scholarly journals Biopolitical Paternalism and Its Maternal Supplements: Kinship Correlates of Community Mental Health Governance in China

2020 ◽  
Vol 35 (2) ◽  
Author(s):  
Zhiying Ma
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Mental Health Program ◽  
The Elderly ◽  
Security Risks ◽  
Community Governance ◽  
The Family ◽  
Community Mental Health Program ◽  
The One ◽  
Do So

This article examines how the community mental health program run by the Chinese state conceptualizes, mobilizes, and molds the family. My fieldwork shows that, on the one hand, the program defines care biomedically and connects it to managing security risks in the population. The state fashions itself as paternal while displacing most responsibilities for patient care and management onto the supposedly authoritative families. On the other hand, caregivers—mostly women and the elderly—may resort to practices publicly denounced but privately enabled by the program, such as covert medication and home confinement. They do so not only to manage patients from a position of vulnerability and deprivation but also to compassionately engage with patients’ suffering and non-medical desires. These two entangled kinship correlates of state power, which I call “biopolitical paternalism” and its “maternal supplements,” prove critical for understanding the work of community governance in China and beyond.

UTILIZATION OF A PEDIATRICIAN IN A MENTAL HEALTH CLINIC

PEDIATRICS ◽  
1970 ◽  
Vol 46 (5) ◽  
pp. 807-809
Author(s):  
William E. Stone
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health Center ◽  
Psychiatric Treatment ◽  
Mental Health Center ◽  
Mental Health Program ◽  
Health Clinic ◽  
Select Group ◽  
Accurate Picture ◽  
Community Mental Health Program

The field of psychiatry, and certainly the subspecialty of child psychiatry, is currently involved in an identity crisis which has particular relevance to the relationship between the pediatrician and the psychiatrist in the delivery of mental health services to children. This crisis is related to the move from patient-oriented psychiatric treatment to the newer methods of community mental health. A good community mental health program is founded on the knowledge and skills learned from careful work with individual patients, but the techniques and goals of treatment require modification. While individual psychotherapy is still an essential part of patient care, it is frequently impractical in the light of the demands and needs of our current culture. In the community mental health center which I am serving, we are currently involved in a major reassessment of our techniques in order to meet the needs of the community rather than the demands of a small group. Ours is a relatively affluent community, generally considered to be sophisticated, well-educated, and knowledgeable about psychiatry. An easy pitfall in developing a mental health center would be to assume that this is an accurate picture of the entire community and base the whole program on the model of private psychiatric care. However, the city has its pockets of poverty and has large numbers of people who would not respond to insight therapy if it were available to them. Psychiatrists have been, until very recently, poorly trained for work in the community. Their work has been principally in mental hospitals and in outpatient clinics that offered treatment to a very select group of patients.

scholarly journals Morbidity profile of patients attending the centers for mental health service provided jointly by the Government of Nepal and Community mental health service of Community Mental Health and Counseling- Nepal (CMC-Nepal)

2013 ◽  
Vol 2 (1) ◽  
pp. 14-19 ◽  
Author(s):  
KD Upadhyaya ◽  
B Nakarmi ◽  
B Prajapati ◽  
M Timilsina
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Community Mental Health ◽  
Health Service ◽  
Health Services ◽  
Health Program ◽  
Health Workers ◽  
Mental Health Program ◽  
Community Mental Health Program ◽  
The Government

Introduction: Community mental health program initially conducted in Lalitpur district by UMN and later in the western region demonstrated the possibility of providing mental health services in the primary health care level if proper mental training is provided to different levels of health workers and the program is well supervised. Community Mental Health and Counseling- Nepal (CMC-Nepal) extended the same model of community mental health program to several other districts of the country after taking permission from the Ministry of Health and Population. The basic objective of the study was to prepare morbidity profile of patients attending the centers for mental health conducted jointly by the government of Nepal and Community Mental Health and Counseling- Nepal (CMC-Nepal). Material and method: Ten days block training in mental health for health assistant (HA) and Auxiliary Health Workers (AHW) was conducted by the CMC-Nepal. Senior psychiatrists, psychologists and psychiatric nurse were the trainers. Materials like mental health manual, audiovisuals, flip charts and case stories were used during training by the facilitators. An especially developed patient record card was used for case record, diagnosis and treatment. The study was carried out in between July 2010 to June 2011. A total of 6676 cases were studied during the study period. Results: Community mental health program identified 4761 total new cases in 12 months (July 2010 to June 2011), out of which 2821 were females (59%) and 1940 were males (41%). Similarly total old cases both females and males were 6676 registered in these centers for treatment. Out of all new cases patients with Anxiety Neurosis emerged as the largest group (50%) followed by Depression (24.88%). Other commonly diagnosed conditions were Epilepsy (7.5%), Psychosis (5.3%) and Conversion disorder (5.7%) and unspecified cases (6.5%). The implications of the results are discussed, in the current context. Conclusion: Mental health services need to be provided at the community so as to prevent cases of prolonged subjection to mental illness and also prevent cases of stigma and discrimination. DOI: http://dx.doi.org/10.3126/jpan.v2i1.8569 J Psychiatrists’ Association of Nepal Vol .2, No.1, 2013 14-19

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