3月6日，新加坡衛生部兼通訊及新聞部高級政務部長普傑立醫生在國會撥款委員會辯論衛生部開支預算時說到了心理健康諮詢輔助和診治服務。
以下內容為新加坡眼根據國會英文資料翻譯整理：
除了關注身體健康之外，我們還需要關注心理健康。在上個月的國會討論了關於促進心理健康的議會動議，這個議會認識到心理健康對於健康、社會和經濟問題的重要性，並確認了建立健全的國家心理健康生態系統，對增強心理健康和幸福感都十分重要。
蔡長春先生詢問全國心理健康辦公室重點關注的主要領域。該辦公室預計將在2025年成立，由衛生部、社會和家庭發展部以及教育部的工作人員組成。監督全國心理健康戰略的執行工作，以及規劃心理健康護理的未來發展，如全國心理健康藍圖和社區心理健康總藍圖。
在這個辦公室的領導下，我們將擴大初級衛生保健服務機構的心理健康服務，並加強社區服務。具體而言，最初的計劃包括提升專業人員和一線人員的能力，包括宗教組織的工作人員，以支援有心理健康需求的人，以回應文禮佳博士關於讓宗教組織參與社區心理健康支持的問題。其他計劃包括：通過設立精神健康第一站接觸點，儘早介入早期護理，並通過制定實踐指南，確保服務提供者之間有更好的護理協調。該辦公室還將追蹤指標，以監測這些計劃的進展和成果，反映在全國心理健康策略報告中。
有嚴重心理健康問題的人可能會在醫院尋求精神醫療，但那些患有輕度到中度心理健康症狀的人，與其接受專業治療或被剝奪日常生活和社交，不如在社區接受護理更為有益。
賽義德哈倫醫生詢問健康SG計劃計劃是否把心理健康作為重點。讓我詳細說明一下我們如何在初級衛生保健中擴大心理健康服務。
今天，現有的25個綜合診療所中有19個提供心理健康服務。此外，超過450名家庭醫生已接受了心理健康全科醫生合作夥伴計劃（MHGPP）的培訓，以支援有心理健康需求的人。為了讓心理健康服務更普及，到2030年，本地所有32間綜合診療所和1350家健康SG全科診所也將提供心理健康服務。衛生部還將制定心理健康協議，並將心理健康護理和支持納入到健康SG計劃診所家庭醫生的工作範圍中。
我們還將加強社區中的心理健康外展和干預工作。目前，我們有73個鄰里諮詢小組（CREST），鄰里諮詢小組旨在提供基本的情感支持和篩檢，以便及早識別和轉介可能出現心理健康問題的人，接受進一步評估和介入。到2030年，我們將鄰里諮詢小組的數量擴大到90個。
對於那些需要更加密集的心理健康支持的人，他們可以被轉介到我們的29個社區輔助小組（COMIT）之一，到2030年將擴展至50個團隊。這些小組輔助家庭醫生在社區為有心理健康需求的人提供心理干預。這也回應了文禮佳博士提出的關於如何增強社區內心理健康服務的可及性和整合性的問題。
我們有關鍵的結構和政策來確保預防護理的有效實施。我們需要適當規模且具備正確技能的初級護理團隊。這些團隊需要得到充分的支持，以提供基於團隊和整合的護理，通過初級護理網絡（PCNs）、與專家的會診以及利用技術。這有助於確保患者獲得高質量的預防保健服務。
以下是英文質詢內容：
In addition to physical health, we also need to look after our mental health. At the Parliament Motion on advancing mental health last month, this House recognised the importance of mental health as a health, social and economic issue, and affirmed the importance of a robust national mental health ecosystem to enhance mental health and well-being.
Mr Keith Chua asked about key areas that the National Mental Health Office (NMHO) will be focusing on. The Office is expected to be fully established by 2025, comprising officers from MOH, MSF and the MOE. It will oversee the implementation of various plans under the National Mental Health and Well-Being Strategy and shape the development of future mental health initiatives, building upon previous efforts such as the National Mental Health Blueprint and the Community Mental Health Masterplan.
Under the Office, we will scale up mental health services in the primary and community care settings and strengthen access to community-based care. Specifically, initial plans include building the competencies of professionals and frontline personnel. We will include staff in religious organisations to support persons with mental health needs, to address Dr Wan Rizal's question about involving religious organisations in community mental health support. Other plans include promoting early care access through publicising key mental health first-stop touchpoints and ensuring better care coordination among service providers through the development of a practice guide. The Office will also track indicators to monitor the progress and outcomes of these plans, as reflected in the National Mental Health and Well-being Strategy Report.
While persons with severe mental health conditions may seek psychiatric care at hospitals, those with mild to moderate mental health symptoms would benefit more from care delivered in the community, as compared to being institutionalised for treatment or being removed from their daily routines and social networks.
Dr Syed Harun asked if mental health will be a focus of Healthier SG implementation plans. Let me elaborate on how we are scaling up mental health services in the primary and community care settings.
Today, 19 out of the existing 25 polyclinics provide mental health services. In addition, over 450 GPs have been trained to support persons with mental health needs under the Mental Health General Practitioner Partnership (MHGPP). To bring mental health services closer to where individuals live, we will expand mental health support in all polyclinics and Healthier SG clinics by 2030. MOH will also be developing mental health protocols and incorporating mental health care and support, as part of the scope of practice for GPs in Healthier SG clinics.
We will also be strengthening mental health outreach and intervention in the community. Today, we have 73 Community Outreach Teams (CREST) that detect and help individuals with mental health needs. By 2030, we will expand the number of outreach teams to 90.
For those who require more intensive mental health support, they can be referred to any of our 29 Community Intervention Teams (COMIT), which will be expanded to 50 teams by 2030. These teams support GPs in the provision of psychosocial interventions for persons with mental health needs in the community. This also addresses Dr Wan Rizal's question on what is being done to enhance the accessibility and integration of mental health services within the community.
Sir, there are critical structures and policies to support the effective delivery of preventive healthcare. Our primary care teams need to be suitably sized and equipped with the right skills. They also need to be adequately supported to provide team-based and integrated care, through Primary Care Networks (PCNs) and consultations with specialists and by leveraging on technology.
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新加坡國會丨圖源
