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Exploring the Primary Mental Health Care Policies for Minors in China from 2015 to 2023 Using a Policy Triangle Framework

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DOI: 10.23977/aetp.2024.080625 | Downloads: 21 | Views: 1007

Author(s)

Xinyue Jin 1

Affiliation(s)

1 University of Leeds, Leeds, UK

Corresponding Author

Xinyue Jin

ABSTRACT

Due to China's rapid economic development in recent years, the prevalence of psychiatric disorders among minors has increased due to intense social competition. China has issued a number of mental health policies to address the issue. Therefore, this project will explore the impact of China's primary mental health care policies on the accessibility of minors to mental health services. This project collected the mental health policy documents for minors published in China from 2015 to 2023. The collected policies are analysed using qualitative research methods. The triangular policy framework is used to analyse the content of policies and actors. Through the thematic analysis of the accessibility related content in the policy content, four main themes of improving service accessibility were obtained: the construction of a mental health service system, the education of mental health knowledge, the construction of a mental health social environment and multi-sectoral cooperation. Thematic analysis of the key actors in the content reveals that the health sector, the education sector, the civil affairs sector and Non-Governmental Organizations have played an important role in the formulation and implementation of the policy. These departments work together to promote the improvement and optimization of minor's mental health services. The project noted that there are still challenges in terms of resource investment, multisectoral collaboration mechanisms and the training and development of professionals. Based on these findings, the project recommends policies to enhance intersectoral collaboration, optimize resource allocation, and train.

KEYWORDS

Juvenile Psychology; Triangle Policy; Mental Health Services

CITE THIS PAPER

Xinyue Jin, Exploring the Primary Mental Health Care Policies for Minors in China from 2015 to 2023 Using a Policy Triangle Framework. Advances in Educational Technology and Psychology (2024) Vol. 8: 194-205. DOI: http://dx.doi.org/10.23977/aetp.2024.080625.

