Evidence map›Paper›PMID 41132162›Full record

ReviewThe Lancet regional health. Western Pacific2025

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

Yiqun Luan, Yuhe Wang, Lingjun Chu, Stephanie Zhang, Xiwang Fan, Chikyu Tsin, Zihua Yu, Kexin Chen, Xinran Wang, Yijing Zhang and 12 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in The Lancet regional health. Western Pacific, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. [Service system models for adolescent mental health in different institutional contexts and their implications for China].Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Yiqun LuanHeller School for Social Policy and Management, Brandeis University, Waltham, MA, USA.
Yuhe WangClinical Research Center for Mental Disorders, Shanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University, Shanghai, China.
Lingjun ChuDivision of Psychiatry, University College London, London, UK.
Stephanie ZhangGlobal Health Program, College of Public Health, National Taiwan University, Taipei, Taiwan, China.
Xiwang FanClinical Research Center for Mental Disorders, Shanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University, Shanghai, China.
Chikyu TsinClinical Research Center for Mental Disorders, Shanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University, Shanghai, China.
Zihua YuClinical Research Center for Mental Disorders, Shanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University, Shanghai, China.
Kexin ChenClinical Research Center for Mental Disorders, Shanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University, Shanghai, China.
Xinran WangClinical Research Center for Mental Disorders, Shanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University, Shanghai, China.
Yijing ZhangClinical Research Center for Mental Disorders, Shanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University, Shanghai, China.
Yizhe WangClinical Research Center for Mental Disorders, Shanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University, Shanghai, China.
Linyu GaoClinical Research Center for Mental Disorders, Shanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University, Shanghai, China.
Nan JiangClinical Research Center for Mental Disorders, Shanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University, Shanghai, China.
Juanzhi ZhangClinical Research Center for Mental Disorders, Shanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University, Shanghai, China.
Eteri MachavarianiSchool of Medicine, Yale University, New Haven, CT, USA.
Yujia QiuSchool of Medicine, Yale University, New Haven, CT, USA.
Na ZhongShanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Min ZhaoShanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Guohong LiSchool of Global Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Jiang LongShanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Fan JiangNational Children's Medical Center, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Chunling LuDivision of Global Health Equity, Brigham & Women's Hospital, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

Child and adolescent mental healthChinaEffectiveness and cost-effectiveness of CAMH interventionsFinancial investment and insurance coverageLegislation and policyWorkforce and facility capacity

Identifiers

PMID41132162
PMCPMC12541148

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.