Our country psychiatric institutions are facing difficulties experienced discrimination medical staff

China's economic weekly

The China economic weekly "practice reporter LiYan reports from Beijing

A mental hospital, a people familiar and feel more mysterious, fear, site of the manic, delusion, hysteria and depression-people fear in yourself happened, and can be found there.

There, they get cured, or face death.

"Mad man in the boat, have escaped prisoners. He was sent to a rivers of branches or the boundless stretch of the sea, and will be taken to out of the world, the fate of the elusive." This is the French philosopher foucault's "a fool in the mental hospital ships", before the emergence of mental patients often considered as a need to "clean up" and the society was expelled redundant city to let the set stray.

In ancient China, and serious patients also can be seen as a disgrace to the family and was imprisoned or exile. Until 113 years ago, first a mental hospital established in China.

In 1898, the qing government is tottering, in guangzhou, the American missionaries in China was founded first a mental hospital. Although than Europe late five centuries, but also because of late start, so in the beginning of a hospital has a relatively normal management system, in the rights and interests, standard and rehabilitation, and many other aspects are branded an "civilized" mark.

The hospital mental health fields in our country cast the first light, since then, "should be put to try to" as the basic principle of psychiatric care is established down.

After one hundred years, China's heavy nature mental patients, but the number has more than 16 million mental hospital beds and practicing doctors and the ratio of the number of the only so 1 and 1:8 42.

Psychiatric institutions shortage, funds tend to make ends meet, is also facing the predicament of the talents. "No favorable treatment, no preparation, no prospects for development, take what recruit people?"

Great discrimination and exclusion, make a mental hospital looks more like let patients away from the real world of refuge, the but again to let the medical staff in the social discrimination of anxiety from, even more, for those with medical, their treatment is less than a third of the integrated hospitals.

The lack of social rehabilitation system, more let already difficult task for the mental hospital became the only serious patients and often is the last stand. Regression and families of most of the cure, it is a dream.

But they still have to hang in there, the patients and family members, medical, went with intentionally forget stone carvings, insist, waiting for never seems to come when the attention.

Mental health legislation, carrying the end-at least improve all these peoples looking forward to.

This pair of staring at me, forty minutes, not transfer.

So large dining room, just sitting and I and he--a schizophrenia patients, our hands are less than 10 centimeters, looked at each other, I see his eyes were bloodshot, fine and feel his nervous, he kept shaking hands, feet, mouth rub their quiver......

"Hello, I'm Ann." He reached out of the hand of the shivering, is full of sweat, cold and hard.

In 1988, at the age of 22, Ann graduated from a famous university, specialized in finance or accounting is that era of "favored" all men look up. Due to the excellent results, also did not graduate, he was a famous the top leaders in at renmin, and the persistent please go three attend to thatched hut he.

Since the date of mount guard, Ann is swept all the credit: advanced worker, outstanding cadres, project leader...... Three years later, he became the big unit in the young "director" the end of the year, he had a 90 square meters flats, married fell in love DuoNian Beijing girl, arrived at the peak of the career love double harvest.

Ann proud to tell the story of the once brilliance, he clearly remember every honor, each year, of the key of his eyes gradually and bright, the corners of your mouth turned up, as if into another time and space, and enjoy the glory of the past.

"As if life is." He suddenly SOB, looking at me.

In the summer of 1992, he suddenly became ill, without warning. Unit the leadership sent him to the asylum, tell the doctor, he midnight walk in the unit, who persuaded disregarded, he sluggish with colleagues in behind, until they entered the ladies room, he believes that all people talking about, he want to kill him......

"I don't remember, don't know that it was because he was ill, or because don't want to remember." Ann nie ru way.

From then on, Ann fell into hell. In the last 10 years, Ann repeated hospitalization, until 2003, and his family and work units are lost confidence and patience, never take him out.

Twenty years of chaos, Ann parents have gone, his wife left him, and the only brother will come to a hospital in the end of each year, the way he expends a visit.

"Brother......" Ann voice fragmented. And Ann best the nurse told me, by the end of last year, Ann brothers to the hospital to visit him, a meter eight little Ann prostrate on the ground, holding the brother's feet, cry like a child.

Ann love song is "the young ambition don't worry," said because of his brother is a policeman.

The elder brother is not such as I expected tall, he sat opposite me in sofa, emaciated, fatigue, helpless. One afternoon in conversation, he said, "most of the word is that I cannot".

The first few years, Ann's brother with Ann visit times the national famous doctors, even try folk prescription, Buddha's path of law, "jump a great god"............. Until experts told him, "this is still the world problems."

In order to Ann, he spent all of the savings, gave up seven years of love girlfriend. "I want to live." He is almost looked at me with begging, "can you understand that?"

In 2003, has 40 years old brother with bedrolls do a "DaoChaMen" son-in-law, live in woman's house to buy forty square meters of old house.

