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目的探索适合本区域的社区心理卫生服务模式。方法由徐汇区卫生局牵头,成立相应的领导小组、工作小组、专家组。建立三级网络服务体系,制定合理可行实施方案,形成文件规范执行。先期一个街道试点探索,经过总结、论证,再推广至全区应用。结果经过近2年的实践,目前已经成为一项日常工作,并出台《徐汇区社区心理卫生工作实施方案》等系列相关文件。居民对心理服务反馈评价为满意和比较满意达95%以上,咨询(治疗)4次以上者汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)评分较咨询(治疗)前明显降低(t=4.12,3.74;P均<0.05)。结论本区域探索实行的社区心理卫生服务模式基本可行,实践中还需不断完善。
Objective To explore the community mental health service model suitable for the region. Methods Xuhui District Health Board led the establishment of the corresponding leading group, working group, expert group. Establish a three-tier network service system, develop a reasonable and feasible implementation plan, and form a standardized implementation of the document. A pilot to explore the first street, after summary, demonstration, and then to promote the application of the region. Results After nearly two years of practice, has now become a daily work, and promulgated the “Xuhui District community mental health work plan” series of related documents. Residents’ feedback on psychological services was rated as satisfactory and satisfied more than 95%, while HAMD scores and HAMA scores were significantly lower than those before counseling (treatment) when they were consulted (treated) for more than 4 times (t = 4.12,3.74; P <0.05). Conclusion The model of community mental health service explored and implemented in this area is basically feasible and needs to be continuously improved in practice.