Study On Situation Of Mental Health Personnel In The Clinics Of General Hospitals Of Wuhan

Objective:The purpose of this study is to explore the situation of the mental health service at general hospitals of Wuhan and health personnel in psychological clinics, to evaluate the mental service capability of the general hospitals in Wuhan, to analyze the causations and problems, and to provide some advices on improving mental health service in general hospital of Wuhan.Methods:Determine the investigation outline and content by looking through the internet, periodicals and books on the subject of mental health service of general hospitals. 17 general hospitals which have psychological clinics are screened from 76 general hospitals in Wuhan. According to the access standards, 6 general hospitals and their mental health personnel are investigated by questionnaires. Meanwhile, conduct a questionnaire survey of mental health personnel in 2 technical institutions; Choose some mental health personnel with different technical posts, gender and hospital styles to do an in-depth interview. Take back the questionnaires on the spot, at last there are 39 valid questionnaires. And then establish the data-base through the Excel, all data derived from questionnaires is processed by SPSS software package (version 13.0) for descriptive statistic, chi-square test, T-test and ANOVA Test.Results1. There is 22.4% general hospitals in Wuhan have mental health service, and nearly 63.9% of it are first-class hospital; The most popular service manner in general hospitals is mental counseling and most clients are neurosis disorder patients(63.9%), only 31.4% mental health personnel participate in ward round of other clinic departments. 2. Condition of personnel being investigated: it is about 74.4% mental health personnel(MHP) in hospital are small than 40 years old; regarding the education background of them, the majority was undergraduates and graduates, the proportion was 46.2% and 41% respectively; 40.5% staff are with primary professional title and 45.9% staff are medium grade;the income of 53.8% MHP are between 1000 to 3000 Yuan every month; on the professional backgrounds of MHP, the clinical medicine is about 48.7%, psychological is about 25.6% and psychiatry is 15.4%;there is about 68.4% MHP get their special knowledge from continuing education and 44.7% MHP get the knowledge from a normal higher education。3. the mental health personnel with high profession degree will receipt more clients than their companion(p=0.042); the working motivation of most MHP is the interests to the psychology field; most MHP have master the basic special knowledge well(87%), and 89.7% MHP think they can do they job well; But there is still 7.9% MHP have never take a special job training after they are working as a psychological practitioners, and 33.3% MHP have not got enough psychological supervision; but the result shows that the MHP in professional hospital have got more supervision than general hospitals(P<0.001); Though most MHP (64.1%) complain of the busy and tired work, their score on the job satisfaction questionnaires are in the relatively satisfactory lever; about 48.6% MHP think that the most common difficulty in their work is the patients always have a too high expectation.4. Many MHP(48.1%) think the managers should pay more attention to the mental health service, and provide more economic support; 33.3% MHP think the absence of the continuing training and supervision standard is the main problems of the mental health service in general hospital.Conclusion:1. The situation of the mental health service in Wuhan general hospitals do not come up to the situation in economically developed cities such as Shanghai and Beijing, first-class hospital are the main force of mental health service in general hospitals, the most popular service manner in general hospitals is mental counseling and most clients are neurosis disorder patients; the development of the consultation liaison psychiatry in Wuhan is not enough. 2. The mental health personnel in hospitals of Wuhan are mainly composed of the youth and the middle aged, they have clinic backgrounds; most of the staff get their special knowledge from continuing education,and they are all confident of doing their job well;psychological practitioners have a high score on the job satisfaction questionnaire, and there is no remarkable resign intension in the psychological practitioners. However, most psychological practitioners feel busy and tired during their work; moreover, the job training and psychological supervision they accepted are not enough.3. The absence of management service criterions and the imperfective management mechanism are the main problems of the mental health service in medical field.4. Mental health educations need a more popular and deeper extend. Countermeasures:To solve the problems lie in the mental health service of general hospitals in Wuhan, the government should establish a Multi-Channel Raising Fund Mechanism , strengthen the construction and training of the psychological practitioners , perfect the relevant law and regulation, formulate a clear and appropriate mental service charge criteria, built up a rationally technical post access and compensation assessment criteria; moreover, the government and hospital leaders should pay more attention to the mental health service, improve the propaganda and education work on mental health knowledge.