National Mental Health Work Plan (2015-2020)

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Source: http://www.gov.cn/zhengce/content/2015-06/18/content_9860.htm

 

General Office of the State Council Notice Regarding Distribution of the National Mental Health Work Plan (2015-2020) from the Health and Family Planning Commission and other Departments.

State Council General Office Issuance [2015] No. 44

 

To all levels of people's government, and to all ministries and commissions directly under the State Council:

The "National Mental Health Work Plan (2015-2020)" from the Health and Family Planning Commission, Central Comprehensive Management Office, Development and Reform Committee, Ministry of Education, Ministry of Public Security, Ministry of Civil Affairs, Ministry of Justice, Department of Human Resources and Social Security, and China Disabled Persons' Federation, has received the consent of the State Council and is heareby distributed to you; please incorporate actual practice and earnestly implement and enforce it..

 

General Office of the State Council

6/4/2015

 

(for public release)

 

I. Plan Background

II. Overal Requirements

III. Strategies and Measures

(1) Comprehensively advance rescue and assistance for severe mental illness.

(2) Gradually develop prevention for commonly seen mental disorders.

(3) Actively carry out efforts to promote psychological well-being.

(4) Strive to raise the capacity of mental health services.

(5) Gradually improve the mental health information systems.

(6) Vigorously develop mental health publicity and education.

IV. Safeguard Measures

V. Monitoring and Evaluation

 

 

National Mental Health Work Plan (2015-2020)

Health and Family Planning Commission, Central Comprehensive Management Office, Development and Reform Committee, Ministry of Education, Ministry of Public Security

Ministry of Civil Affairs, Ministry of Justice, Department of Human Resources and Social Security, China Disabled Persons' Federation

 

Mental health is a major public health issue and social issue that impacts social and economic development, Strengthening efforts on mental health is an important part of deepening reform of the medical health system and of maintaining and increasing the masses' physical and psychological health; it is a necessary requirement of comprehensively governing the nation in accordance with law, of innovative social governance, or promoting social harmony and stability; and has important significance for the establishment of a healthy China, A China with rule of law, and a peaceful China. This plan is formulated so as to deepen the implementation of the "Mental Health Law of the People's Republic of China" and the "Central Committee of the CPC and State Council Opinion on Deepening Medical and Health System Reform"; to strengthen prevention, treatment and rehabilitation efforts for mental disorders, and promote comprehensive development of mental health operations.

 

  I. Plan Background

The Party and government place great emphasis on mental health work, and have successively adopted a series of measures to promote the development of mental health areas. Especially during the period of the "12th Five-year Plan", mental health work is an important initiative for safeguarding and improving people's livelihood as well as strengthening and innovating in social management, and has been entered into the overall economic ans social development. With the attention and support of the Party center and the State Council, relevant departments strengthen cooperation and, roatating around the implementation of the "People's Republic of China Mental Hygiene Law", organize and carry out the mental health prevention systems establishment and development plan, arranging capital to enlarge mental health professional establishments, improve the capacity for persons with mental disorders seeking treatment, and support all areas in developing management services for persons with severe mental disorders though basic level public health service projects and major public health special projects; including severe mental disorders within the scope of urban and rural resident's major illness insurance and serious disease insurance as well as the urban and rural medical treatment assistance systems; follow laws and regulations to carry out compulsory treatment of mentally ill persons not bearing criminal responsibility; actively develop rescue and assistance for persons with mental disorders who have served in the military, are vagrant beggars, or are "persons with the 3 lackings (lacking ability to labor, lacking source of income, and lacking a legally designated person with a duty of support, care or maintenance, or or where the persons with such duties have not ability to provide support, care, or maintenance), All localities earnestly implement the Party Central Committee and the State Council's deployment requirements, carry out the the government's responsibility, perfect the safeguard mechanism, strengthen working measures, deepen the development of management and treatment of severe mental disorders, obtain significant results, gradually establish a coordinated system among the leadership and mental health departments at all levels of the government, and form a basic national mental health prevention system and service website. By the end of 2014, the nation already registered 4.3 million people with severe mental disorders, 73.2% of these patients received follow-up management and rehabilitation guidance services provided by primary health care institutions .

