ArticlePloS one2015
Unlocking patients with mental disorders who were in restraints at home: a national follow-up study of China's new public mental health initiatives.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed.
- Analysis of the spatial distribution of occupational burnout among mental health professionals at the city, county, and township levels in Guangxi and related influencing factors.Frontiers in public health · 2026Article
- Short-term exposure to ambient air pollution and onset of severe mental disorders: a case-crossover study in Northwestern China.BMC public health · 2025Article
- From Chains to Care: EndingClinical practice and epidemiology in mental health : CP & EMH · 2025Review
- Serious mental health conditions and exposure to adulthood trauma in low- and middle-income countries: a scoping review.Global mental health (Cambridge, England) · 2024Article
- Unlocking the mentally ill in Indonesia: An empirical study of the effectiveness of a "Bebas Pasung" program in Central Java.PloS one · 2024Article
- "Association between Traumatic Life Events and Psychosis: A case-control study in western Kenya".Heliyon · 2023Article
- Article
- Indonesia free from pasung: a policy analysis.International journal of mental health systems · 2023Article
- The relationship between area levels of involuntary psychiatric care and patient outcomes: a longitudinal national register study from Norway.BMC psychiatry · 2023Article
- Psychiatric diagnosis and treatment in the 21st century: paradigm shifts or power shifts?World psychiatry : official journal of the World Psychiatric Association (WPA) · 2022Article
- Regional years of life lost, years lived with disability, and disability-adjusted life-years for severe mental disorders in Guangdong Province, China: a real-world longitudinal study.Global health research and policy · 2022Article
- Higher benefit-risk ratio of COVID-19 vaccination in patients with schizophrenia and major depressive disorder versus patients with bipolar disorder when compared to controls.American journal of translational research · 2022Article
- The use of pasung for people with mental illness: a systematic review and narrative synthesis.International journal of mental health systems · 2020Review
- Preventing and reducing 'coercion' in mental health services: an international scoping review of English-language studies.Acta psychiatrica Scandinavica · 2020Article
- Household economic burden and outcomes of patients with schizophrenia after being unlocked and treated in rural China.Epidemiology and psychiatric sciences · 2019Article
- Reducing coercion in mental healthcare.Epidemiology and psychiatric sciences · 2019Review
- Mental Health Apps in China: Analysis and Quality Assessment.JMIR mHealth and uHealth · 2019Article
- How Chinese psychiatrists see and manage stigmatisation of psychiatric patients: a qualitative study in Hong Kong.Evidence-based mental health · 2019Article
- The Heart of the Meaning: Honoring the Work of Byron J. Good.Culture, medicine and psychiatry · 2018Article
- Long-Term Outcomes of Unlocking Chinese Patients with Severe Mental Illness.The Psychiatric quarterly · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
backgroundIn 2005, China implemented a demonstration program known as "686" to scale-up nation-wide basic mental health services designed to improve access to evidence-based care and to promote human rights for people with severe mental disorders. As part of the 686 Program, teams "unlocked" and provided continuous mental health care to people with severe mental disorders who were found in restraints and largely untreated in their family homes. We implemented a nation-wide two-stage follow-up study to measure the effectiveness and sustainability of the "unlocking and treatment" intervention and its impact on the well-being of patients' families.
methods266 patients unlocked from 2005 in "686" demonstration sites across China were recruited in Stage One of the study in 2009. In 2012, 230 of the 266 cases were re-interviewed (the Stage Two study). Outcome measures included the patient medication adherence and social functioning, family burden ratings, and relocking rate. We utilized pre-post tests to analyze the changes over time following the unlocking efforts.
results96% of patients were diagnosed with schizophrenia. Prior to unlocking, their total time locked ranged from two weeks to 28 years, with 32% having been locked multiple times. The number of persons regularly taking medicines increased from one person at the time of unlocking to 74% in 2009 and 76% in 2012. Pre-post tests showed sustained improvement in patient social functioning and significant reductions in family burden. Over 92% of patients remained free of restraints in 2012.
conclusionPractice-based evidence from our study suggests an important model for protecting the human rights of people with mental disorders and keeping them free of restraints can be achieved by providing accessible, community based mental health services with continuity of care. China's "686" Program can inform similar efforts in low-resource settings where community locking of patients is practiced.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.