"Shame of illness" is an issue that cannot be avoided when talking about mental illness. In recent years, with the symbol "No. 600" of Shanghai Mental Health Center "communication No. 600" "communication", the public seems to be gradually desensitizing mental illnesses. The attack of a new crown epidemic has also made more citizens pay attention to discomforts other than physical diseases: depression, anxiety, anger, confusion... "Am I sick?" They need professional answers urgently and need access to healing.
In addition to the municipal mental health institutions with many cities and no one is hard to find, Shanghai is building a comprehensive emergency psychological assistance and intervention system. A total of 17 district-affiliated mental health centers in 16 districts jointly create a "new engine" for the mental illness prevention and control service network. At the Changning District Mental Health Center, the high-rise courtyard wall was "breaked": the student mental health network of "home-school-medical society", the "second clinic" placed in commercial buildings, and the theme forum of "heart vision and heart dialogue" for more than ten years to face the public... District-level mental health institutions have innovatively expanded the extension of psychological services, took the initiative to take the lead, and also removed the "heart wall" of more and more patients.
"Home-school-medical-society" crisis intervention success rate reached 100%
"I use a tissue to represent myself, because this white tissue can wipe the dust, which is very similar to me." The teacher demonstrated.
"I use a toy knife to represent myself, and I feel very brave to come here."
"I use a rubber band to represent myself, and I feel a little tight at this moment."
In the hot summer, a special summer camp was launched online. Doctors from the Jingwei Center of Changning District went to the campus and carried out the "Youth Game Addiction Prevention Group" activity. Sun Yan, the project leader and attending psychiatrist, said, "Teaching persuasion and cramming education are easy to cause inner resistance among young people. Can you try to push the door to games and game addiction from their perspective?"
Xiao Liang's third year of the first lunar month this year, his mother passed away and his father remarried. He lived with his aunt for a long time. According to the teacher's feedback, Xiao Liang often lies and secretly "kill money" in the game. His aunt's education method is simple and crude. The two sides often clashed and even fought. For this reason, his aunt called the police many times. With the teacher's recommendation, Xiaoliang joined the prevention group. The open, warm and supportive group gave him a sense of accomplishment for the first time - if the members perform positively, they will be given "game points" and can be exchanged for gifts on the wishlist. In a confession on the theme of "Healthy Games and Emotions", Xiao Liang told his story. The students who listened carefully cried, and Xiao Liang cried too. In the healing of psychotherapists, everyone found that Xiaoliang gradually changed and achieved unprecedented good results.
"For a long time, mental health education in primary and secondary schools has mainly been divided into three categories: knowledge imparting, psychological counseling and crisis intervention. They are mainly interactions between schools, students and parents. There is little exploration to integrate resources such as mental health institutions, which has triggered an "inequal supply and demand" of school mental health services to a certain extent." Zheng Hong, chief physician of the Department of Children's Psychiatry, introduced that led by Changning District Political and Legal Committee, Health, Education, Civil Affairs, Disabled Persons' Federation and other departments, the District Jingwei Center and the District Disease Control and Prevention Jingwei Branch have formed a multi-disciplinary service team for psychiatry. The "home-school-medical-society" integrated model has greatly filled the limitations of full-time psychological teachers in the school and avoided the dilemma of "passive emergency response" at all times.
In practice, the Jingwei Center of Changning District further improved the "PII" path: universal prevention (P-prevention), early identification (I-identification) and targeted intervention (I-intervention). Unlike other relevant research at home and abroad, the PII pathway can provide complete, professional and collaborative services according to the needs of students and families. For students in crisis situations, subsequent social support systems can provide ongoing services until the risk is lifted. Tao Hua, deputy chief physician of psychiatrist, introduced that today, this model serves more than 22,000 people per year, the rate of joint intervention and success rate of campus crisis, the success rate of suicide prevention and self-harm behavior are all 100%, and the average annual sampling satisfaction rate exceeds 99%.
The "psychological service convenience store" in the building carries out the working population
While delivering psychological services to the campus, the Jingwei Center of Changning District also pays attention to the "weak" social backbone - the working population. People who are unable to relieve their emotions and do not want to "wear a hat" have a spiritual harbor: the second clinic of the center is located in the Tianshan Road business district with a developed building economy in , and is also named "Psychological Counseling Center Affiliated to East China Normal University", which truly moves the psychological service port forward outside the courtyard wall.