With rapid economic and social development, the conspicuous acceleration of the pace of living, and the ever growing factors of psychological stress, anxiety, depression and other commonly seen mental disorders and psychological behavioral problems have increased each year; incidents brought on by psychological stress and cases (incidents) of persons with mental disorders causing trouble occasionally occur; intervention for dementia in the elderly, autism in youth and illness in other special populations must be increased; mental health efforts in our nation continue to face serious challenges.

At present, our country's mental health services resource are truly insufficient and unevenly distributed, there are 1650 specialized mental health establishments, 228,000 psychiatric beds and over 20,000 psychiatrists for the entire nation, distributed mainly at the provincial and municipal levels, a community rehabilitation system for mental disorders has not yet been established. Discovery, follow-up and management of people with severe mental disorders in some areas is still inadequate, guardianship responsibility is difficult to implement, some impoverished sufferers do not have access to effective treatment, and it is difficult for persons subject to a compulsory treatment decision whose conduct causes troubles to receive treatment. The public rates of awareness of commonly seen mental disorders such as anxiety and depression are low, societal prejudice and discrimination widely exist, concealing the illness is common, and scientific diagnosis and treatment is rare. On the whole, our country's current capacity and level of mental health services cannot satisfy the masses health needs and the needs of national economic development and social management. The World Health Organization's "Comprehensive mental health action plan 2013–2020" points out that psychological and behavioral problems continue to increase throughout the world, and should elicit the utmost attention of all Governments.

 

  II. Overal Requirements

(1) Guiding Ideology. With Deng Xiaoping Theory, the important thought of Three Represents and the Scientific Outlook on Development as guides, and deeply implementing the spirit of the 18th Party Congress's 2nd, 3rd, and 4th Plenary Sessions, Earnestly implement the "Mental Health Law of the People's Republic of China in accordance with the deployment requirements of the Party Central Committee and the State Council, to make overall plans for all resources, improve work mechanisms, strive to raise the capacity and level of services, complete systems for treatment and aid for patients, safeguard the lawful rights and interests of patients, and maintain the physical and psychological health of the masses, promoting the comprehensive development of the mental health field.

(2) Overall Goals. By 2020, widespread formation of mechanisms for the comprehensive management of mental health services with government organizations' leadership, each department's concerted management, social organizations' extensive participation, and households and workplaces taking responsibility to the extent possible. Complete and improve systems for mental health prevention, treatment and rehabilitation services. essentially satisfying the masses' needs for mental health services. Complete safeguard systems for emergency care and assistance for persons with mental disorders, conspicuously reducing the occurence of major cases (incidents) of patients causing trouble. Actively construct a social atmosphere of understanding, acceptance, and loving concern for persons with mental disorders, elevating the entire society's recognition of the importance of mental mental health, promoting the psychological well-being of the masses, and promoting the development of social harmony.

(3) Specific Goals.

By 2020:

1. Further improve mechanisms for the comprehensive management and coordination of mental health. Widely establish mechanisms for government leadership and departmental coordination for mental health work at the provincial, municipal and county levels. Establish comprehensive management small groups for mental health work in which units such as for health and family planning, public security, civil affairs, judicial administration, disability federations, and seniors participate in 70% of townships (streets).

2. Essentially complete establishment of mental health services systems and networks. Perfect specialized mental health establishments at the provincial, municipal and county levels; and counties (municipalities or regions) with large service populations that are not covered by prefecture level establishments may establish specialized mental health establishments as work required, and other counties (municipalities or regions) shall at least establish a psychiatry department within a comprehensive hospital that has capacity. Actively explore using government procurement of services models to encourage social forces to participate in relevant work.

3. Preliminary relief for the shortage of specialized mental health personnel. Increase the number of physicians (assistants) practicing psychiatry to 40,000. The number of physicians (assistants) practicing psychiatry is not less than 3.8 per 100,000 people in eastern localities ,and 2.8 in central and western localities. Appointment of full-time or part-time mental health prevention staff at basic level medical establishments is widespread. Sufficient psychological therapists and social workers to meet needs, and social organizations and volunteers broadly participate in mental health work.

