The rural migrant worker population in China is attracting more and more attention because of its magnitude and potential economic and social impact on Chinese society. While literature abounds in describing the demographic trends and economic impacts of rural to urban migration, very few articles have been written about the psychosocial impacts of migration on the lives of rural migrant workers in urban China. Drawing on the concept of marginalisation, this article describes the nature and characteristics of marginalised living experienced by migrant workers. More importantly, it examines the underlying policy issues contributing to such marginalised living. It is argued that the Hukou system (household registration system), the process of decentralisation and the obscure role of trade unions have contributed to the experience of marginalisation of rural migrant workers in urban cities in China. Implications for policy changes are also discussed.

Background: In China, more than 10 million rural migrants move to cities every year. Because of the Household Registration System, migrant workers are not entitled to subsidised housing, education, social security or medical benefits. Aims: Using a resilience perspective, this study attempted to explore not only the migration stress that is experienced by migrant workers, but also the protective function of meaning of migration in helping migrant workers withstand the stress of migration. Method: A survey design with multistage cluster sampling was used and 475 migrant workers were recruited. The questionnaire contained demographic data, the Brief Symptom Inventory, a migration stress scale and meaning of migration scale. Results: Financial and employment difficulties stood out as the most stressful issues for migrant workers. More financial and material gains and personal aspirations and achievement were the most common reasons for living in Shanghai. Regression analyses revealed that financial and employment difficulties and interpersonal tensions and conflicts significantly predicted the mental health of both male and female migrant workers. In addition, while marital status significantly predicted the mental health of male migrant workers, the subscale `more financial and material gains' in the meaning of migration scale predicted the mental health of female migrant workers. Finally, there was a moderating effect of meaning of migration on the mental health of female migrant workers. Conclusion: There is a need to consolidate and develop policies to protect the rights of migrant workers in China. Mental health counselling for migrant workers who are experiencing difficulties living in Shanghai should be introduced.

Objective: Over the past decade, cognitive behavioral therapy has been applied to an increasingly wider range of disorders and problems in Chinese societies. However, no meta-analysis has been conducted to synthesize the studies on cognitive behavioral therapy for Chinese clients. The purpose of this meta-analytic study was to examine the overall efficacy of cognitive behavioral therapy for Chinese people. Method: A literature search was conducted using electronic databases, including Web of Science, PsycINFO and PubMed. Pooled mean effect sizes were calculated using the random-effects model. Results: The literature search identified 55 studies with 6763 Chinese participants. The overall short-term effect of cognitive behavioral therapy on the primary outcome was medium in size. Effect sizes were medium for anxiety, depression/well-being and caregiving stress and small for psychotic symptoms and addictive behaviors. The effects of cognitive behavioral therapy on process variables, dysfunctional thoughts and coping, were in the small range. The overall longer-term effect of cognitive behavioral therapy on the primary outcome was medium in size. Moderator analyses showed that the short-term effect was stronger for culturally adapted cognitive behavioral therapy than for unadapted cognitive behavioral therapy. Type of primary outcome, type of control group, recruitment method, study design, the format of delivery and region were found to moderate the efficacy of cognitive behavioral therapy. Conclusion: The findings of this study provide evidence for the overall efficacy of cognitive behavioral therapy for Chinese people and the benefit of cultural adaptation of cognitive behavioral therapy to Chinese culture.

The aim of this study was to investigate in members of the Chinese community in Melbourne the impact of Mental Health First Aid (MHFA) training on knowledge about mental disorders and on attitudes to people with mental illness. The hypotheses were that at the end of the training participants would have increased knowledge of mental disorders and related treatments, and decreased negative attitudes towards people with mental disorders. Respondents were 108 participants of three MHFA training workshops for the Chinese community in Melbourne conducted by a qualified MHFA trainer. Participants completed the research questionnaire prior to the commencement of the training (pre-test) and at its completion (post-test). The questionnaires assessed participants' ability to recognize a mental disorder (depression and schizophrenia) described in the vignettes, knowledge about the professional help and treatment, and negative attitudes towards people with mental illness. Between pre- and post-test there was significant improvement in the recognition of mental disorders, beliefs about treatment became more concordant with health professionals, and negative attitudes reduced. The MHFA training course for general members of the Chinese community in Melbourne produced significant positive change in the level of mental health literacy and reductions in stigmatizing attitudes. The evidence from this study, together with the accumulated evidence of the benefits of MHFA training in the general Australian community, suggests that this approach should be scaled up to a level where it can have an impact on the whole of the Chinese community in Australia.