Family-Based Mental Health Care in Rural China
Publication Year: 2005
Published by: Hong Kong University Press, HKU
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In the past twenty years, there has been a global shift in the model for delivering mental health care. In many developed countries, this has meant a change from institutionalization of individuals suffering from mental illness to a communitybased care approach, with hospitalization for acute cases only. This change has been based both on respect for the human rights of individuals...
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The Chengdu Study is a key component of Community Mental Health Services in Rural China (1993-97), funded by the China Medical Board of New York, Inc. (Grant No: 92-557; PI: Professor Meng-Ze Xiang). Professor Xiang guided and participated in all the procedures of the research design, intervention, and data collection. She is Dr. Mao-Sheng Ran's abecedarian of social psychiatry. Dr. Mao-Sheng Ran, first author of this book, was instrumental in designing and conducting the research...
1. Community Mental Health
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Protecting and improving the mental health of a population is a complex task that can be accomplished within the context of the community. Ideally, community mental health services should provide comprehensive and locally based treatment and care that is readily accessible to individuals suffering from mental illness and their families...
2. Chinese Families and Mental Health
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In Chinese society, people with mental health problems, such as schizophrenia, are recognized by the rapid mood changes or very obvious behavior problems. Traditionally, mental disorders are differentiated by seven kinds of emotions. Emotional disorders may be described in somatic terms of having a physical discomfort. In Western society, a mental illness, such as schizophrenia, is termed a primary thought disorder...
3. Overview of Psychoeducational Family Intervention
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Psychoeducational family intervention is one of the major psychosocial family intervention approaches to schizophrenia. Other major psychosocial family interventions include behavioral family therapy, social skills training, support in coping with residual psychotic symptoms, and cognitive rehabilitation (Penn & Mueser, 1996)...
4. Family Intervention in Rural China: The Chengdu Study
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Clinical practitioners and researchers are often impressed by the role of the family in relation to mentally ill family members in China. The role of the family in Chinese traditional culture is unique compared to the family in Western culture. In China, the government does not provide mental health services for each individual with mental illness...
5. Psychoeducational Family Intervention
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Psychoeducational family intervention is one of the most commonly used modalities of psychosocial intervention in helping families cope with mental illness. The development of interventions for families with people suffering from schizophrenia in China reflects the growing, worldwide recognition of the importance of the family in understanding and managing...
6. Guidelines for Effective Family Psychoeducation Interventions
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Based on the findings and experiences of the Chengdu Study, common principles or guidelines for effective family intervention have been developed. 1. A comprehensive individualized assessment of client's needs should be done. The assessment should include: a) the main concern of the ill person and family members; b) the extent and quality of family relationships; c) the mutually agreed goals or outcomes among clinicians, the ill person...
7. Community Mental Health Services
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There are significant challenges in developing comprehensive mental health services in contemporary China. Finding the means to face these challenges is crucial for the further development of mental health services and psychiatry in China...
8. Social Welfare and Health Policy
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A number of challenges in social welfare and health policy are related to the development of mental health services in contemporary China. Developing strategies to face these challenges is crucial for the future direction of mental health services in China...
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Page Count: 204
Publication Year: 2005