China's Program on Management and Treatment to Severe Psychiatric Disorders “686 Program”
严重精神障碍管理治疗项目(“686项目”) 介绍
In 2004, the former Health Ministry and Financial Ministry launched a Program on Management and Treatment to Severe Psychiatric Disorders with financial investment of 6.86 million rmb from central government, therefore the program was named 686 Program. It is the largest program on service model transformation in mental health field around the world. The Program’s goal is to build mental health service system that integrates hospital and community function and to help patients to take part in rehabilitation activities and come back to society. Through the improvement to management, treatment and service network at provinces, cities, county and village/town, the Program provides comprehensive and standardized services with focus on patients and families. Services included in the Program are: outpatient treatment subsidy to some poor patients; free tests to patients; free return visits to hospital; subsidy on acute hospitalization treatment; to unchain patients; free emergency response treatment to patients under sudden accidents, patients with dangerous behavior and patients with serious adverse reactions to medicines; free home-visits registered patients, mental health education and guidance on rehabilitation and family nursing to their families.
Psychiatric doctors offer regular training courses and technical support to medical operators at communities.
The budget subsidy from central government to the program has been added annually, from 6.86 million rmb at the very beginning to 473.39 million rmb by 2014, it has been increased by over 69 times. Total investment from central government has been over 940 million rmb. By the end of 2013, the accumulative financial support from local government to the Program has been more than 320 million rmb. 314 cities from thirty provinces, autonomy regions and municipalities (without Tibet) are under the coverage of the Program. There are 4.257 million registered patients. Among them, 3.657 million patients received home visits. By the end of Dec. 2013, near 500 thousand patients obtained outpatient service subsidy, over 100 thousand patients acquired acute hospitalization treatment subsidy, 3440 patients were unchained. Local specialized offices in charge of the Program have been set up at provinces, cities, districts and counties. The Program is gradually evolving into part of routine job and it will generate more benefits to a greater number of patients.
2004年,原卫生部和财政部启动“中央补助地方严重精神疾病治疗管理项目”。立项时中央财政投入686万元,故简称“686项目”。该项目是目前全世界最大的精神卫生服务模式转型项目,主要目标是建立医院社区一体化的精神卫生服务体系,通过健全省、市、县、乡镇(社区)四级管理治疗服务网络,以患者和家庭为中心,为患者提供全程规范多样的服务,旨在促进患者康复和回归社会。服务内容主要包括为部分贫困患者提供门诊治疗补助、免费化验、免费复诊、紧急住院治疗补助、关锁患者解锁救治,对出现突发情况、危险行为及严重药物不良反应的患者提供免费应急医疗处置,为登记患者提供免费随访、健康教育、康复指导和家属护理培训;由精神科医师对社区医师提供定期培训和技术指导等。
项目中央补助经费逐年递增,从最初的686万元到2014年的47339万元,经费翻了69倍多,中央总投入经费超过9.4亿元;截至2013年底,累计地方配套经费3.2亿多元。目前全国30个省、自治区、直辖市(不含西藏)的314个市州建立了严重精神障碍管理治疗网络,登记建档患者已有425.7万例,对其中365.7万例患者开展了随访。截至2013年12月底,门诊治疗补助患者近50万,紧急住院治疗补助患者10余万,解锁救治关锁患者3440人。省、地市、区县每一级均设有项目办公室负责具体管理工作。项目已向常规工作推进,力求为更多的患者提供优质服务。
Psychiatric doctors offer regular training courses and technical support to medical operators at communities.
The budget subsidy from central government to the program has been added annually, from 6.86 million rmb at the very beginning to 473.39 million rmb by 2014, it has been increased by over 69 times. Total investment from central government has been over 940 million rmb. By the end of 2013, the accumulative financial support from local government to the Program has been more than 320 million rmb. 314 cities from thirty provinces, autonomy regions and municipalities (without Tibet) are under the coverage of the Program. There are 4.257 million registered patients. Among them, 3.657 million patients received home visits. By the end of Dec. 2013, near 500 thousand patients obtained outpatient service subsidy, over 100 thousand patients acquired acute hospitalization treatment subsidy, 3440 patients were unchained. Local specialized offices in charge of the Program have been set up at provinces, cities, districts and counties. The Program is gradually evolving into part of routine job and it will generate more benefits to a greater number of patients.
2004年,原卫生部和财政部启动“中央补助地方严重精神疾病治疗管理项目”。立项时中央财政投入686万元,故简称“686项目”。该项目是目前全世界最大的精神卫生服务模式转型项目,主要目标是建立医院社区一体化的精神卫生服务体系,通过健全省、市、县、乡镇(社区)四级管理治疗服务网络,以患者和家庭为中心,为患者提供全程规范多样的服务,旨在促进患者康复和回归社会。服务内容主要包括为部分贫困患者提供门诊治疗补助、免费化验、免费复诊、紧急住院治疗补助、关锁患者解锁救治,对出现突发情况、危险行为及严重药物不良反应的患者提供免费应急医疗处置,为登记患者提供免费随访、健康教育、康复指导和家属护理培训;由精神科医师对社区医师提供定期培训和技术指导等。
项目中央补助经费逐年递增,从最初的686万元到2014年的47339万元,经费翻了69倍多,中央总投入经费超过9.4亿元;截至2013年底,累计地方配套经费3.2亿多元。目前全国30个省、自治区、直辖市(不含西藏)的314个市州建立了严重精神障碍管理治疗网络,登记建档患者已有425.7万例,对其中365.7万例患者开展了随访。截至2013年12月底,门诊治疗补助患者近50万,紧急住院治疗补助患者10余万,解锁救治关锁患者3440人。省、地市、区县每一级均设有项目办公室负责具体管理工作。项目已向常规工作推进,力求为更多的患者提供优质服务。