摘要:
目的:了解上海市2015年心理卫生服务行业的督导现状,为进一步加强上海市心理卫生服务体系建设提供借鉴.方法:在上海市心理卫生服务行业协会的会员单位中,选取专科医疗机构、非专科医疗机构、非医疗企事业单位和社会机构4类单位的全部机构共107家,采用自编上海市心理卫生专业服务机构现状调查问卷(简称机构问卷)中"机构相关信息"和"机构在心理健康服务领域的管理情况" (机构对心理健康服务人员有无督导要求、机构是否组织督导、督导师来源、督导付费方式4个条目)2部分,上海市心理卫生服务专业人员现状调查问卷(简称人员问卷)中"人口学基本信息"和"心理专业工作"(2015年心理健康服务人员的督导小时数、督导费用、督导付费方式、督导形式4个条目)2部分进行调查.结果:机构问卷结果显示,80%的非医疗企事业单位对心理健康服务人员无督导要求;非专科医疗机构督导师主要来自各级精神卫生中心(52.9%);专科医疗机构督导付费方式以本机构付费为主 (39.1%), 社会机构督导付费方式自己付费为主(37%).与独立开设的机构相比,单位内其他部门下辖的机构较少对人员有督导要求(P<0.001).人员问卷结果显示,社会机构的心理健康服务人员督导小时数高于其他3类机构(P<0.001),其中47.9%的人选择自己付费督导费用,自己付费比例高于其他3类机构(P<0.001).结论:上海市心理卫生服务机构中社会机构的督导投入较多、设置较好,其次是医疗类机构(包括专科医疗机构和非专科医疗机构),而非医疗企事业单位及其人员的督导情况有待提高.%Objective:To understand the status of supervision of mental health service industry in Shanghai, and to provide reference for further strengthening the construction of mental health service system in Shanghai. Methods: In Shanghai, 107 mental health service agencies (including psychiatric institutions, non-specialist medical institutions, non-specialist enterprise and public institutions, social institutions) were selected from Shanghai psychological service industry association. The survey was conducted with the Questionnaire on Current Situation of Mental Health Professional Service Agencies in Shanghai (agency survey), including the "relevant information of agency" and the "management of the agency in the field of mental health services"(whether the agency had supervision requirements on the mental health service personnel, whether the agency organized supervision, the source of supervisors and payment method), and the Questionnaire on Current Situation of Mental Health Service Professionals in Shanghai (professional survey), including "basic information on demography "and" psychological professional work" (the number of hours of supervision in 2015, the cost of supervision, and the form of supervision and payment method). These two parts of questionnaire were selected and analyzed. Results: Agency survey results showed that 80% of non-specialist enterprises had no supervision requirements for mental health service personnel, supervisor in non-specialist medical institutions were mainly from psychiatric institution (52.9%). The cost of supervision in most psychiatric institutions was paid by the agency (39.1%) and the cost of supervision in most public institutions was paid by professional (37%). The professional institutions under the jurisdiction of other departments within the unit required less supervision of the professional staff than the independent institutions (P < 0.001). Professional survey results showed that the number of supervision hours of mental health service professional in social institutions was more than that in the other three types of institutions (P <0.001), of which 47.9% chosen to pay the cost of supervision by themselves. The proportion of their own payment in social institutions was higher than that in the other three types of institutions (P <0.001). Conclusion:The social institutions in Shanghai have the best supervision of social institutions, followed by the supervision of the medical institutions. The supervision of non-medical enterprises and their personnel needs to be improved.