REFERENCES

[1] World Health Organization 2021b. Mental health of adolescents. World Health Organization. [Online]. Available from: https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health.
[2] World Health Organization 2022b. World mental health report [Online]. [Accessed 28 July 2024]. Available from: https://www.who.int/publications/i/item/9789240049338.
[3] World Health Organization 2021a. Comprehensive Mental Health Action Plan 2013-2030 [Online]. [Accessed 28 July 2024]. Available from: https://iris.who.int/bitstream/handle/10665/345301/9789240031029-eng.pdf?sequence=1.
[4] World Health Organization 2022a. UNICEF and WHO joint programme on mental health and psychosocial well-being and development of children and adolescents [Online]. [Accessed 27 July 2024]. Available from: https://iris.who.int/bitstream/handle/10665/364726/9789240061767-eng.pdf?sequence=1.
[5] Duong, M.T., Bruns, E.J., Lee, K., Cox, S., Coifman, J., Mayworm, A. and Lyon, A.R. 2020. Rates of Mental Health Service Utilization by Children and Adolescents in Schools and Other Common Service Settings: A Systematic Review and Meta-Analysis. Administration and Policy in Mental Health and Mental Health Services Research. 48(3), pp.420–439.
[6] Pitchforth, J., Fahy, K., Ford, T., Wolpert, M., Viner, R.M. and Hargreaves, D.S. 2018. Mental health and well-being trends among children and young people in the UK, 1995–2014: analysis of repeated cross-sectional national health surveys. Psychological Medicine. 49(08), pp.1275–1285.
[7] Rickwood, D., Paraskakis, M., Quin, D., Hobbs, N., Ryall, V., Trethowan, J. and McGorry, P. 2019. Australia's innovation in youth mental health care: The headspace centre model. Early Intervention in Psychiatry. 13(1), pp.159–166.
[8] Li, F., Cui, Y., Li, Y., Guo, L., Ke, X., Liu, J., Luo, X., Zheng, Y. and Leckman, J.F. 2021. Prevalence of mental disorders in school children and adolescents in China: diagnostic data from detailed clinical assessments of 17,524 individuals. Journal of Child Psychology and Psychiatry. 63(1).
[9] The State Council of the People's Republic of China 2015. National Mental Health Work Plan (2015-2020) [Online]. [Accessed 30 April 2024]. Available from: https://www.gov.cn/gongbao/ content/ 2015/ content_2883226.htm.
[10] The State Council of the People's Republic of China 2016. Outline of the Healthy China 2030 Plan [Online]. [Accessed 30 April 2024]. Available from: https://www.gov.cn/zhengce/2016-10/25/content_5124174.htm.
[11] Xiang, Y.-T., Ng, C.H., Yu, X. and Wang, G. 2018. Rethinking progress and challenges of mental health care in China. World Psychiatry. 17(2), pp.231–232.
[12] WALT, G. and GILSON, L. 1994. Reforming the health sector in developing countries: the central role of policy analysis. Health Policy and Planning. 9(4), pp.353–370.
[13] Braun, V. and Clarke, V. 2006. Using Thematic Analysis in Psychology. Qualitative Research in Psychology. 3(2), pp.77–101.
[14] China National Bureau for Disease Control and Prevention 2017. Guidance on strengthening mental health services [Online]. [Accessed 8 March 2024]. Available from: http://www.nhc.gov.cn/jkj/s5888/201701/ 6a5193c6a8c 544e59735389f31c971 d5.shtml.
[15] Ministry of Civil Affairs of China, Ministry of Education of China, Ministry of Finance of China, Central Committee of the Communist Youth League of China and All-China Women's Federation 2017. Guiding Opinions on Giving play to the role of social work professionals in the care and protection of rural left-behind children [Online]. [Accessed 8 March 2024]. Available from: https://www.gov.cn/xinwen/2017-08/21/content_5219174.htm.
[16] China National Bureau for Disease Control and Prevention 2019. Healthy China Initiative - Mental Health Action Plan for Children and Adolescents (2019-2022) [Online]. [Accessed 8 March 2024]. Available from: https://www.gov. cn/ xinwen/2019-12/27/content_5464437.htm.
[17] Office of the National Health Commission of China 2022. Service Standards for Autism Screening and Intervention for Children Aged 0-6 Years (Trial) [Online]. [Accessed 8 March 2024]. Available from: https://www.gov. cn/zhengce/zhengceku/2022-09/23/content_5711379.htm.
[18] Office of the National Health Commission of China 2018. Healthy Angels Youth Volunteer Service Action Plan (2018-2020)[Online]. [Accessed 8 March 2024]. Available from: http://www.nhc. gov.cn/jgdw/ s7966/201812/ 04d5ced7f0c8489ab51b15317551946c.shtml.
[19] China National Bureau for Disease Control and Prevention 2018. National Pilot Program for the Construction of the Social Psychological Service System [Online]. [Accessed 8 March 2024]. Available from: http:// www. nhc .gov.cn/jkj/s5888/201812/f305fa5ec9794621882b8bebf1090ad9.shtml.
[20] Ministry of Education of China 2020. Guidance Recommendations from the Expert Advisory Committee on Mental Health Education for Primary and Secondary Schools of the Ministry of Education to Strengthen Mental Health Education in Schools Nationwide for the New Semester [Online]. [Accessed 8 March 2024]. Available from: https://www.gov.cn/xinwen/2020-04/24/content_5505703.htm.
