Community-Based Management and Treatment Services for Psychosis - China, 2019

Introduction: Community-based services for psychosis are an important part of mental health services in China. We analyzed community-based follow-up and treatment services for psychosis in China in 2019 to provide evidence for policymaking and services delivering. Methods: Data from the National Information System for Psychosis were used to analyze usage of the information system and the registration, management, and treatment situation of patients with psychosis in China in 2019 and compared the results of 2019 with that of 2018. Results: In 2019, 100% of cities and counties used the information system and 6,230,157 patients were registered. In 2019, there were 5,944,724 registered patients (94.05%) in China under community-based follow-up services and 5,375,252 patients (85.04%) had regular follow-ups; 5,295,657 patients (83.78%) were treated by taking antipsychotics and 3,354,251 (53.07%) patients took medication regularly; 4,974,314 patients at home (87.81%) were in stable condition; and there was a significant difference in patients' stable condition and medication-taking rates among eastern, central, and western regions (p<0.05). Compared with 2018, the nationwide regular management rate, medication-taking rate, regular medication-taking rate, and patients' stable rate increased by 2.35%, 2.48%, 11.29%, and 7.21% respectively. Conclusions and Implications for Public Health Practice: Compared with 2018, the level of management and treatment improved significantly but still needs to be further strengthened, especially in western China.