For most low-income families, long-term normal hospitalization is unaffordable, usually costing thousands or even tens of thousands of yuan per month, which makes many families very poor; For wealthy families with superior economic conditions, although economically affordable, they are busy with their careers and have no time to take care of patients, so admission and discharge have almost become an emergency measure. The patient leaves the hospital when he is well, goes in when he is ill, and finally loses confidence in the cure. Moreover, most psychiatric hospitals only provide basic medical care, and a large number of patients live together, which can not meet the needs of high-income families for treatment effect and living service level. Based on the above reasons, regardless of low-income families or high-income families, such patients are basically kept at home, unable to get formal management, especially unable to take drugs regularly, resulting in patients often getting sick, self-harming and even getting lost. At home, patients also seriously affect the life of the elderly, the feelings of husband and wife, the study and healthy growth of children, and also have a great negative impact on the image of the family in the outside world. The patient's whole family is shrouded in endless distress. With the increasing incidence of mental illness, this problem has become a common social problem. The main cause of recurrent mental illness is incomplete treatment. The usual emergency is usually only hospitalization 1-3 months. Although the symptoms are under control, due to the short hospitalization time, especially the follow-up service, in general, there is no in-depth treatment and cure. Usually, the previous discharge has left a hidden danger for recurrence. Psychiatric trusteeship is to solve this problem. In the form of long-term entrusted management, it allows patients to receive continuous centralized and regular medical and life care, as well as long-term systematic behavior correction, habit formation, psychological counseling and skill training, so that patients are in a stable (disease-free) state for a long time, gradually recovering social functions, and the possibility of illness almost disappears. Psychiatric trusteeship does play a role in reducing the family burden, but its main function is not just that, and it is not a simple and passive maintenance medical model that people usually think. Long-term trusteeship makes up for the shortage of ordinary emergency treatment by allowing patients to receive regular treatment in the hospital for a long time (at least one whole year or several years). It not only gives treatment, but also emphasizes "nurturing", which fully realizes the purpose of consolidating the curative effect and completely eliminates the disease, does not recur and returns to society. Such examples are not uncommon among detained patients. Therefore, long-term trusteeship can play an almost decisive role in the pursuit of "seeking roots". Psychiatric trusteeship is the future development direction of psychiatric treatment and rehabilitation. Second, the status quo of domestic trusteeship: At present, most hospitals in China are mainly in general emergency hospitalization, mainly simply "treatment or control", ignoring the "nurturing" in order to consolidate the curative effect in the later period, that is to say, few hospitals carry out trusteeship, even if there are, many of them are not standardized or poorly managed, just simple nursing, or the environment and services are poor, lacking humanistic care, like prisons, or have no treatment ability (. It is not a mental health medical institution and has nothing to do with the sudden illness of patients). Shandong Xintai Guangxin Hospital is the first medical unit in China to carry out psychiatric monitoring program. Mental patients under long-term care come from all parts of China, covering almost all provinces in China. Many patients have returned to normal through supervised rehabilitation. Considering the diverse needs of patients' families, our hospital provides nursing services for low-income, middle-income and high-income families to meet the needs of different levels. Low-income families can enjoy basic nursing services of several hundred to one thousand yuan per month, middle-income families can enjoy hotel nursing services of several thousand yuan per month, and the rich can enjoy advanced tailor-made special nursing services of tens of thousands of yuan per month. However, regardless of the cost, the hosting service is full of humanistic care. Iii. Service features (mainly basic trusteeship, other trusteeship methods are higher than this standard): Our hospital has accumulated mature experience in psychiatric trusteeship: 1. Every day, the detained patients are inspected and ordered, and medicine is taken twice a day under the supervision of nurses. 2, the implementation of the whole service system, the implementation of family, family service. Patients and all medical staff are not isolated, they get along in an environment, communicate together, play ball together, etc. Like a family. Whether it's front-line medical staff, logistics staff, or even the dean, they go deep into every patient's side, asking questions about cold and warmth and solving problems. Some patients are poor and lack clothes, and the staff can even take them from their own homes. The clothes were torn, the logistics staff took the initiative to mend them, and someone often sent them delicious food. The patient is in a bad mood, and the staff will comfort and adjust the mood in time. In hot weather, the hospital also bought watermelons and cold drinks for free. Such an atmosphere is rare in domestic hospitals at present. 3. The ward adopts open management mode. Patients are completely free from 7: 30 am to 8: 00 pm (except lunch break). They have fitness equipment, table tennis and badminton. They can keep fit, watch TV, play chess and cards. 4.24-hour monitoring and nursing for patients, and two nurses in each class provide uninterrupted nursing service. 5. Patients receive planned psychological counseling, including group counseling and targeted counseling. 6. Organize outings twice a month. Take patients with stable illness to the urban or suburban areas for sightseeing to relieve their emotions. 7. Every patient has a birthday, eats longevity noodles and sends birthday cards signed by medical staff. 8. Arrange patients for self-management and environmental management in a planned way to promote their social skills. It mainly includes organizing patients to do public health cleaning, washing clothes, simple work in the canteen, helping each other and maintaining internal order. . 9, strengthen the system, respect and care for patients to implement. The Special Specification for Medical Staff 19 has been formulated, which specifies the service rules for patients in detail (see our news on this website for details), and it is absolutely not allowed to be thoughtless of patients. Medical staff treat patients just like children, coaxing and persuading them when something happens. There are four requirements for staff: "love, care, patience and carefulness". Staff are not allowed to "look on coldly, scold or beat" patients, which is an "iron law", otherwise they will be severely criticized, fined or even dismissed. 10, in terms of diet, we insist that patients' meals and employees' meals are cooked in one pot, which is exactly the same, so that medical staff can supervise the quality of meals. Hired a full-time chef, generally every meal is different, once a week to improve, meat and eggs can be eaten. This fundamentally ensures the quality of the patient's diet. The patient's food expenses are completely cost price.