Changhua Country Public Health Bureau

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Home Minister & Policy

Minister & Policy

Chung-Hua County Community Metal Health Promotion Strategies for 2006

●Backgrounds

Majority of mental health centers are managed by non-psychological professions and are facing financial and man-power shortage. There is a great difficulty due to lack of financial support, service coverage, and service duration to provide the public face-to-face consultation services. The other factor is that majority of the public tend to seek motional supports through telephone consultations, hence, the role of metal health center is difficult to define.

To achieve the goal of “Healthy Living in Chung-Hua County”, community mental health center will provide services to improve the mental health of Chung-Hua residents.

●Metal Health Overviews

To promote metal health within our county, our community mental health center use limited resources to provide all kinds of mental health services.

Periodically psychological counseling services at various locations
Since 2005, we provide separate counseling services in schools and in communities
1. School consultation services:8 counseling locations were set up at 8 different schools throughout Chung-Hua County, and total of 264 hours of mental counseling services were provided.
2. Community consultation services:5 counseling locations were set up throughout Chung-Hua communities.
Enforce consultation and referral service for suicidal patients
Improve reporting networks since 2005 and monitor and counsel attempted suicidal patients
Communities and focus groups prevention efforts
Focus on depression and suicidal patients, collaborate with grass root organizations and use inter-net to promote metal health education
Research
In 2005 serial of psychological studies were conducted on various community residents in order to understand the mental health stages and residents' need within the communities.
Counseling and referral services
Until 2005 November, there were 200 cases that seek help through telephone counseling, 153 cases that were admitted to hospitals, 32 cases were referred to mental counseling, 21 cases were undergone psychological evaluations, 19 cases were institutionalized, and 12 cases were seeking other solutions.

●County resources

Name of Institutions	Services
Ming-Der Hospital	Out patient, Hospitalization, Home care
Chang-Hua Christian Hospital	Out patient, Hospitalization, Daytime staying, Home care, Drug abuse rehab
Show Chwan Memorial Hospital in Chang Bin	Out patient, Home care, Hospitalization, Daytime staying
Chang Hwa Hospital	Out patient, Hospitalization, Daytime staying
Dun Ren Hospital	Out patient, Hospitalization
Wu-Cheng-Di (吳澄第)Psychiatry Clinic Wu-Chao-Cong (吳潮聰)Psychiatry Clinic Wang-Zhong-Min (王中民) Psychiatry Clinic Shen-Lu-Cong (沈祿從) Psychiatry Clinic Wen-Chien-Wen Psychiatry Clinic(溫建文)	Out patient
Jing-Xin (靜心)Rehabilitation Center People (全民)Rehabilitation Center Der-Yuan (德園)Rehabilitation Center	Rehabilitation services

●Goals

Improve metal health consultation services among residents
Improve metal health consultation within schools, and provide professional trainings among teaching staff
Improve referral services for suicidal cases to minimize their repeat attempts
Improve information resource networks to promote mental health services
Promote mental health education among communities and schools.
Provide professional trainings among communities’ workers and schools staffs to understand mental health and identify potential cases.

●Strategies and Steps

Item	Target group and contents	Services	Evaluations
Individual consultation	attempt suicide individual suicidal individual depression and mental illness long-term care patients individual who has difficulties to fit in victims of disasters family members of long-term care patients school case	Family visit, telephone interviews psychological counseling ? Telephone consultation E-mail consultation Referral services	Establish service procedures and standards Establish service records and consultation model Usage record
Group consultation	organize group counseling disaster psychological consultation	Organize stress-relief, emotional consultation and other professional counseling groups	Group participation records Attendance records Satisfactory survey
Suicide prevention	Tertiary prevention Expand suicide hot lines Expand administration of suicidal cases referral services Improve suicide hot lines and referral Statistics of suicide and attempt suicide cases Secondary prevention Identify the townships that have high suicide rate Organize trainings to teachers, township mayors, public health nurses Provide suicide prevention education	Establish data base of suicide cases Follow up and consultation Improve referral services Provide education and training	Formulate suicide notification procedures Count the number of suicide notification Statistics of suicide notification for every 100,000 people Number of training sessions and attendance Satisfactory survey trainings
Disaster psychological counsel (include emergency responses)	Investigate the emergency responses in our county Emergency response drill Individual or group? psychological response in reacting to major disasters	Set up mental health source network in response to disasters	Completion of creation of local emergency response units Have a successful emergency response drill Disaster responses records and statistics
Resources link	Improve psychological consultation service network Improve suicide hot line network Create disaster mental health counseling network	Develop resource sharing and connection at various levels in order to understand the needs of the people it serves	Organize numerous conferences and site visits Internet page link and visit records Complete resource booklet
Professional counseling service	Develop community and campus mental health counseling model Provide suicide prevention service	Psychologist assist campus mental health counseling services Psychologist assist community mental health counseling services Organize conference In campus, organize “Dialog between family and teachers” meetings, invite experts assist teachers or parents consultation services	Procedures of consultation service Consultation contract and records Conference minutes Evaluations of consultation services
Training for professional providers	Organize trainings for public health nurses. Trainings in communities and campus Provide mental health trainings to hair stylists	Develop professional training courses or workshops	Number of trainings Satisfaction of training courses Consultation procedure and records Survey of consultation results
Prevention and education within communities	Organize workshops to prevent mental illness such as depression Cooperate with other agencies to promote mental health Organize proactive advertisement campaign (Radio, TV media) Press release and press conferences (events, results). Printing mental health flyers Expand community mental health websites and information services	Utilize CIPP to evaluate the mental stage of our county, people's mental health stage and this can be used to provide future direction of our center Provide primary prevention, help residents establishing health mental stage to reduce the incidents of mental diseases	Conduct mental health survey in special groups Survey community residents' attitude toward mental health concepts and perceptions Evaluate advertisement promotion Evaluate strategies

●Strategies and Steps

Provide 200 hours of mental health consultation, improve mental health services to our residents
Provide 200 hours of mental counseling services in campus, improve teachers and students' mental health
Increase referral services toward suicidal individuals, expect at least 80% of the cases receving consultation services
Organize 30 or more events to promote communities and campus mental health, suicide prevention, and raise residents' mental health awareness, and the usage of our center
Organize 5 or more professional trainings courses to improve mental health awareness among community, campus employees (teachers, township mayors, public health nurses, hair salon workers), and provide referral services.

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Address:No.162, Sec. 2, Jhongshan Rd., Changhua City, Changhua County 500, Taiwan (R.O.C.)
TEL:04-711-5141 　 MAP
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