改革开放30年来,中国社区精神健康服务体系建设成为卫生政策核心议题之一。本文利用文献回顾、政策分析和实证研究等方法,简要描述社区精神健康服务历史发展过程与基本特征,全面介绍社区精神健康服务现状,简要分析精神健康社会工作服务模式发展现状、现存的主要问题与结构性成因,归纳社区精神健康服务与精神健康社工实务模式,总结社区精神健康服务发展面临的基础理论政策议题,为构建和谐社会,深化医药卫生体制改革,加强社区精神健康体系建设,推动生物医学模式转变和提高全民健康福利水平提供政策建议。
<<Since adopted the open and reform policy in the past three decades,how to construct the community-based mental health care services system became one of core policy issues in China national health policy agenda.The author used literature review and policy analysis and empirical research methods,brief descriptive the historical development process and basic features,comprehensive introduction current situation in the community-based mental health,brief analysis the main challenged and it’s structural cause face by the mental health care system development,concentrate on the mental health services models and mental health social work practice models,summary the basic theoretical and policy issues in China mental health care services system,final provide the policy recommendations for construction harmony society,improved the health sector reform,enhance the community-based mental health care system,pull the biomedical model structure transformed and upgrade level of universal social welfare and health care system.
<<Keywords: | Community-based Mental Health ServicesMental Health Social WorkCore Policy IssuesCommunity-based Social Welfare SystemChina Health Sector Reform |