Investigation and analysis of the working status and development situation of psychotherapy in psychiatric hospitals
10.3969/j.issn.1674-8115.2017.12.019
- VernacularTitle:精神专科医院从业现状及心理治疗的开展情况调查分析
- Author:
qing Wen ZHAO
1
;
ping Xiao LI
;
lan Lan WANG
;
yin Hai ZHANG
;
sheng Li SONG
;
yin Jian QIU
Author Information
1. 上海交通大学 医学院附属精神卫生中心
- Keywords:
psychiatric hospital;
psychology department;
psychological treatment;
development situation
- From:
Journal of Shanghai Jiaotong University(Medical Science)
2017;37(12):1682-1686
- CountryChina
- Language:Chinese
-
Abstract:
Objective·To understand the current situation of psychotherapy applied and relevant personnel's working in psychiatric hospitals, and provide advice to facilitate and promote the integrated service team building of domestic mental health institutions and the industry development of psychological treatment. Methods·Ninety-six psychiatric hospitals in China were selected and self-compiled questionnaire was used during the investigation. The actual feedback was collected from 52 hospitals in 25 provinces. Results·① According to the classification criteria of ICD-10 mental disorder, patients mainly suffered from schizophrenia, schizotypal disorder and delusional disorder, followed by affective disorder, in the psychiatric hospitals. ② There were 50 (96.2%) hospitals with psychological outpatient clinics, and 37 (71.2%) hospitals were equipped with mental wards. ③ The main types of patients who came to the psychology department in the psychiatric hospitals were emotional disorders, neurosis, stress-related and physical form disorders. ④ The composition of psychotherapists was 6 physicians, 2 clinical psychologists, and 1 nurse. ⑤ The top five psychotherapy techniques used by the psychiatric hospitals were cognitive therapy, supportive psychotherapy, behavioral therapy, group therapy, and family therapy. ⑥ 44.2% of the practitioners working in this filed thought that the income had been too low if they only engaged in psychological treatment. Conclusion·In the staffing of mental health agency, compared to previous studies, the number of the psychology specialists increases, but it still makes up a small percentage, which does not match the needs of outpatient and ward patients. Psychological practitioners who rely on psychological treatment alone are in a lower income, and the gap between the expected income and actual income is too large. Government, health administration departments and hospitals should provide more support to psychological services and promote the development of institutions and personnel.