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精神康复特色学科介绍

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精神康复特色学科

精神障碍具有复发率高、致残率高、社会负担重的特点,如何为患者提供“个性化”、“整体化”和“长期化”的康复服务,预防疾病复发,减轻精神残疾,提高社会功能和生活质量,是重要的研究课题。

2018年1月起上海交通大学医学院附属精神卫生中心特色学科项目资助精神康复,建设周期为4年。特色学科负责人为康复一科范青副主任医生,团队骨干包括宋立升、潘桂花、陈美娟、王继军和王振主任医师、廖力维主治医师和吴旭治疗师。

精神康复医学特色学科基础雄厚,近三年获得局级及以上科研项目共12项,其中国家级项目共4项,经费总计1000多万;发表直接相关论文24篇,其中SCI论文共13篇;在国家级学术组织担任副主任委员等职务;举办国家级I类学分继续教育项目;至国际大会口头汇报,有国际合作交流项目;获上海市医学科技奖二等奖,实用新型专利1项;培养博士研究生5名,硕士研究生22名。

精神康复特色学科通过精神康复治疗机制的研究,结合全病程康复管理模式和评估体系及标准的建立,将从临床实践、科学研究、教学、人才培养和梯队建设等各个方面加强本特色专科的建设,扩大影响力,适应新的形势下新的服务体系,预期确立市内领先,以期成为国内先进的特色专科,并与国际结轨。

在临床实践方面,住院康复着重发展基于循证医学证据的特色精神康复治疗,继续扩大日间康复,成立康复专科门诊,建立全病程康复治疗模式(专科门诊—日间—病房)。在科学研究方面,分为康复技术和康复模式研究的两大研究方向。其中康复技术研究侧重认知的研究方向,又为康复评估和指标研究以及康复治疗技术机制和疗效研究两大方向,以精准化和技术转化为目标;康复模式研究以社会效益和推广应用为目标。在教学、人才队伍建设方面,继续发展精神康复治疗师的继续教育项目,参编教材,主持教学研究项目,分层次培养专科人才,提升各级人才的医教研管能力,使人才队伍结构更加合理,保证本特色专科的可持续发展。

通过一年的建设,精神康复特色学科在研项目10项,总经费357.1万,其中国家级2项,市级3项,院校级5项;共发表文章20余篇,其中SCI 8篇,影响因子共计29.177分;出版专著《社会心理作业治疗》和《康复心理学》等4本;获上海市医务职工科技创新“星光计划”优秀项目三等奖;举办《心身医学模式与精神康复技术讲习班》和《创造性心理治疗技术与精神康复讲习班》等国家级或市级继续教育培训项目4次;举办/参加国内外学术会议32人次,15人次口头发言;与法国宜世学院、香港理工大学康复治疗科学系和上海中医药大学康复医学院等国际和国内康复机构及研究团队深入合作;培养8名硕士研究生,目前在研8名硕士研究生




Characteristic discipline of mental rehabilitation

Mental disorders are characterized by high rate of recurrence and disability, and heavy social burden. How to provide "personalized", "integrated" and "long-term" rehabilitation services for patients, prevent disease recurrence, reduce mental disability, and improve social function and quality of life is an important research topic.

Since January 2018, the special project of the Shanghai Mental Health Center, which is affiliated to Shanghai Jiao Tong University School of Medicine, has funded the construction of mental rehabilitation. The construction period is 4 years. The head of the special subject is Fan Qing, deputy director of Rehabilitation Division I, and the core team members include directors of Song Lisheng, Pan Guihua, Chen Meijuan, Wang Jijun and Wang Zhen, an attending surgeon of Liao Liwei and a therapist of Wu Xu.

Characteristic discipline of mental rehabilitation has strong foundations. In the past three years, we have obtained 12 scientific research projects at bureau level or above with a total funds of more than 10 million yuan, including 4 national-level projects. 24 directly related papers have been published, including 13 SCI papers. We also serve as vice-chairmen and other positions in national academic organizationshave organized continuing education programs with national class I credit and given oral reports at international conferences with the help of international cooperation and exchange projects. Till now, we have won the second prize of Shanghai Medical Science and Technology Award as well as a utility model patent and cultivated 5 doctoral students and 22 master students.

By studying the mechanism of mental rehabilitation, combining the management mode of whole course rehabilitation with the establishment of evaluation system and standard, the characteristic discipline of mental rehabilitation will strengthen the construction of this characteristic specialty in clinical practice, scientific research, teaching, talent training and echelon construction, expand its influence, adapt to the new service system under the new situation, and establish the leading position in the city, so as to become the advanced characteristic specialty in China and integrate with the international standard.

In terms of clinical practice, inpatient rehabilitation focuses on the development of characteristic mental rehabilitation treatment based on evidence-based medicine, continues to expand day rehabilitation, and establishes specialized rehabilitation specialist clinics as well as a full-course rehabilitation treatment model (specialist clinics - day rehabilitation - ward). In terms of scientific research, it is divided into two major directions, rehabilitation technology and rehabilitation mode research. Rehabilitation technology research is divided into two major directionsrehabilitation assessment and index research, as well as rehabilitation treatment technology mechanism and efficacy research. The research on rehabilitation technology focuses on the research direction of cognition, aiming at precision and technology transformation. The research of rehabilitation model aims at social benefit and application.

In the aspect of teaching and talent team construction, in order to make the talent team structure more reasonable and ensure the sustainable development of the characteristic discipline, we will continue to develop continuing education projects for mental rehabilitation therapists, participate in teaching materials, preside over teaching research projects, cultivate specialized talents at different levels, improve the medical teaching and research management ability of talents at all levels.

After one year's construction, the characteristic discipline of mental rehabilitation has 10 research projects with a total expenditure of 3.571 million yuan, including 2 national-level projects, 3 city-level projects and 5 university-level projects. More than 20 papers have been published, including 8 SCI papers, with a total impact factor of 29.177. Four monographs have been published, including Psychosocial Work Therapy and Rehabilitation Psychology. It has been awarded the third prize of the excellent project of the scientific and technological innovation “ Starlight program” of medical staff in Shanghai. Four national or municipal continuing education and training programs were held, including “ the workshop on psychosomatic models and mental rehabilitation techniques ” and “ the workshop on creative psychotherapy techniques and mental rehabilitation”. The team organized or participated in 32 academic conferences and 15 oral presentations at home and abroad, in-depth cooperation with international or domestic rehabilitation institutions and research teams such as the French College of Elysee, the Department of Rehabilitation and Treatment of the Hong Kong Polytechnic University and the School of Rehabilitation of the Chinese University of Traditional Chinese Medicine. It has trained 8 master's degree students and currently 8 postgraduate students are under cultivation.



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