4. Rescue and management tasks for severe mental disorders are effectively implemented. Have a grasp on the number of persons with serious mental disorders, with the registration and management rate for persons with severe mental disorders reaching 80%, and treatment rates for schizophrenia reaching 80%, all indigent persons with severe mental disorders are brought into medical assistance, cases (incidents) of patients causing trouble, particularly cases where a life is taken, are reduced, and patients whose conduct causes trouble will promptly and lawfully receive compulsory or residential treatment.

5. Conspicuous increase in prevention of commonly seen mental disorders and psychological behavior problems. Widespread increase in public awareness of commonly seen mental disorders such as depression and active seeking of medical care, a conspicuous increase in medical establishments ability to recognize depression, a 50% increase in treatment rates for depression over existing foundation. All areas widely develope treatment for commonly seen mental disorders such as depression; every province (region or municipality) open at least one psychological rescue hotline, and 100% of provinces (regions or municipalities) and 70% of municipalities (areas, prefectures or allied areas) establish psychological crisis intervention teams; when emergency situations occur, they will promptly respond as needed, and scientifically develop psychological relief efforts.

6. Begin to form models for rehabilitation work for mental disorders. Explore the establishment of a societal rehabilitation services system for mental illnesses in which specialized mental health establishments, social rehabilitation organizations and families provide mutual support. More than 70% of counties (municipalities or regions) have established social rehabilitation organizations for mental disorders or use means such as government procurement of services to retain social organizations to develop rehabilitation efforts. More than 50% of patients living at home receive social rehabilitation services in counties (municipalities or regions) that have initiated social rehabilitation for mental disorders.

7. A conspicuous improvement in the social atmosphere for mental health work. Widespread development of mental health publicity and psychological healthcare protections by hospitals, schools, communities, enterprises and public institutions, and supervision sites. The awareness rates of ordinary people in cities and villages regarding knowledge on psychological well-being reach 70% and 50% respectively. Widespread establishment of psychological consultation and psychological crisis intervention centers (rooms) staffed by full-time instructors in institutions for higher education; elementary and high schools establish psychological counseling rooms and appoint full time or part-time teachers; psychological well-being awareness rates among enrolled students reaches 80%.

  III. Strategies and Measures

  (1) Comprehensively advance rescue and assistance for severe mental illness.

Strengthen registration and reporting on patients. All levels of units such as for health and family planing, comprehensive care, public security, civil affairs, judicial administration, and disabled-persons federations should strengthen coordination, and use all directions and multiple channels to initiate routine registration and onset reports on severe mental disorders. Village (resident) committees should actively discover persons suspected of having mental disorders in their jurisdiction, and may respond to their families requests for assistance in seeking medical help. Medical establishments with qualifications to diagnose mental disorders should put in place systems for onset reports and management of severe mental disorders, and report confirmed diagnosis of severe mental disorders in accordance with requirements. Basic level medical health establishments discovering persons with severe mental illness in their jurisdiction should promptly register them, and enter it into the national severe mental illness information management system.

Do a good job of patient services administration. Each area should follow the requirements of "treatment for all who should be treated, management for all who should be managed, and admission of all who should be admitted", actively advancing a service model in which "serious illness is treated in hospitals, and rehabilitation is managed in society; basic level medical health establishments should promptly refer patients in an acute phase or with unstable symptoms to a specialized mental health establishment to conduct standardized treatment, and after symptoms have stabilized return them to a village (community) to receive basic pharmaceutical maintenance treatment. Each level of comprehensive care organization shall coordinate with relevant departments at the same level to promote the establishment of township (street) comprehensive mental health administration small groups and to mobilize community organizations and patients' families to participate in management of patients living at home. Basic level medical health establishments should follow the Mental Health Law and the national basic public health services standards to establish a health archive on severe mental illness, and provide services such as follow-up management, risk assessment, and guidance in taking medicine. Basic level medical personnel, police, civil affairs officers, comprehensive care cadres, grid members, special committee members from the disabled persons federation and other such persons should cooperate in in follow-up visitation for patients with stable symptoms, and rapidly respond to the emergence of emergency situations, and assist patients and their families in resolving difficulties with treatment or their lives. All levels of government and relevant departments should study establishing management mechanisms for admission and treatment of persons with mental disorders who cause trouble, to clear channels for admitting and treating persons with severe mental disorders who cause trouble or are dangerous, set up emergency medical response "green lanes" and clarify funding sources and other safeguard measures. Central finance continues to provide support to each region's efforts on the management and treatment of severe mental illness through the major public health special project.

