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Community-Based Psychiatric Rehabilitation in Shanghai

Facilities, Services, Outcome, and Culture-Specific Characteristics

Published online by Cambridge University Press:  06 August 2018

Mingyuan Zhang ,
Heqin Yan  and
Michael R. Phillips
Mingyuan Zhang
Affiliation:
Department of Psychiatry, Shanghai Second Medical University, Shanghai Mental Centre
Heqin Yan
Affiliation:
Department of Psychiatry, Shanghai Second Medical University, Shanghai Mental Health Centre
Michael R. Phillips
Affiliation:
Research Centre of Clinical Epidemiology, Shashi City Veterans Psychiatric Hospital, PRC, Department of Social Medicine, Harvard Medical School, USA
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Abstract

This paper describes the community mental health services in Shanghai, analyses the effectiveness of these services, and discusses their culture-specific characteristics. It reports on a prospective, matched-control study of the three most important types of service: a community follow-up programme in psychiatric out-patient clinics at primary-level general hospitals, ‘guardianship networks’ operated by non-professional volunteers, and work therapy stations. In total 308 pairs of subjects completed the study. Using Chinese versions of the Disability Assessment Schedule to assess impairment in psychosocial functioning and the Present State Examination to assess the levels of positive and negative symptoms, ten blind evaluators who had excellent inter-rater reliability assessed the functioning of subjects at enrolment and every six months for the next two years. Over the two years, symptoms and social functioning improved in the treatment groups and deteriorated in the control groups. Thus these community psychiatric services have the dual benefit of promoting rehabilitation and preventing psychosocial deterioration.

Type
III. Rehabilitation Interventions in Urban Communities
Information
The British Journal of Psychiatry , Volume 165 , Issue S24: Psychiatric Rehabilitation in China , August 1994 , pp. 70 - 79
Copyright
Copyright © 1994 The Royal College of Psychiatrists 

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References

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