There are no patients here, only visitors; there is no number call, the full appointment system, the duration of the visit is strictly guaranteed, and the privacy is displayed in the details. "Many people still have misunderstandings about mental health institutions, and the accessibility and convenience of business district buildings are good. Both parties have enough space and time to express emotions, and citizens have higher acceptance." said Gu Junjie, a psychotherapist at the psychiatric department.
At the end of June, Xiao Wang, who was still working from home, received a layoff email, which made her already anxious heart sink. In the next half month, her insomnia became more and more serious, and she couldn't think of food and food, and even had the idea of suicide. During the nucleic acid screening in the community, the family doctor discovered her abnormality and asked about the specific situation. He left Xiao Wang a series of hotline numbers: Changning District Psychological Assistance Hotline. Late that night, she called the phone with a try-and-see attitude.
It turns out that although Xiao Wang received a considerable compensation, due to his introverted personality, most of his relatives and friends were not around and no one talked about it. The negative emotions were once again amplified by being alone during the epidemic, and layoffs became the "last straw." The operator patiently listened to Xiao Wang's confession and gave him some emotional support and comfort. But at the same time, it was also found that its emotional troubles have existed for a long time and are not just a stress response to a single event. Anxiety and insomnia have become physical symptoms, and the problem cannot be completely solved by psychological hotline alone.
Xiao Wang, who was unwilling to enter the hospital gate, finally accepted the operator's advice: go to the Second Outpatient Department of Jingwei Center, Changning District for consultation. After professional evaluation and diagnosis, she reached a treatment consensus with the doctor: taking drugs + psychological treatment. Two months later, Xiao Wang, who was actively treating, has stopped the medicine, and she has found a new job and gets along with her new colleagues more easily. Zhang Li, the head of the second outpatient department and deputy chief physician of the psychiatrist of
, introduced that in order to innovate a new carrier of psychological services for professional people, the clinician also uses lunch breaks to provide consulting services to enterprises in surrounding buildings every Wednesday and Friday, forming a "half-hour service circle", which is affectionately called "psychological service convenience store" by white-collar workers. In addition, with the help of the long-term mechanism formed by the Mental Health Party Building Services Year in 2021, the Second Outpatient Department has divided the psychological services that are generally concerned by in-service people into 12 units in 4 seasons, one theme per month, and organically integrated into a "Mental Health Passport". During the epidemic, even if offline medical treatment is inconvenient, Changning District Jingwei Center still relied on the Second Outpatient Department to hold four online lectures, playing an active role in creating a business-friendly, stable and business-keeping environment in the jurisdiction.
12, the "Heart" forum explored the psychological services of the whole community
"The objects of psychological services should not be just patients and people who have developed emotional symptoms." Vice President Ju Kang said, "Citizens are sometimes just a little confused and confused. In addition to one-on-one companionship and listening, they extend their tentacles to campus and buildings. We hope to have a wider, broader and wider channel for the public to understand mental health."
As early as the 2010 " World Mental Health Day ", the Changning District Jingwei Center hosted the first "Heart Vision·Heart Dialogue" forum. In the following 12 years, the pace has not stopped. In 2021, nearly 20,000 participants in the online forum were enthusiastic. Barrage messages were asked: Why are "beautiful" children more likely to have psychological problems? As a parent, how to communicate effectively with your children? In addition to the experts of our college, the forum also invited professors from universities such as East China Normal University to talk to citizens.
The issue of "heart" becomes the comfort of the heart. From "Agree with the soul" in 2010, to "nourish the soul with culture" in 2015, to "transforming with the heart and endlessly" in 2020, the deeper and more detailed content leading the public to think.The forum is committed to exploring new ideas for community psychological education and services, creating and improving psychological service models for the entire community, changing the impression that mental health work is only targeted at the prevention and treatment of "patients", and the normalized and popularized interaction fully meets the psychological service needs of healthy people in the community. As the forum's host and Shanghai People's Radio Station host Qin Chang said, "It moistens things and silently sows the seeds of mental health in the hearts of citizens. This is the energy that the spiritual gas station hopes to convey."
"The map of psychological services must fill every piece of the puzzle." Dean Shen Jie said, "We will continue to expand the radius of psychological services, help the people improve their mental health awareness, and shape a social mentality of self-esteem, self-confidence, rationality, peace, and positiveness."
column editor: Gu Yong
Source: Author: Wang Yangzi
