National basic public health
Services
Serious semen Health management services for patients with mental disorders
National basic public health services are the main health problems of urban and rural residents
for children, pregnant women, The elderly,
patients with chronic diseases are the key groups
free
The most basic public health service
funds required to carry out service projects The government is mainly responsible for
Urban and rural residents can directly benefit
The
The
that is mainly explained to everyone this time is the basic public health project
—the detailed content of health management services for patients with severe mental disorders.
Service Objects
Patients with severe mental disorders who have clear diagnosis and live at home in the jurisdiction. It mainly includes schizophrenia , schizoaffective disorder, paranoid psychiatric , bipolar disorder , psychiatric disorder caused by epilepsy, mental disorders, mental developmental retardation and mental disorders . Patients who meet the conditions of Article 30, Paragraph 2 of the Mental Health Law of the People's Republic of China and have been diagnosed and evaluated as severe mental disorders are not limited to the above six diseases.
What is a serious mental disorder?
severe mental disorder refers to a mental disorder that causes serious symptoms of the disease, which leads to serious damage to the patient's social adaptation and other functions, inability to fully understand his or her own health status or objective reality, or inability to handle his or her own affairs.
patients suffer from brain dysfunction due to various reasons, resulting in abnormal mental and psychological activities such as cognition, emotion, will and behavior, which can manifest as hallucinations, delusions, thinking disorders, emotional disorders and behavior disorders, and cause serious damage to social life abilities.
At present, the management and treatment and assistance management included in the national basic public health service project management and treatment and assistance management mainly includes six major categories of mental illnesses, namely schizophrenia, bipolar (emotional) disorder, schizoaffective disorder, paranoid psychosis, mental disorder caused by epilepsy, and mental developmental retardation accompanied by mental disorders. is the most common schizophrenia.
What is schizophrenia?
schizophrenia is a group of severe psychiatric diseases with unknown causes. It is mostly onset in young and middle-aged people with slow or subacute conditions. It often manifests as syndromes with different symptoms in clinical practice, involving many obstacles such as perception, thinking, emotions and behavior, as well as incoordination of mental activities. Some patients will suffer from cognitive function damage during the disease process. The course of the disease is generally prolonged, showing recurrence, aggravation or worsening. Some patients eventually develop mental decline and mental disability, but some patients can remain cured or basically recovered after treatment.
What is bipolar disorder?
Bipolar disorder is a recurrent (at least twice) episode of obvious disordered mood and activity levels. It is sometimes manifested as a high mood, energetic and increased activity (manic or hypomanic), and sometimes manifested as a low mood, loss of energy and decreased activity (depression). Interstitial periods are usually characterized by complete remission.
What is a schizoa affective disorder?
Schizoretic affective disorder is an episodic disorder. Both affective symptoms and schizoretic symptoms are obvious in the same attack of the disease. Most of the two symptoms appear at the same time or at most a few days apart.
What is paranoid psychosis?
paranoid psychosis, also known as persistent delusional disorder, is a group of mental disorders whose main symptoms are systematic delusions and whose cause is unknown. If there is hallucination, it will last for a short time and not prominent. Without delusions involved, there are no obvious other psychological abnormalities.
What is a mental disorder caused by epilepsy?
Mental disorder caused by epilepsy refers to abnormal mental activities manifested by epilepsy patients (including primary or secondary) before and after or during the onset of epilepsy, such as abnormal behaviors such as cognitive activities, emotional and other behaviors.
What is mental developmental retardation accompanied by mental disorders?
Mental developmental retardation accompanied by mental disorders refers to patients with mental developmental retardation who have certain or persistent psychiatric symptoms, such as hallucinations, delusions, behavioral abnormalities, etc.
How to detect patients with severe mental disorders in a timely manner?
Timely discovery of patients with severe mental disorders can enable patients to receive early treatment and correct intervention to avoid the development of the disease.
If family members or medical staff in primary medical and health institutions find the following phenomena, they should pay attention to: difficult to fall asleep, nervous and easy to be shocked; cold feelings, withdrawn and lazy, do not interact with others, sensitive and suspicious, often think that someone targets or persecutes him; laughs at himself, dazed for no reason, often stayed alone, get out of reality, and indulged in fantasy; strange behavior, abnormal behavior, unkempt or naked in public places; impulsive, hurt people and destroy things, or leave home for no reason; emotionally unstable, irritable, or excited, talk a lot, and are easy to meddle in other people's affairs; messy words, or often say unreasonable words; unable to study, work or live normally; have acts or thoughts or attempts of self-harm or suicide. Family members who find these symptoms should actively contact the doctors in Community Health Service Center or township health centers to get their help and guidance.