In 2005, new home infertile marriage, the woman's family decided to sell the old house and in-laws, the home of change a 100 square meters of new homes.

So, Ann's brother finally has a capacious and bright home, wife and live in Ann house. Sister-in-law promised to Ann, pay a lifetime of hospitalization, "also be RenZhiYiJin......." Ann's brother whispered.

Three years ago, Ann doctor told brother, Ann can was released from the hospital, "he has been able to return to normal life, but you must keep going to take medicine, to be watched and care."

"Who will care and care? Where does he live?" Ann's brother died not hands, "and, I cup wife also don't agree with." He thought for a long time added.

Therefore, "guilty" hearts and brother fear most things is to visit. "Every time see Ann, I have a week can not sleep to feel, like dead again."

"So, Ann life will be live in there?" I asked. Brother has been no answer.

"I want to go home, and I'll go home......" Ann sobbing, "I will stick to take the medicine, I can find a job, I can own life."

Two years ago, Ann began to intermediate accountant the teaching material, do the whole two this notes. "Now is to use the computer to do zhang, I can learn."

Ann doctor ZhangYing said, Ann and mild disease, but in spite of the session also can life. "But his brother do not sign, guardian would not responsible for, we can't push him over to the society."

So, Ann had been in the hospital, year after year. ZhangYingBang he bought all the teaching material, but was afraid to tell him, he is very may never take less than.

Ann is very novel to me, "you are outside, I've seen the first reporter of." At the same time, he and abnormal sensitive, has been stare big eyes looking at me, almost harsh to observe my every reaction, "I hate discrimination, I like you, but the occasional" little problem ", we not mad and fools!" Ann loudly.

He even know why I, "recently announced the mental health law (draft)"." Ann is shown slightly said angrily, "why people pay more attention to the extremely specific 'be mental' phenomenon, and pays no attention to us? We are the true subject of!"

Ann to watch TV every day, listen to the semiconductor, read the English of "CHINA", he put forward reatment dozens of opinion, has to the President. "I'm disappointed, can't see export."

I hurriedly comfort him: "everything will be okay, you want to have patience." Ann just looking at me, no expression.

The end of the interview, small Ann sent me a with beads to wear of the Santa Claus, his handicraft class in hang a school do, he thought for a long time, seem to want to say what, ultimately did not say.

He still look straight at me, I can't see what is behind the eyes, but later in the day, a lot of it is impossible to forget.

pain

-all kinds of mental health patients in China the number exceeds 100 million

"A mental illness"--a was filling the rejection, discrimination, even violent color words.

All the people think that normal pose the words from his very far away, that's another strange world. In fact, nearly everyone in the side, all have the existence of mental illness.

100 million!!!!!

According to China's disease prevention and control center mental health center in 2009, figures released by the of all kinds of mental health patients in China the number above 100 million people, the number of heavy mental patients has been more than 16 million.

That is, every 13 people, is now spirit, less than 100 individual disease, the disabled, is now heavy nature a mental illness.

This group has huge to can not use boundaries to differentiate, also not tolerate any resist and alienation, they fusion in countless families and relationships, and "normal" related by blood, his skin.

"The proportion is rising fast in." YangFuDe in an the China economic weekly "interviews that. He has multiple identity-China disease prevention and control center mental health center, Beijing huilongguan hospital executive committee chairman dean, "Beijing mental health ordinance and the mental health law (draft)" of the important participant.

In the 1950 s, China's adult population mental disorder rates also is only 2.7%, and by 2009, the figure is 17.5%.

Among them, the fastest-growing called "the first psychological killer" depression. According to figures released by the centers for disease control, at present our country has reached more than 4% incidence of depression, need treatment of patients toll is more than 26 million.

Due to a lack of understanding of the disease of spirit, a lot of patients don't know or don't want to be healed, and often aggravating illness. A large critically ill patients need to lifelong and drug company, their long-term unemployment, consumption savings, family members into the light of the burden.

More than the economic burden of heavy, heavy nature is mental illness in the fight against cancer at the same time, endure a drug, side effects and ready to face the problems. Complications

Due to long-term drug, a lot of heavy venereal patient glared, expression, weird, slow, disease of heart head blood-vessel and tumor ruyingsuixing. They got into a vicious circle: encounter more and more fierce cancer, more and more severe discrimination.

So, more than 15% of people choose to complete a suicide aimlessly boundary of his pain and sorrow, become a most of the suicides in total, or, at the mercy of the attacks, sudden death or impediment.

"The average life expectancy of a crowd less 20 ~ 30 years." YangFuDe said heavily.

And painful consequences contrast, most people fell ill and did not know it. "Especially depression patients." According to the survey, depression disorders never go to a doctor is as high as 62.9%, the existing in patients with depression, less than 10% of those who received proper medical treatment.

