Management and services for psychosis in People′s Republic of China in 2017

Objective To analyze the management and treatment situation for patients with psychosis in in 2017, and to compare with those in 2014-2016, in order to provide a reference for policy making and services delivering. Methods Descriptive method was used to analyze the system usage, registration, management and treatment situation of the patients with psychosis based upon China National Information System for Psychosis in the national and all provincial databases (municipalities, autonomous regions), with the date traced from 1st August 2011 to 31st December 2017. Results By the end of 2017, the information system was adapted by 2813 districts/counties, accounting for 98.56% of the total county-level administrative areas (2 813/2 854). 5 806 352 patients were registered with registration rate of 0.424% (5 806 352/1 370 784 400). In 2017, 5 380 249 patients were provided with follow-up services by primary health care staffs with the management rate of 92.66% (5 380 249/5 806 352). 4 346 103 patients were followed up regularly, with the management rate of 74.85% (4 346 103/5 806 352). Moreover, 4 035 323 patients were treated by taking antipsychotics, with the medication-taking rate of 69.50% (4 035 323/5 806 352), and 2 012 074 patients took medication regularly, with the regular medication-taking rate of 34.65% (2 012 074/5 806 352); 3 924 101 patients were in stable condition with the stabilisation rate of 75.01% (3 924 101/5 231 235), which was positively correlated with follow-up rate, regular follow-up rate, medication-taking rate and regular medication-taking rate(r=0.614, 0.800, 0.550, 0.614, all P<0.05). Comparing with 2016, there were 405 202 more patients registered in 2017 and all indicators above were higher in 2017. Durations of untreated schizophrenia, bipolar disorder, delusional disorder, schizoaffective disorder, psychotic disorder with epilepsy, mental retardation with psychotic symptoms were 3.28, 4.25, 2.78, 2.85, 4.95, 14.31 years respectively, all of which were shorter than 2016. Conclusion Services for patients with psychosis were significantly improved in 2017. The coverage of the information system was expanded. The number of registered patients was sustainably growing. Patient management and medicine-taking were also improved, and the duration of untreated psychosis was shortened. Key words: Mental disorders; Community mental health services; Information system