Put policies on rescue and assistance in place. All regions should do a good job of institutional connections such as between basic health insurance, the urban and rural major illness insurance, medical assistance, and emergency rescue; to give play to their integrated effect, gradually raising the level of medical safeguards for persons with mental disorders. For indigent sufferers that meet the requirements, relevant provisions should be followed to support their participation in the basic medical insurance and give subsidies to those with difficulty bearing medical costs. For emergency aid costs of mentally ill persons whose identity cannot be ascertained and unpaid emergency aid costs of mentally ill persons whose identity is ascertained but who are unable to make payments, the relevant provisions should be followed to first have responsible parties and any insurance such as workers' compensation insurance or basic health insurance, as well as avenues such as the medical assistance fund and the traffic accident social assistance fund, make payments; and where there is no path described above or their payment has shortcomings, subsidies are made from the emergency illness assistance fund. For individuals referred to institutions outside of their service area due to the absence of specialized mental health facilities in their local area, the proportion of medical reimbursement should follow the reimbursement standard in their local community. To effectively provide social aid for individuals with mental illnesses living in poverty, the departments of Civil Affairs, Health and Family Planning, Human Resources and Social Security, and Finance should study how to adjust the social aid system so it matches the specific needs of diagnosing and treating individuals with mental illnesses. Where individuals are eligible to receive minimum subsistence supplements, Civil Affairs departments at all administrative levels should immediately enroll them in the Minimum Subsistence Security System; for individuals who are not eligible for minimum subsistence supplements but have substantial difficulties and for those who still struggle after receiving minimum subsistence supplements, measures such as providing Temporary Aid should be adopted to help them overcome their difficulties in maintaining their basic livelihood.

Improve rehabilitation services. All areas should gradually establish and complete community rehabilitation services systems for mental disorders, vigorously spreading a socially based, comprehensive and open model of rehabilitation work for individuals with mental disorders and disabilities, establishing and improving service mechanisms linking medical rehabilitation with community rehabilitation, strengthening the technical guidance that professional mental health establishments give community rehabilitation organizations. Research and formulate policy opinions that will accelerate the advancement of mental health rehabilitation services and improve service standards and management regulation for mental health rehabilitation. Strengthen rehabilitation service guarantees to individuals with mental disorders among special groups, such as veterans, the impoverished, persons with low incomes, and the institutionalized. As the country’s capacity to provide social welfare services increases, gradually expand the scope of Basic Healthcare Insurance to cover qualified treatment-based rehabilitation services for mental illnesses. Build demonstration projects of community-based rehabilitation facilities for the mentally ill; promote the expansion of communitybased rehabilitation facilities; and use governmental purchases of services to encourage and guide the use of non-public resources to provide community-based rehabilitation services for the mentally ill and promote patients with mental illnesses' return to society.

  (2) Gradually develop prevention for commonly seen mental disorders.

All types of medical establishments at all levels should train health workers in knowledge and techniques related to mental disorders, and schools of higher learning should strengthen training in such knowledge and techniques for staff and student workers in their psychological counseling establishments; individuals seeking medical advice or help at these institutions who potentially have mental illnesses should be promptly provided with guidance on getting treatment or referral services. Specialized mental health facilities should establish consultation and referral systems, and guide other medical establishments in correctly recognizing and promptly referring individuals suspected of having mental disorders; and should provide scientific, rational and standardized diagnostic and treatment services based on the classification of mental disorders and clinical guidelines, to increase the efficacy of treatments. All regions should make common mental disorders such as depression, autism, and dementia the focus of their work plans, and pay close attention to the psycho-behavioral problems of women, children, seniors, and occupational groups, exploring prevention models appropriate for that regions' actual conditions, and regions with capacity are encouraged to provide follow-up services for those with depression. Give full play to the role of Chinese medicine (TCM), to strengthen the establishment of psychiatric clinical capacity in TCM treatment establishments, and encourage TCM professionals to carry out prevention and research of commonly seen mentally disorders.