[21] Ministry of Education of China 2015. Guidelines for the Construction of Psychological Counseling Rooms in Primary and Secondary Schools [Online]. [Accessed 8 March 2024]. Available from: https://www.gov.cn/ xinwen/ 2015-08/11/content_2911069.htm.
[22] Ministry of Education of China 2023. Special Action Plan for Comprehensively Strengthening and Improving Student Mental Health Work in the New Era (2023-2025) [Online]. [Accessed 8 March 2024]. Available from: https://www.gov.cn/zhengce/zhengceku/202305/content_6857361.htm.
[23] Ministry of Civil Affairs of China, Ministry of Education of China, National Health Commission of China, Central Committee of the Communist Youth League of China and All-China Women's Federation 2023. Guidelines on Strengthening Psychological Care Services for Children in Difficult Situations [Online]. [Accessed 8 March 2024]. Available from: https://www.gov.cn/zhengce/zhengceku/202311/content_6913516.htm.
[24] Hung, J. 2023. Policy-Oriented Examination of Left-Behind Children's Health and Well-Being in China. Sustainability. 15(7), p.5977.
[25] National Health Commission of China 2020. Strengthening and Improving Specialized Psychiatric Medical Services [Online]. [Accessed 8 March 2024]. Available from: http://www.nhc.gov.cn/yzygj/ s3594q/202010/ 807eb9f57e164abebb866103fb2acbfd.shtml.
[26] Ministry of Education of China 2021. Strengthening the Management of Student Mental Health [Online]. [Accessed 8 March 2024]. Available from: https://www.gov.cn/zhengce/zhengceku/2021-07/24/content_5627089.htm.
[27] National Health Commission of China 2019. Healthy China Initiative (2019-2030) [Online]. [Accessed 8 March 2024]. Available from: https://www.gov.cn/xinwen/2019-07/15/content_5409694.htm.
[28] National Health Commission of China 2021. Healthy Children Action Plan (2021-2025) [Online]. [Accessed 8 March 2024]. Available from: https://www.gov.cn/zhengce/zhengceku/2021-11/05/content_5649019.htm.
[29] Colizzi, M., Lasalvia, A. and Ruggeri, M. 2020. Prevention and early intervention in youth mental health: Is it time for a multidisciplinary and trans-diagnostic model for care? International Journal of Mental Health Systems. 14(1), pp.1–14.
[30] Zhang, R., Wang, Y., Womer, F., Yang, W., Wang, X., Xu, X., Su, Z., Wang, L., Zhou, J., Qin, S., Zhou, K., Liu, F., Zhang, X., Lin, Y., Zhang, X., Yang, J. and Wang, F. 2023. School-based Evaluation Advancing Response for Child Health (SEARCH): a mixed longitudinal cohort study from multifaceted perspectives in Jiangsu, China. BMJ Mental Health. 26(1), p.e300861.
[31] Zheng, Y. 2020. Child psychiatry in China: Present situation and future prospects. PEDIATRIC INVESTIGATION. 4(2), pp.79–83.
[32] Zhang, H. and Du, Y. 2018. Chinese school curricula should include mental health education. The Lancet Psychiatry. 5(8), p.e18.
[33] Lai, K.Y.C., Hung, S.-F., Lee, H.W.S. and Leung, P.W.L. 2022. School-Based Mental Health Initiative: Potentials and Challenges for Child and Adolescent Mental Health. Frontiers in Psychiatry. 13.
[34] Dutton, B., Humphrey, N. and Qualter, P. 2023. Getting the pieces to fit: NHS and third sector collaboration to enhance crisis mental health service provision for young people. BMC Health Services Research. 23(1).
[35] Henderson, J., Javanparast, S., Baum, F., Freeman, T., Fuller, J., Ziersch, A. and Mackean, T. 2019. Interagency Collaboration in Primary Mental Health care: Lessons from the Partners in Recovery Program. International Journal of Mental Health Systems. 13(1).
[36] Wu, W., Qu, G., Wang, L., Tang, X. and Sun, Y.-H. 2019. Meta-analysis of the mental health status of left-behind children in China. Journal of Paediatrics and Child Health. 55(3), pp.260–270.
[37] Zhou, W., Yu, Y., Zhao, X., Xiao, S. and Chen, L. 2019. Evaluating China's mental health policy on local-level promotion and implementation: a case study of Liuyang Municipality. BMC Public Health. 19(1).
[38] Que, J., Lu, L. and Shi, L. 2019. Development and challenges of mental health in China. General Psychiatry. 32(1), p.e100053.
[39] Wang, M., Sokol, R., Luan, H., Perron, B.E., Victor, B.G. and Wu, S. 2020. Mental health service interventions for left-behind children: A systematic review of randomized controlled trials. Children and Youth Services Review. 117, p.105304.
[40] Yao, H., Guan, L., Zhang, C., Pan, Y., Han, J., He, R., Chang, Z., Zhou, T., Du, C., Wu, T., Sun, J., Yuan, Y., Maybery, D. and Ma, H. 2021. Chinese mental health workers’ family-focused practices: a cross-sectional survey. BMC Health Services Research. 21(1).
[41] Jiang, D., Warner, L.M., Chong, A.M.-L., Li, T., Wolff, J.K. and Chou, K.-L. 2020. Benefits of volunteering on psychological well-being in older adulthood: evidence from a randomized controlled trial. Aging & Mental Health. 25(4), pp.1–9. 

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