Public Mental Health
The mental health resources in Chinese mainland by 2020
Ma Ning, Chen Runzi, Zhang Wufang, Wang Yunfeng, Bai Yu, Su Rongcheng, Li Ziyu, Wang Wenjun, Wu Xiamin, Lu Lin
Published 2022-12-05
Cite as Chin J Psychiatry, 2022, 55(6): 459-468. DOI: 10.3760/cma.j.cn113661-20220617-00158
Abstract
ObjectivesTo analyze the allocation of mental health resources in Chinese mainland and the change of these resources during the 13th Five-year Mental Health Plan period. This analysis will serve as evidence for developing future national mental health prevention and control policies.
MethodsThe National Mental Health Program Office created one questionnaire to survey available mental health facilities by the end of 2020. Descriptive methods were used to analyze the mental health facilities, psychiatric beds, and mental health professionals from type, sponsor, administrative level, regions, and sub-specialities.
ResultsBy the end of 2020, 5 936 facilities were providing mental health services in Chinese mainland. 798 191 psychiatric beds (5.65 beds/10 000 persons), 50 124 psychiatrists (3.55/100 000 persons), and 139 642 registered nurses (9.89/100 000 persons) were located in these facilities. Of all these 5 936 mental health facilities, 649 (1.09%) had geriatric psychiatric wards, 312 (0.53%) had child psychiatric wards, and 1 548 (26.08%) had rehabilitation departments. 350 counties (12.31%) had no mental health facilities and 883 counties (31.05%) had no psychiatric beds in Chinese mainland, mainly in the mid-western regions. The numbers of psychiatric beds, psychiatrists, and registered nurses per unit land area in the western region were about 4 times lower than those in the middle region and 7-11 times lower than those in the eastern region.
ConclusionsThe mental health resources in Chinese mainland increased significantly from 2015 to 2020, but there are still the problems of uneven geographical allocation of resources and lagged sub-specialities development. While formulating the construction and development plan for mental health prevention and control system in the future, we should further develop the mental health resources at the county level, and vigorously support to establish of mental health sub-specialities for the elderly and children, as well as mental health rehabilitation, particularly in the mid-western regions.
Key words:
Mental health; Health resources; Cross-sectional studies
Contributor Information
Ma Ning
Department of Public Mental Health, Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China
Chen Runzi
Department of Public Mental Health, Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China
Zhang Wufang
Department of Public Mental Health, Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China
Wang Yunfeng
Ningbo Kangning Hospital, Ningbo 315200, China
Bai Yu
Department of Public Mental Health, Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China
Su Rongcheng
Sichuan Provincial Center for Mental Health, the Center of Psychosomatic Medicine of Sichuan Provincial People′s Hospital, University of Electronic Science and Technology of China, Chengdu 611731, China
Li Ziyu
Mental Health Institute of Inner Mongolia Autonomous Region, the Third Hospital of Inner Mongolia Autonomous Region, Hohhot 010010, China
Wang Wenjun
Chongqing Mental Health Center, Chongqing 401147, China
Wu Xiamin
Department of Public Mental Health, Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China
Lu Lin
Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China