What are the dangers of patients with severe mental disorders?
Severe mental disorder not only brings pain to patients and their families, but also has serious impacts on society. Diseases can lead to patients' lazy life, lack of will, strange behavior, abnormal perception and thinking, detachment from reality, abnormal emotions, and even pessimism and world-weariness, serious damage to work, study and life abilities, gradually becoming "mental disability"; some patients will smash property regardless of occasions; some patients will commit self-harm and suicide, causing pain to their families; some patients beat and scold others, disrupting social order; some patients will commit murders and injure and destroy things, and their behavior violates my country's "Public Security Administration Punishment Law". The most serious thing is that patients commit violent acts with controlled dangerous weapons, or arson, explosion and other serious threats to public safety or the personal and property safety of others, and their behavior violates the " Criminal Law ". Severe mental disorders can cause burden on the family, bring unstable factors to society, and even affect social and economic development.
Which mental illness patients can enjoy health management services?
patients with severe mental disorders who have a clear diagnosis and stay at home can enjoy management services.
What health management services can patients with severe mental disorders enjoy?
① When patients with severe mental disorders are included in health management services, the family members or professional medical institutions that originally treated must provide relevant information on disease diagnosis, and at the same time conduct a one-time comprehensive assessment for the patients, establish general residents' health records for them , and fill in the personal information supplement form as required.
② The corresponding patients with severe mental disorders will be followed up at least 4 times a year.
③After the patient's condition permit, a health check will be conducted once a year after obtaining the consent of the guardian and himself.The content includes general physical examination , blood pressure, weight, blood routine , aminotransferase, blood sugar, electrocardiogram, etc.
What benefits can participate in the management services for patients with severe mental disorders bring to patients and their families?
patients with severe mental disorders are included in the management services and can receive continuous free services. Medical staff who provide the services have received special training in the management of severe mental disorders. Doctors will actively contact the patient and his family, follow up the patient, and understand the patient's condition. If the patient's condition changes, medical staff can provide referral services; with the patient's condition permission, with the consent of the family and the patient themselves, a health examination can be conducted every year; targeted health education and life skills training are provided to the patient and his family, which is conducive to controlling the development of the patient's condition.
Why is a personal information table for patients with severe mental disorders established?
In order to grasp the condition of patients with severe mental disorders, while establishing residents' health records, it is also necessary to fill out a supplementary form for personal information of patients with severe mental disorders, including: guardian name and contact information, time of first onset, previous main symptoms and treatment status, current diagnosis and treatment effects, and the impact of the disease on family and society. It mainly provides basic materials for mental illnesses to improve diagnosis and treatment effectiveness and management level, so that doctors can contact patients and their families at any time, and better provide targeted services.
What are the follow-up services for patients with severe mental disorders?
Whenever patients with severe mental disorders are followed up:
① The doctor will conduct a risk assessment on the patient; check the patient's mental status, including sensation, perception, thinking, emotional and will-behavior, self-awareness, etc.; ask about the patient's disease and social function, medication status, and various laboratory test results.
② Intervention on the patient's risk rating, whether the mental symptoms disappear, whether the self-knowledge is fully restored, whether the work and social functions are restored, and whether the patient has adverse drug reactions or physical disease.
③ Provide targeted health education and life skills training for patients and their families.
One picture to understand | Health management services for patients with severe mental disorders
What is paranoid psychosis?
paranoid psychosis, also known as persistent delusional disorder, is a group of mental disorders whose main symptoms are systematic delusions and whose cause is unknown. If there is hallucination, it will last for a short time and not prominent. Without delusions involved, there are no obvious other psychological abnormalities.
What is a mental disorder caused by epilepsy?
Mental disorder caused by epilepsy refers to abnormal mental activities manifested by epilepsy patients (including primary or secondary) before and after or during the onset of epilepsy, such as abnormal behaviors such as cognitive activities, emotional and other behaviors.
What is mental developmental retardation accompanied by mental disorders?
Mental developmental retardation accompanied by mental disorders refers to patients with mental developmental retardation who have certain or persistent psychiatric symptoms, such as hallucinations, delusions, behavioral abnormalities, etc.
