The first is to provide psychological counseling for the general population in the community and popularize mental health knowledge.
There are two ways to provide psychological counseling and popularize mental health knowledge for ordinary people in the community. One is to evaluate the psychological activities of community residents in the process of routine physical examination, especially for key groups, such as women's emotional state during pregnancy and childbirth, memory and intellectual activities of the elderly, so as to find depression and Alzheimer's disease early. Second, by holding popular science lectures, consulting activities, distributing popular science propaganda books and making publicity panels, we will popularize mental health knowledge to community residents and improve their mental health level.
Two, to carry out mental illness clues investigation, the establishment of disease files.
Developing community mental health service is the primary task, and it is the first-hand information to dynamically grasp the changes of community mental diseases. The filing rate of community mental illness should not be less than 0.6% of the population covered by the community. Psychiatrists will also be organized to conduct annual free examinations for community mental patients. Community mental patients who are hospitalized urgently because of their relapse will be transferred to the community in time after discharge, and the community health service center will continue to carry out community rehabilitation treatment. What is established is a complete and continuous disease file. We will properly keep the disease data of patients with mental illness in the community and resolutely safeguard the privacy rights of patients. Community mental patients and their families can make full use of these disease data.
Three, regular follow-up, management and treatment of severe mental illness.
Mental illness, especially severe mental illness characterized by schizophrenia, often refuses to admit the illness and take the initiative to treat it, especially in the serious stage, which requires care and nursing for mental patients in the community. At least once a month, the case manager takes the initiative to follow up the mentally ill patients who have set up a file in the community, and keeps close contact with the patients and their families through follow-up to gain the trust and cooperation of the patients. Follow-up contents include: the patient's medication, condition stability, etc. And guide family members to carry out family care for family mental illness. In order to improve the medication rate of patients with mental illness in the community and dynamically grasp the changes of patients' condition, patients with mental illness in the community can carry out necessary laboratory examinations and tests in the community health service center nearby to ensure the safety of medication.
Fourth, carry out community rehabilitation treatment to promote early return to society.
The case manager will carry out community rehabilitation treatment for patients with mental illness while following up the patients in the community. The contents of community rehabilitation therapy include: psychological rehabilitation guidance, family nursing guidance, labor skill training, industrial and recreational treatment and vocational rehabilitation. The purpose of community rehabilitation therapy is to reduce the degree of mental disability and promote patients to return to society as soon as possible. The "xx" development standard formulated by China Disabled Persons' Federation requires that the construction of psychiatric rehabilitation institutions should be strengthened and overall planning should be made, and counties (cities, districts) should support the establishment of demonstration psychiatric rehabilitation institutions. The forms of rehabilitation institutions include: industrial treatment stations, agricultural treatment bases, activity centers, foster care centers, halfway camps, vocational skills training centers, etc. Community health service institutions will cooperate with the Disabled Persons' Federation to carry out "socialized, comprehensive and open" mental illness rehabilitation work.
Verb (abbreviation of verb) establishes an emergency response mechanism to avoid adverse events.
For serious mental illness, mainly schizophrenia, the primary purpose of management and treatment is to avoid adverse events. Adverse events include: acute adverse drug reaction, suicide and self-injury behavior and troublemaking behavior. Community health service institutions and mental health medical institutions have established emergency mechanisms and formulated emergency plans, and will make emergency response in the shortest time, the most direct channel and the most appropriate way to avoid adverse events. Community health service institutions will provide professional guidance to the families of patients with mental illness and the people around them in handling mental illness emergencies.
extreme
One: Your rural doctors should clearly define their responsibilities this year, and our work tasks and plans should be appropriately adjusted this year, further strengthen leadership, implement people, appropriately adjust Baocun personnel, further improve the assessment and reward system according to the proportion of the population and the scope of the village, and strengthen contact with public health service personnel. Specific job requirements are as follows:
(1) 12 public health service project
1) Health education must be planned, summarized and detailed.
2) Health education should distribute 12 kinds of materials, and change the bulletin board of 1 m2 every two months, with a total of six issues.
3) Hold 6 knowledge lectures every year.
4) Health management: The filing rate of family health records requires that 90% of the files must be complete, accurate but complete, and input into the computer. Missing items are not required.
2) Mental illness management, chronic disease management (once a quarter) We will arrange time together, and the management of pregnant women and the distribution of folic acid will be completed in time.
3) Physical examination, with the preparation of paper materials, notify residents, covering 95% of the villages. Feedback within one week after physical examination, and feedback within one month. Requirements: 100%. Complete all the paper materials and computer input work within 2 months.
4) Outpatient care for children aged 0/3 years old was conducted for 8 times, 3.6.8.12.18.24.30.36 * *, all of which were completed as required, and contraindications were checked at the same time. Wu Wenhua was responsible for the implementation and completion with Zhong Huilan's assistance. I am responsible for the physical examination of 3/6-year-old children in kindergarten in March.
5) Prenatal nutrition, psychology, rehabilitation and health care guidance for pregnant women for 5 times. Yang Wenji is responsible for 75% of the management rate of pregnant women, and Zhang Jianguo is responsible for supervision and assistance.
6) Collect public health information such as food safety, occupational health, drinking water hygiene, prevention and treatment of infectious diseases, illegal medical practice and illegal blood collection and supply in time, report to our hospital in time, and cooperate with the investigation and handling work of higher authorities.
7) Yu is fully responsible for vaccination, with the cooperation of village doctors, and the specific work is drawn up by the defense doctor.
The specific time schedule has been initially drawn up: physical examination of children in outpatient department will start in February, physical examination of children in kindergarten will start in March, chronic diseases in the village will be checked in April (all patients will be followed up by telephone once), and chronic diseases in the village will be checked once in September. The other two times, you can follow up by phone. If 4. We don't need to make a copy. We have a physical examination every month 10 after the outpatient service, and we can use this time period to complete the supplement.
Specifically, the village staff arranged Cao X (Mountain Lake), He X (Guoqiao) and Xu X (Dongguang) to do Dawn, with Duan Lili as the assistant). Helu X (Yang X, Zhong X) of the bridge arrived at the village with chronic diseases, and Wu X completed the investigation of hypertension (Yang X guided and outpatient Yang X, Zhong X completed) and diabetes.
Next year's work will be moved down on a large scale, and the work of the resident staff will be arranged in detail.