Ignorance, prejudice, fear, and escape, the vulnerable lack even the instinct of save his life.

"Learn to face." Ann word to say, "first, to face, can save."

redeemed

-psychiatric beds every ten thousand people only 1.04 a, the registered psychiatrists only 16000 people, a serious shortage of nurses

100 million psychiatric patients in steep cliff, suspension disease burden, discrimination, such as constantly stir Stonehenge, but on the other side, "help straw" is weak medical health system.

According to China's disease prevention and control center statistics, by the end of 2005, the national spirit disease medical institutions, there are only 572 home psychiatric 132000 beds. According to the calculation, the average density of psychiatric beds for every ten thousand people, is far less than 1.04 of the world average of 4.3 per ten thousand tickets.

Than the current situation: only 132000 beds, 16 million heavy nature mental patients, a drop in the bucket.

Moreover, the only resource have focused on developed east and southeast coastal area in the Midwest, in less developed areas, many counties, cities not a prefecture even mental illness of a medical institution.

The desire of the doctor can't achieve, exclusive mentality get their way, in some places, people with mental illness TieSuo walls ", "let it run its course in captivity.

Even in some developed city, the situation is not optimistic. In the haidian mental health prevention institute for example, according to the business license, should be 76 beds; In reality, bed has been forced to increased to over 300 copies.

"We have been in 2009, but always apply for expansion with no response." The President WangCheng in an the China economic weekly "interviews that.

The bed of the irregular than more at, and this has led to the hospital wards, medical equipment, infrastructure already unable to meet demand, this grassroots organizations already is in common.

More holes is the medical workers team. According to statistics, China has registered psychiatrists, 19000 people, 70000 people in every produce a. And 16 million heavy nature mental patients, doctors than each corresponding to 842 people.

In this the reason behind is open, mental health professional colleges are numbered, intellectual support flow for a long time. Only a few "experts" and probably because of work environment, treatment for reasons more willing to enter a comprehensive diagnosis and treatment center in big hospitals, psychology, even for final resting, in mental health hospital is a "rare".

Therefore, almost all of the mental health hospital are facing the predicament of the long enough manpower, "annual recruitment" already is the norm.

So, which produces such data-a psychiatric hospital in Beijing the communist party has 200 DuoWei doctor, the average doctor will be responsible for 20 patients, is a comprehensive hospital 5 times, and each year, the team in more than 20 people, flow among them, have "the doctors certificate" less than five people, for decades without academic papers published.

More terrible than lack of doctors is lack of nurses. Mental patients often need more care and care, but the reality is, all mental health the nurse in the hospital are seriously insufficient number, even in individual the hospital, a nurse to dozens of patients, and the comprehensive hospital in, the corresponding proportion is 1:2. 5.

Due to the nurse's professional vague position, "in any field and departments are capable" liquidity is very big, so. "Mental health hospital treatment, low pressure, high risk, or even bear social discrimination, so large number of nurses chose to leave." YangFuDe said. And he is responsible the huilongguan hospital is the best of conditions in China is one of the mental health hospital, even so, "each year recruit of at least a third nurse." loss

And in our country, whether from the mental hospital is still from the nature in the burden of institutions, embarrassed is almost the only choice patients. "Our country has no any recovery system, this led to a mental hospital become a manufacturing defect the murderer." As the haidian mental health prevention and control of the dean, WangCheng said.

Many countries, psychiatric rehabilitation system including specialized subject hospital, community rehabilitation center, is designed to help patients back soon society. And in our country, the mental hospital is the only serious patients and often is the last stand. Here, a lot of people live for a few years, more than a decade, to several decades, the intangible prison lock stuck their heart, and they are away from the crowds, the society, the normal life, until they recover completely, also cannot find the way home.

The walls of the yi oil painting, that is to "outside" of his fantasy, colour relentless, line fuzzy. Five years ago, yi will have completely recovered, but in the hospital, he chose the rest of my life, and because, in "outside" wait for his indifference is the family, strange world and nothing in fear.

"You give me the money, I will not go out, I have no place to stay." Yi has been in the hospital for 20 DuoNian, he fear most is the subway. "Extend in all directions, whereabouts unknown."

"We have tried to build community rehabilitation and rescue center, let patients to return the society." In early 2010, in Italy's demonic Aaron mental health experts, under the guidance of the Beijing first community mental health and rehabilitation center haidian district community mental health center-eight miles of zhuang branch was founded at last.

More than a year since similar institutions in the effort to procreate, but the resistance of the encounter already beyond imagination. "The biggest trouble is that we don't have the perfect volunteer team." In the rehabilitation center, mainly by volunteers care and guidance of the patient's life, help them into the society, and now, volunteers shortage 40 people.

"Cold, lonely, helpless." Ann so describe their world "."