ago, also lost to the custody of the children. Since the hospital, she never saw her son.

Mrs Meng hospitalization has alleviate illness, can control their emotions, to resist the interference of noise. She want to hospital to take care of the elderly mother, also want to give son to look after the children, feel after discharge ability to live and work independently. "But the family is not willing to come to meet me, brother sister afraid I discharged from hospital after no one to take care of the sick again."

The mental patient how to return to society, is a complicated problem. Mental illness label once labeled, it is difficult to jie, may accompany lifetime, even in patients with rehabilitation, also can not get social tolerance and acceptance. 闫芳 said that people with mental illness rates of violent crime and than normal. Some media reports, the mental illness violent crime ratio be amplified. Patients with mental illness is more family management in our country, in a closed environment, the unfavorable to return to society. Ke-qing li believes that the treatment of psychiatric patients should be in a mental hospital, and should be in the community rehabilitation work, return to society needs more social organizations to participate in.

Shenzhen kangning hospital dean tie-bang liu thinks, from the social discrimination and exclusion is the biggest obstacle for psychiatric patients return to society, inferiority and timid psychological shadow along with them. Build equality, comfortable environment, it is mentally ill to integrate a dose of "good medicine".

Shenzhen "dandelion clubhouse" is a mental rehabilitation institutions. Patients are no longer treated object, but has a high degree of autonomy, member of the member has the right to equal participation in club activities. Little wisdom is a member of the "dandelion clubhouse", now a clerk, a foreign trade company is mainly responsible for the company's products online. Between members, she says, are all equal, usually participate in recreational activities organized by the club, let her to make friends, learn to communicate with people, no longer so lonely.

Guo-qiang wang thinks, should vigorously promote "social, comprehensive, open," mental disorders and mental disability rehabilitation work mode, set up perfect medical rehabilitation and community rehabilitation of corresponding service mechanism, encourage and guide the social resources to provide mental disorders community rehabilitation services, promoting mental disorder patients return to society.

The People's Daily (November 18, 2016 (19)