Application of the “hospital-school-home-community” integrated mental health service model for primary and secondary school students in Chongqing, China

BackgroundChildhood 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 tech...

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Main Authors: Su Hong, Qi Zhang, Yifeng Wei, Ming Ai, Wo Wang, Jian-mei Chen, Xiao-ming Xu, Xinmin Li, Andrew James Greenshaw, Li Kuang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1554939/full
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author Su Hong
Qi Zhang
Yifeng Wei
Ming Ai
Wo Wang
Jian-mei Chen
Xiao-ming Xu
Xinmin Li
Andrew James Greenshaw
Li Kuang
author_facet Su Hong
Qi Zhang
Yifeng Wei
Ming Ai
Wo Wang
Jian-mei Chen
Xiao-ming Xu
Xinmin Li
Andrew James Greenshaw
Li Kuang
author_sort Su Hong
collection DOAJ
description BackgroundChildhood 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.MethodsThe “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.ResultsSince 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.ConclusionsThe “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.
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spelling doaj-art-bbf30428f23d4c2f9c57fd34a9dca3aa2025-08-20T03:31:53ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-06-011610.3389/fpsyt.2025.15549391554939Application of the “hospital-school-home-community” integrated mental health service model for primary and secondary school students in Chongqing, ChinaSu Hong0Qi Zhang1Yifeng Wei2Ming Ai3Wo Wang4Jian-mei Chen5Xiao-ming Xu6Xinmin Li7Andrew James Greenshaw8Li Kuang9Psychiatric Center, First Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaPsychiatric Center, First Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Psychiatry, University of Alberta, Edmonton, AB, CanadaPsychiatric Center, First Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaMental Health Center, University-Town Hospital of Chongqing Medical University, Chongqing, ChinaPsychiatric Center, First Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaPsychiatric Center, First Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Psychiatry, University of Alberta, Edmonton, AB, CanadaDepartment of Psychiatry, University of Alberta, Edmonton, AB, CanadaPsychiatric Center, First Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaBackgroundChildhood 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.MethodsThe “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.ResultsSince 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.ConclusionsThe “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.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1554939/fulladolescentsmental healthmental health literacyinterventionhealthcare
spellingShingle Su Hong
Qi Zhang
Yifeng Wei
Ming Ai
Wo Wang
Jian-mei Chen
Xiao-ming Xu
Xinmin Li
Andrew James Greenshaw
Li Kuang
Application of the “hospital-school-home-community” integrated mental health service model for primary and secondary school students in Chongqing, China
Frontiers in Psychiatry
adolescents
mental health
mental health literacy
intervention
healthcare
title Application of the “hospital-school-home-community” integrated mental health service model for primary and secondary school students in Chongqing, China
title_full Application of the “hospital-school-home-community” integrated mental health service model for primary and secondary school students in Chongqing, China
title_fullStr Application of the “hospital-school-home-community” integrated mental health service model for primary and secondary school students in Chongqing, China
title_full_unstemmed Application of the “hospital-school-home-community” integrated mental health service model for primary and secondary school students in Chongqing, China
title_short Application of the “hospital-school-home-community” integrated mental health service model for primary and secondary school students in Chongqing, China
title_sort application of the hospital school home community integrated mental health service model for primary and secondary school students in chongqing china
topic adolescents
mental health
mental health literacy
intervention
healthcare
url https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1554939/full
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