  (3) Actively carry out efforts to promote psychological well-being.

All areas should lawfully include psychological aid in the emergency response plans of all levels of the government, organizing stratified emergency crisis intervention teams of currently available psychiatrists, psychotherapists, social workers and nurses, periodically carrying out trainings and drills, and promptly organizing psychological aid following the occurrence of emergency situations. Encourage and support social organizations to provide standardized information on psychological aid and lead their orderly participation in psychological aid in the aftermath of disasters. Cities with the capacity should rely on the 12320 hotline and specialized mental health establishments to establish psychological aid hotlines and internet platforms, and provide public interest psychological aid services to the public. Specialized mental health establishments shall have personnel for psychotherapy to provide professional mental health services to persons with mental disorders and high-risk groups. General hospitals and other specialized hospitals should provide guidance on psychological well-being to those seeking care, and basic level healthcare establishments should provide guidance on psychological well-being to residents in their jurisdictional areas. All types and level of school shall set up psychological well-being educational bodies and allot them full time staff, shall establish working mechanisms for educating students on psychological well-being, and shall formulate emergency response plans for campus emergencies. Institutions of higher education and specialized mental health establishments are to establish stable coordinating mechanisms for joint operations in psychological crisis intervention and set up demonstration centers for providing training on psychological well-being. Employers shall include information about psychological well-being in orientation and on-the-job training and create a working environment that is beneficial to employees’ physical and psychological well-being. Prisons, detention centers, jails, compulsory drug rehabilitation centers, and other such institutions should strengthen the psychological counseling and consultation services for those in custody.

  (4) Strive to raise the capacity of mental health services.

Strengthening institutional capacity-building. During the period of the 13th 5-year plan, relevant State departments emphasize supporting all areas in increasing high level mental health service capacity. All areas should fully use available resources, to vigorously strengthen the capacity and establishment of mental health profession establishments and community rehabilitation organizations for persons with mental disorders. All levels of department for health and family planning should commission mental health professional establishments at the same level to take on the duties of managing and guiding mental health techniques, and be responsible for medical care, prevention, medical rehabilitation, health education, information gathering, training and technical guidance. In areas that for the moment have no mental health professional establishments, the department for health and family planning should entrust the mental health professional establishment at the level above in a neighboring region to take on the take of technical guidance and designate the organization for disease control and prevention at the same level to be responsible for practice management. Encourage social capital to put together mental health professional establishments and community rehabilitation organizations, and use government procurement of services to put into play their role in mental health prevention and management efforts. In provinces (regions, municipalities) that have not yet established facilities for compulsory treatment of mental health, the local government shall designate at least one mental health professional establishment to perform compulsory treatment functions, and provide the necessary guarantees to ensure their normal operations.

Strengthen team construction. All areas should establish and improve professional teams for mental health, reasonably allocating psychiatrists, nurses, and psychotherapists; and exploring and gradually expanding work models to include rehabilitation therapists, social workers, and volunteers participation in mental health services. To ensure the implementation of prevention services, specialized mental health establishments at all levels should allot public health personnel in accordance with the region's population and the scale of mental health prevention and treatment obligations. Every basic level medical establishment should assign at least one full-time or part-time staff member to take on the taks of managing services for patients with severe mental disorders. Education departments should strengthen the cultivation of talent in areas related to mental health such as psychiatry, applied psychology, and social work; and encourage regions and institutions for higher education that have the capacity to provide an undergraduate major in psychiatry; and ensure classroom hours for psychiatry, medical psychology and other such courses in the medical curriculum. Health and Family Planning departments should strengthen and standardize training for inpatient psychiatric residents and psychiatric nurses; initiate re-specialization training programs for physicians who are currently working in psychiatry but are not psychiatric specialists; and develop induction training for licensed clinicians or general physicians in county level general hospitals and township level health centers (community health centers) to expand the scope of psychiatric health practice. Train TCM clinicians in the prevention and treatment of mental disorders, and encourage eligible basic-level mental health preventive care personnel to acquire psychiatric practice credentials. Policies are be made to encourage psychology professionals to practice psychotherapy in healthcare facilities, and the Health and Family Planning Department and the Human Resources and Social Security Department are to work together to finalize the evaluation measures for conferring the professional title of ‘psychotherapist’. Policies related to state mental health workers' salary and benefits should be implemented to raise the level of compensation for these professionals and to stabilize the professional mental health workforce.