How to detect patients with severe mental disorders in a timely manner?
Timely discovery of patients with severe mental disorders can enable patients to receive early treatment and correct intervention to avoid the development of the disease.
If family members or medical staff in primary medical and health institutions find the following phenomena, they should pay attention to: difficult to fall asleep, nervous and easy to be shocked; cold feelings, withdrawn and lazy, do not interact with others, sensitive and suspicious, often think that someone targets or persecutes him; laughs at himself, dazed for no reason, often stayed alone, get out of reality, and indulged in fantasy; strange behavior, abnormal behavior, unkempt or naked in public places; impulsive, hurt people and destroy things, or leave home for no reason; emotionally unstable, irritable, or excited, talk a lot, and are easy to meddle in other people's affairs; messy words, or often say unreasonable words; unable to study, work or live normally; have acts or thoughts or attempts of self-harm or suicide. Family members who find these symptoms should actively contact the doctors in Community Health Service Center or township health centers to get their help and guidance.
What are the dangers of patients with severe mental disorders?
Severe mental disorder not only brings pain to patients and their families, but also has serious impacts on society. Diseases can lead to patients' lazy life, lack of will, strange behavior, abnormal perception and thinking, detachment from reality, abnormal emotions, and even pessimism and world-weariness, serious damage to work, study and life abilities, gradually becoming "mental disability"; some patients will smash property regardless of occasions; some patients will commit self-harm and suicide, causing pain to their families; some patients beat and scold others, disrupting social order; some patients will commit murders and injure and destroy things, and their behavior violates my country's "Public Security Administration Punishment Law". The most serious thing is that patients commit violent acts with controlled dangerous weapons, or arson, explosion and other serious threats to public safety or the personal and property safety of others, and their behavior violates the " Criminal Law ". Severe mental disorders can cause burden on the family, bring unstable factors to society, and even affect social and economic development.
Which mental illness patients can enjoy health management services?
patients with severe mental disorders who have a clear diagnosis and stay at home can enjoy management services.
What health management services can patients with severe mental disorders enjoy?
① When patients with severe mental disorders are included in health management services, the family members or professional medical institutions that originally treated must provide relevant information on disease diagnosis, and at the same time conduct a one-time comprehensive assessment for the patients, establish general residents' health records for them , and fill in the personal information supplement form as required.
② The corresponding patients with severe mental disorders will be followed up at least 4 times a year.
③After the patient's condition permit, a health check will be conducted once a year after obtaining the consent of the guardian and himself.The content includes general physical examination , blood pressure, weight, blood routine , aminotransferase, blood sugar, electrocardiogram, etc.
What benefits can participate in the management services for patients with severe mental disorders bring to patients and their families?
patients with severe mental disorders are included in the management services and can receive continuous free services. Medical staff who provide the services have received special training in the management of severe mental disorders. Doctors will actively contact the patient and his family, follow up the patient, and understand the patient's condition. If the patient's condition changes, medical staff can provide referral services; with the patient's condition permission, with the consent of the family and the patient themselves, a health examination can be conducted every year; targeted health education and life skills training are provided to the patient and his family, which is conducive to controlling the development of the patient's condition.
Why is a personal information table for patients with severe mental disorders established?
In order to grasp the condition of patients with severe mental disorders, while establishing residents' health records, it is also necessary to fill out a supplementary form for personal information of patients with severe mental disorders, including: guardian name and contact information, time of first onset, previous main symptoms and treatment status, current diagnosis and treatment effects, and the impact of the disease on family and society. It mainly provides basic materials for mental illnesses to improve diagnosis and treatment effectiveness and management level, so that doctors can contact patients and their families at any time, and better provide targeted services.
What are the follow-up services for patients with severe mental disorders?
Whenever patients with severe mental disorders are followed up:
① The doctor will conduct a risk assessment on the patient; check the patient's mental status, including sensation, perception, thinking, emotional and will-behavior, self-awareness, etc.; ask about the patient's disease and social function, medication status, and various laboratory test results.
② Intervention on the patient's risk rating, whether the mental symptoms disappear, whether the self-knowledge is fully restored, whether the work and social functions are restored, and whether the patient has adverse drug reactions or physical disease.
③ Provide targeted health education and life skills training for patients and their families.
One picture to understand | Health management services for patients with severe mental disorders
