岳卫字〔2025〕27号Ａ1类 同意公开

对岳阳市九届人大五次会议第132号建议的

答  复

刘立红等代表：

您提出的《关于关于进一步加强中小学生心理健康教育的建议》已收悉。现答复如下：

一、当前主要做法

（一）加强组织领导。为贯彻落实《健康湖南行动(2019-2030年)》、《湖南省常见精神障碍防治和儿童青少年心理健康促进项目实施方案》等文件精神，我委高度重视、积极作为，相继印发了《岳阳市儿童青少年心理健康促进项目实施方案》、《关于进一步加强中小学生心理健康服务医教协同工作的通知》等文件，要求所有三级综合医院和二级及以上公立精神病专科医院设立儿童青少年心理门诊，提供儿童青少年心理（精神）疾病诊疗服务。督促指导二级及以上公立医院加强心理门诊和睡眠门诊建设，要求2025年11月底前，三级综合医院需全部提供心理门诊服务，二级及以上公立精神病专科医院全部提供心理门诊、睡眠门诊服务。鼓励有条件的其他二级公立医疗机构设置心理门诊、睡眠门诊心理健康融入临床诊疗过程。

（二）加强医教协作。与各级各类学校建立定点协作机制，简化学生患者就诊手续办理，为全市85所中小学心理教师提供跟岗培训活动。市精卫中心联合楼区教育局开展2024年度岳阳市医教协同心理治疗技能培训班，培训心理教师140人。2024年度岳阳市精神卫生中心为全市5681名学生进行了心理健康评估筛查工作，将每位学生的心理健康情况如实反馈给学校。由学校德育（心理）老师进行筛选后，对694名需要进行重点关注的学生进行了电话随访，面诊、心理咨询等服务。

    （三）提升医疗服务能力。不断加快服务体系建设，指导督促相关医疗机构提供优质门诊服务，满足儿童青少年就诊需要。目前，全市共有精神卫生医疗机构39家，其中精神病专科医疗机构21家。11家三级综合医院和精神专科医院设置临床心理科，26家医院开设心理门诊，14家医院开设睡眠门诊，12家医院设立儿童青少年心理门诊。

（四）推进12356心理援助热线建设。元月23日岳阳市心理援助热线正式并入全国统一心理援助热线平台（12356）。截至目前，平台累计接听群众来电410人次，主要涉及情绪疏导、家庭关系等咨询类别，其中青少年心理问题占25%，服务满意度保持在99％以上。

（五）强化心理健康教育。2024年，拍摄《校园霸凌》、《精神卫生日》两部公益宣传视频，开展心理健康知识进社区、学校、家庭、企业、乡村活动100余场次，利用各种途径广泛开展心理健康科普宣教，提高民众心理健康素养水平。为更好地普及中小学生心理健康知识，2025年，根据省卫健委统计部署，依托精卫中心及相关医疗机构成立了心理健康知识巡讲团，制定巡讲计划，明确巡讲时间、地点和主题，合理分配巡讲场次，预计今年共面向学校开展心理知识巡讲38场次。                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                

二、下一步工作计划

儿童青少年心理健康工作是健康岳阳建设的重要内容。您提出的建议针对性强、措施具体，对我们继续做好儿童青少年心理健康教育工作具有重要意义。下一步，我委将认真履职，做好以下工作：一是进一步加强医疗机构儿童青少年心理门诊建设和管理；二是做好医务人员青少年心理健康工作培训；三是推动学校与医疗机构建立定点合作机制；四是促进中小学生心理健康信息共享。

感谢您对岳阳市卫生健康委员会工作的关心和支持。

                              岳阳市卫生健康委员会

                                2025年5月12日

承办负责人：严素

承办人及联系电话：杜艳丽 18711213072