Policies, resources, and interventions for child and adolescent mental health in China: a scoping review

作者：Yiqun Luan, Yuhe Wang, Lingjun Chu, Stephanie Zhang, Xiwang Fan, Chikyu Tsin, Zihua Yu, Kexin Chen, Xinran Wang, Yijing Zhang, Yizhe Wang, Linyu Gao, Nan Jiang, J Zhang, Eteri Machavariani, Yujia Qiu, Na Zhong, Min Zhao, Guohong Li, Jiang Long, Fan Jiang, Chunling Lu · 发表于：The Lancet Regional Health - Western Pacific · 年份：2025 · DOI：10.1016/j.lanwpc.2025.101635 · 被引用次数：12 · 研究领域：Child and Adolescent Psychosocial and Emotional Development、Maternal Mental Health During Pregnancy and Postpartum、Child Abuse and Trauma

Child and adolescent mental health (CAMH) disorders have become a public health concern in China, yet evidence on resource allocation remains limited. This scoping review synthesizes English- and Chinese-language peer-reviewed and grey literature to assess four domains related to CAMH: legislation and policy, financing and health insurance coverage, service delivery and utilization, and available interventions. While China has established a comprehensive legislative and policy framework for CAMH, resources remain insufficient to fully implement it. In 2020, per-adolescent (aged 10-19 years) spending on mental health curative care in China was 27.6 RMB (equivalent to $4.6 in 2023 USD), with households covering 58.1% and the government only 14%. Insurance rarely covers psychotherapy or counselling for children and adolescents. CAMH workforce and infrastructure remain limited and concentrated in urban areas. Intervention studies are mostly small-sample and focus on short-term outcomes. Evidence on cost-effectiveness is scarce. Key recommendations include expanding health insurance coverage, improving CAMH workforce and infrastructure, especially in underserved regions, and strengthening evidence-based policymaking through establishing a national-level monitoring system and conducting large-sample, long-term studies.