POLICY AND PRACTICE REVIEWS article
Front. Psychiatry
Sec. Adolescent and Young Adult Psychiatry
Volume 16 - 2025 | doi: 10.3389/fpsyt.2025.1554939
This article is part of the Research TopicAdolescent Emotional Disorders and Suicide Self-Harm Crisis InterventionView all 20 articles
Application of the "Hospital-School-Home-Community" Integrated Mental Health Service Model for Primary and Secondary School Students in Chongqing, China
Provisionally accepted
Su Hong1
Qi Zhang1
Yifeng Wei2
Ming Ai1
Wo Wang3
Jian-mei Chen1
Xiao-ming Xu1
Xinmin Li2
Andrew James Greenshaw2
Li Kuang1*- 1Psychiatric Center, First Affiliated Hospital of Chongqing Medical University, Chongqing, China
- 2Department of Psychiatry, University of Alberta, Edmonton, Alberta, Canada
- 3Mental Health Center, University-Town Hospital of Chongqing Medical University, Chongqing, China
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Background: Childhood and adolescence are critical periods for mental health development, with a significant risk for mental disorders. The Chinese government has prioritized student health and well-being, encouraging policies to support youth mental health. However, challenges remain due to high technical demands and inter-departmental coordination.The "pathway through care" model connects hospitals, schools, communities, and families to collaboratively promote adolescent mental health. The model employs general screening, interviews, and intervention strategies at various levels, including mental health promotion and training for students, educators, and parents. The model's operation is led by a tertiary care team in collaboration with school districts.Results: Since the implementation of the model in Chongqing, a large-scale screening of students has been conducted, with over 330,000 students screened and a significant number receiving face-to-face interviews with psychiatrists/psychologists. The model has facilitated the early identification of students at risk, appropriate referrals for care, and ongoing support within the school setting. It has also engaged parents and the wider community in addressing youth mental health needs.The "Hospital-School-Home-Community" integrated mental health service model has demonstrated success in improving child and youth mental health within the school setting in Chongqing. It has effectively linked education and health systems to address a full continuum of care.
Keywords: adolescents, Mental Health, Mental health literacy, intervention, healthcare
Received: 03 Jan 2025; Accepted: 23 Apr 2025.
Copyright: © 2025 Hong, Zhang, Wei, Ai, Wang, Chen, Xu, Li, Greenshaw and Kuang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Li Kuang, Psychiatric Center, First Affiliated Hospital of Chongqing Medical University, Chongqing, China
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