Policies to Improve the Mental Health of People Influenced by COVID-19 in China: A Scoping Review.
Policies to Improve the Mental Health of People Influenced by COVID-19 in China: A Scoping Review.
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DOI：
10.3389/fpsyt.2020.588137
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发表时间：
2020
影响因子：
4.7
通讯作者：
Xiao S
中科院分区：
文献类型：
--
作者：
Qiu D;Li Y;Li L;He J;Ouyang F;Xiao S
背景：为了应对因 COVID-19 爆发而可能并发的心理健康危机，中国不断出台心理健康政策。本综述旨在系统地综合中国政府在COVID-19疫情期间发布的已实施的国家级精神卫生政策，并总结这些精神卫生政策的实施情况。方法：系统检索6个数据库和2个网站，包括2019年12月1日至2020年10月29日期间发表的已发表研究和灰色文献。结果：共纳入40篇研究。其中，19项是中国政府发布的国家级精神卫生政策，21项研究报告了这些精神卫生政策的实施数据。针对COVID-19患者、疑似病例、医务人员、普通人群、精神疾病患者和精神病院发布了精神卫生政策。 COVID-19疫情初期，心理危机干预受到重视。疫情后期，政府主要注重心理康复。 COVID-19疫情期间，来自全国各地的500多名精神科医生被派往武汉，在31个省份通报了约625条热线电话，建立了多个在线心理咨询平台，利用TikTok、微博、微信等社交软件进行心理教育，出版了许多心理健康书籍。快速反应、最大限度地利用资源、强调政策评估和实施质量的重要性是 COVID-19 疫情期间制定的精神卫生政策的特点。中国面临的挑战包括精神卫生服务利用率低、缺乏政策效果评估数据、缺乏国家级应急体系和专职人员在国家突发事件或灾难期间提供心理危机干预。结论：本次审查表明，中国对 COVID-19 疫情期间可能出现的心理健康危机做出了快速、全面的反应，针对不同人群发布了适当的心理健康政策。随着疫情的不断变化，精神卫生政策的重点也随之调整。然而，我们应该注意到，在 COVID-19 爆发期间，缺乏针对特定心理健康问题的单独政策。
Background: In response to the potentially concurrent mental health crisis due to the COVID-19 outbreak, there have been ongoing mental health policies put in place in China. This review aims to systematically synthesize the implemented national-level mental health policies released by the Chinese government during the COVID-19 outbreak, and summarize the implementation of those mental health policies. Methods: Six databases and two websites were systematically searched, including published studies and gray literature published between December 1, 2019 and October 29, 2020. Results: A total of 40 studies were included. Among them, 19 were national-level policies on mental health released by the Chinese government, and 21 studies reported data on the implementation of those mental health policies. Mental health policies were issued for COVID-19 patients, suspected cases, medical staff, the general population, patients with mental illness, and mental institutions. In the early stage of the COVID-19 epidemic, attention was paid to psychological crisis intervention. In the later stage of the epidemic, the government focused mainly on psychological rehabilitation. During the COVID-19 outbreak, more than 500 psychiatrists from all over China were sent to Wuhan, about 625 hotlines were notified in 31 provinces, several online psychological consultation platforms were established, social software such as TikTok, Weibo, and WeChat were used for psychological education, and many books on mental health were published. Responding quickly, maximizing the use of resources, and emphasizing the importance of policy evaluation and implementation quality were characteristics of the mental health policies developed during the COVID-19 outbreak. Challenges facing China include a low rate of mental health service utilization, a lack of evaluation data on policy effects, and no existing national-level emergency response system and designated workforce to provide psychological crisis interventions during a national emergency or disaster. Conclusions: This review suggests that China has responded quickly and comprehensively to a possible mental health crisis during the COVID-19 outbreak, appropriate mental health policies were released for different members of the population. As the epidemic situation continues to change, the focus of mental health policies has been adjusted accordingly. However, we should note that there has been a lack of separate policies for specific mental health issues during the COVID-19 outbreak.
影响因子：
4.4
作者：
Armstrong, Rebecca;Hall, Belinda J.;Waters, Elizabeth
通讯作者：
Waters, Elizabeth
影响因子：
2.4
作者：
Dixon-Woods, Mary;Agarwal, Shona;Sutton, Alex
通讯作者：
Sutton, Alex