  (5) Gradually improve the mental health information systems.

Relevant State departments place mental health with project on populace health security informatization project. Provincial health and family planning departments should co-ordinate the construction of mental health information systems in their region, and gradually connect them with residents' electronic health records, electronic medical histories and the total population database. Organizations with responsibility for mental health technology management and guidance tasks should do a good job of verifying and analyzing information on persons with severe mental illnesses, periodically forming a report to provide relevant departments with a basis for decision making. All areas shall gradually establish information sharing systems on persons with severe mental disorders between units such as health and family planning, comprehensive care, public security, ministry of civil affairs, human resources and social security, judicial administration, and disabled persons' federation, emphasizing and strengthening efforts to protect the secrecy of patient's personal information. A mental health monitoring network should be established in accordance with law, getting an essential grasp on the circumstance of persons with mental disorders and mental health work information; every 5 years, areas with capacity should conduct epidemiological studies on mental disorders.

  (6) Vigorously develop mental health publicity and education.

All areas should put publicity and education in an important position in mental health work. Publicity departments should give full play to the function of traditional and new media to widely publicize core information about mental health, such as that mental illness is preventable and treatable, treatment should be sought early for psychological problems, concern and non-discrimination, and “physical and mental health are equally important; and to publicize classic examples of patients overcoming their illness and returning to society, to guiding the public to a correct understanding of mental disorders and psychological behavioral issues, and to correct treatment of persons with mental disorders. Reporting cases or incidents of persons causing disturbances should be standardized, and use of the term “mentally ill person' should be avoided in reports prior to evaluation, to reduce negative impact. Educational units , judicial administration units, the trade unions, the Communist Youth League, the Women’s Federation, the the Elderly Association, and other entities should develop promotional strategies aimed at students, rural women, left-behind children, occupational groups, incarcerated persons, and the elderly, with targetted educational activities about psychological wellbeing. The Health and Family Planning Departments of all administrative levels should organize healthcare facilities' development of multifaceted mental health publicity activities to promoting public understanding of about mental health services, and increase the ability to self-regulate emotions.

  IV. Safeguard Measures

(1) Strengthening government leadership. All areas should earnestly implement the People's Republic of China's Mental Hygiene Law, including mental health within the local overall plan for national economic and social development, drafting annual work plans and implementation plans. Establish and improve government leadership and departmental coordination mechanisms for mental health work. Fully bring into play the role of basic-level comprehensive service management platforms, overall planning, integration of resources and truly strengthening the establishment of the mental health service system in the region. Mental health work should be included as a key component of efforts to deepen reforms in the healthcare system, comprehensively considering the rescue and assistance of mentally ill individuals, the training of specialized staff, safeguards for the operations of professional institutions, and so forth; to promote the continuous, healthy, and stable development of the mental health sector.

