A Comparative Study On Community Mental Health Service System Sponsored By Different Departments

ObjectiveBased on investigating a lot of documents, and collecting relative references, the research originated from the national science and technology support projects, select communities that carry out the community mental health service in Karamay, Xinjiang and Wuhan, Hubei Province, to conduct investigations and research, to understand the current situation of the community mental health service staff, to analyze and compare their own features and problems of community mental health services system of different departments in the two areas, and the study will put forward many suggestions to establish science and reasonable community mental health services system that accord with the situations of our country.Objects and MethodsThe main methods in this paper used are documentation method, questionnaire, interviewing, etc. The questionnaire investigation was conducted among the community mental health service staff of Karamay, Xinjiang and Wuhan, Hubei Province which are selected randomly, and the persons in each area who are the administrative department leader of community mental health, the director of community (mental) health service center and the mental health service staff are invited to make an interview. Then based on the collection of all data, establish the database with Excel, and input data, and using SPSS 12.0 statistic software to deal with data, the mainly statistics method including description statistics, t-test and chi-square statistics.Results1. The community mental health service workers are mostly female both in Karamay, Xinjiang and Wuhan, Hubei Province. Different in the age structure, the number among 30- 40 age group is the largest in Karamay, being 54.55%, and the number among 20- 30 age group is the largest in Wuhan, being 31.18%. Regarding the education background of them, the majority is tertiary educated both in the two areas, and the proportion is 43.64% and 36.56% respectively, but compared with Karamay, the proportion of undergraduate of Wuhan is much higher. There are 92.73% staff investigated do not have professional title in Karamay, and 50.54% staff investigated are with primary professional title in Wuhan. In the number of working years in mental health services, the proportion of one year is the highest both in the two areas, accounting for 61.82% and 78.49% respectively, and 78.18% staff in Karamay and 97.85% staff in Wuhan are part-time workers. In the professional background, the personnel of Karamay are mostly pedagogy profession, accounting for 21.82%, followed by psychology, accounting for 14.55%, Wuhan are mostly nursing profession, accounting for 38.71%, followed by clinical medicine, accounting for 36.55%. In the present position, community members are the majority with the proportion of 45.45% in Karamay, and public health section is the majority with the proportion of 40.86% in Wuhan. The proportion of staff that have psychology certificate is too low, being only 3.64% and 2.15% respectively.2. The training rate of community mental health service workers between the two areas are different, which is 98.18% in Karamay, and is 64.52% in Wuhan. The time of the personnel of two areas receive psychological knowledge training are mainly one week, the proportion is 38.89% and 60% respectively, followed by one month, accounting for 27.78% and 20.00% respectively, and mental health education is the main training content, the percentage of response persons is 90.74% and 86.67% respectively. The personnel of two areas get psychological knowledge mainly by specific lecture and pre-job training, which are two primary ways of training.3. The community health service contents that the two areas carry out, they both put mental health education and lecture on mental health first, and the service forms are mainly blackboard newspaper publicity, distribution of mental health materials, and lectures.4. The level of the treatment and diagnosis of the personnel of two areas both show significant differences, and the level of service personnel in Wuhan is higher than in Karamay. On the whole, the psychology professional capabilities and the work capabilities of self-evaluation of the personnel in two areas are low, and there is no significant difference among the self- evaluation of the service ability. 5. The personnel of two areas regard it as of great important to promote the mental health of the residents that carry out community mental health services, but their willingness to undertake work is low. Most of them consider their workload to be very heavy, overload is 40% and full load is 25.45% in Karamay, and it is 22.58%,39.78% respectively in Wuhan. The job satisfaction of the personnel in Karamay is higher, and different from that in Wuhan.6. There is 63.64% staff in Karamay who considers the professional staff as the major restricting factor, wants technical support, and 84.95% staff in Wuhan wants fund support, which was considered as the major factor. Most of mental health service staff in two areas think they should be paid for their labor.7. The model of community mental health service in Karamay is to establish special mental health services in the community, which is affiliated with civil affairs departments, and the model in Wuhan is to supply mental health service in the original community health service organizations, which is affiliated with health system. On the aspect of the policy, the government has already promulgated Wuhan Mental Health Act in Wuhan city, but it has no special laws in Karamay.8. The financing model of community mental health service system of the two areas both mainly rely on financial allocation of the country, but there is special fund of mental health education in Karamay, and the fund of work is included in the fund of public health in Wuhan city.Conclusions1. The community mental health service staff of two areas are mainly in middle and young age groups, their academic degree and professional title are lower, and most of them work in mental health services for a shorter time, and are part-time workers. The model of civil administration lacks service staff that has medicine background, and the model of health system lacks staff that has psychology background. Compared with foreign countries, the community mental health system of our country lacks professional personnel, and the team structure is irrational.2. The training rate of community mental health service staff of civil affairs departments is higher than that in health system. On the whole, the time of services personnel receive psychological knowledge training was shorter, the training content was single, and the training system was imperfect.3. The function of community mental health service system of civil affairs departments focus on prevention, and that of health system focus on rehabilitation treatment, and the content and form of mental health of the two models provide are resemblance, but not diversified.4. The job satisfaction of the personnel of civil affairs departments is higher than that of health system, but both are lower as a whole, and most of them think their workload is greater.5. There are differences in the organizational structure and management system of community mental health system between the two areas, and both obtain the good achievement. However, they all do the work under the direction of a single government department, and the financing model both mainly rely on government grant, which show a feature of single channel compared with foreign countries.CountermeasuresThe government should promptly formulate the relevant regulation and policy to improve the community mental health service system, and increase the input of fund, establish a multi-channel fund-raising mechanism with the government grant as the driving force, and the compensation mechanism should be perfected. To strengthen the construction of the community mental health staff, more specialized personnel should be trained. Integrate resources and establish a kind of coordination mechanism of multiple departments. The government should enhance propaganda to enhance public understanding of mental health.