目的:考察当前中国医疗和教育领域的心理健康服务机构的服务、管理和机构规范现状。方法:来自中国28个省、自治区或直辖市的心理健康服务机构服务人员参与填写了调查问卷。结果:精神专科医院和综合医院的心理健康服务人员主要由医学背景人员构成,心理学背景人员约占20%,大部分专业人员为本科学历。大学和中学机构主要由心理学和教育学背景专业人员构成,大学硕士学历最多,中学以本科学历为主。此外,医疗和教育领域的心理健康服务机构都面临着缺乏专业督导、不科学的人力资源管理和缺乏伦理规范等问题。结论:中国医疗和教育领域的心理健康服务机构应当充分利用自己的比较优势,提高专业服务水平,加强相互合作。 Objectives: To examine the current status of services, management and institutional norms of mental health services in the medical and educational fields in China. Methods: Service personnel from mental health service agencies in 28 provinces, autonomous regions or municipalities in China completed the questionnaire. Results: The mental health service staff in psychiatric hospitals and general hospitals mainly consisted of medical background staff. Psychological background staff accounted for about 20%, most of them were undergraduate degree. Universities and high school institutions mainly by the psychology and pedagogical background professionals, the highest master’s degree in universities, secondary education mainly undergraduate. In addition, mental health services in the medical and educational fields face the problems of lack of professional supervision, unscientific management of human resources and lack of ethical norms. Conclusion: Mental health service agencies in the medical and educational fields in China should make full use of their comparative advantages, improve their professional services and strengthen their cooperation with each other.