(2) Putting departmental responsibility in place. All relevant departments should follow the requirements of the Mental Health Law of the People’s Republic of China and related policies, to truly perform their responsibilities and form a collective workforce that ensures that the work is truly carried out. Comprehensive management organizations should exploit their advantages in comprehensive management to push the resolution of key, difficult problems in mental health work. All levels of comprehensive management organization should strengthen investigation and research, organizational coordination, and oversight inspections; placing efforts to rescue and assist persons with severe mental disorders in the assessment criteria for evaluating the comprehensive management of social order peace-building); increase the intensity of inspection and evaluation activities; and sternly pursue the responsibility of individuals and departments where they don't take the work seriously, don't adequately supervise, or don't adequately provide assistance, leading to a major case (incident) of an already registered severely mentally ill person to cause a commotion. The departments of Development and Reform, Health and Family Planning, Public Security, Civil Affairs, and Judicial Administration should follow the mandate of “treating those who need treatment, managing those who need to be managed, and admitting of those who need to be admitted, to the greatest extent possible; to truly strengthen the establishment of a mental health prevention and treatment network. Units such as for comprehensive management, Health and Family Planning, Public Security, Civil Affairs, Judicial Administration, and the Disabled Persons’ Federation should strengthen the prevention and management and rehabilitation services systems for severe mental illnesses. The departments such as for Development and Reform, Health and Family Planning, Human Resources and Social Security should research and guidance on forming pricing mechanisms for medical services, including for mental illness. The civil affairs department should work with units such as the Disabled Person’s Federation, Development and Reform , the Health and Family Planning , and the Finance, to explore the formulation of safeguard policies to support the development of rehabilitation services for persons with mental disorders, to strengthen the regulation for rehabilitation establishments, and to continuously increase the level of standardization and professionalization of rehabilitation services. The Disabled Persons’ Federation of all levels should earnestly and thoroughly implement the Law of the People’s Republic of China on the Protection of Disabled Persons and the Development Outline for Disabled Persons in China's requirements for providing prevention and rehabilitation to persons with mental disabilities;[56] should promote an open management model that is conducive to people with mental disabilities participation in societal life; and should ensure the lawful rights and interests of persons with mental disabilities Departments such as for Health and Family Planning, Human Resources and Social Security, and Industry and Commerce should strengthen research and evidentiary hearings to explore models for administration of psychological counseling establishments and to develop policies relevant to expanding and standardizing psychological counseling establishments.

(3) Ensuring funding. Local authorities should include mental health work expenses in the financial budget of each administrative level, and increase the degree of investment based on the needs of mental health work, to to ensure that the funds needed from mental health work are available, and strengthen evaluation of task completion and the use of funds to increase the efficiency of funding use. All regions should strongly promote the basic-level public health service projects and efforts on the management and treatment of severe mental disorders, and put in place policies on governmental investment in specialized mental health establishements. Diversified mechanisms for fund raising should be established; actively opening up channels for financing mental health work in the public interest, encouraging investment of social capital in mental health services financing in mental health, and non-public (for-profit) investment in the provision of mental health services and community-based rehabilitation services should be encouraged.

(4) Strengthening scientific research. Rotating around the development needs of mental health work, all regions, all relevant departments and all research institutions should focus on applied basic and clinical research on schizophrenia and other key illnesses as well as the commonly occurring disorders and psychological behavioral problems of children, the elderly and other key groups. Prioritize research on techniques for the early diagnosis of mental disorders as well as new psychiatric medicines and suitable psychological treatment techniques. Strengthen soft science research in areas such as mental disorders epidemiology and mental health law and policy, providing a scientific basis for the formulation of mental health policies and implementation of laws. Promote comprehensive research into the physiological, psychological, and social causes of mental disorders and psychological behavior problems; and relevant translational medical research. Strengthen international exchanges, to adopt, draw from and expand upon advanced international technologies and successful experiences, promptly putting the fruits of domestic and foreign research into practice in mental health work.

  V. Monitoring and Evaluation

The Health and Family Planning Commission, together with relevant departments, formulates a work plan for the implementation of the plan, with relevant departments each having their own responsibilities, and jointly organizing the implementation of this plan. All levels of government carry out supervision, guidance and assessment of progress in implementing the plan, it's quality and efficacy; and make the implementation of the plan's key tasks a major item in government work inspections; and make the outcomes an important component of evaluating the performance of lower level governments. In 2017, the Health and Family Planning Commission, in conjunction with relevant departments, will conduct a midterm assessment of the plan's implementation, and in 2020 organize the final efficacy assessment of the plan's implementation.

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