de Mendonça Lima Carlos A, Levav Itzhak, Jacobsson Lars, Rutz Wolfgang
Service Universitaire de Psychogériatrie & WHO Collaborating Centre for Old Age Psychiatry-Lausanne Switzerland.
Int J Geriatr Psychiatry. 2003 Aug;18(8):679-82. doi: 10.1002/gps.877.
The European Office of the World Health Organization (WHO/EURO) has established a Task Force On Destigmatization. Upon the release of the Technical Statement on Old Age Psychiatry 'Reducing stigma and discrimination against older people with mental disorders', the Task Force run a small survey in two European subregions to investigate the extent of stigma and discrimination with reference to the elderly person affected from a psychiatric disorder in the countries of those subregions.
WHO/EURO mental health counterparts completed a short questionnaire inquiring on the inclusion of epidemiological studies on the elderly in their country's research program; the time devoted to the teaching to old age psychiatry during psychiatric residence; the degree of coverage of services for the elderly person and their caregivers; and the extent of stigma present in society with regard to three psychiatric disorders.
Stigma and discrimination seem to be present both in the health sector and among the public at large.
The development of effective health and social facilities to support older persons with mental disorders should be a high priority of any strategy to reduce stigma and discrimination. These facilities should coordinate their efforts with those of other sectors of society to reach the highest possible impact.
世界卫生组织欧洲办事处（WHO/EURO）设立了一个消除污名化特别工作组。在发布关于老年精神病学的技术声明《减少对患有精神障碍老年人的污名化和歧视》后，该特别工作组在两个欧洲次区域开展了一项小型调查，以调查这些次区域国家中针对患有精神疾病老年人的污名化和歧视程度。
WHO/EURO的心理健康对口人员填写了一份简短问卷，询问其所在国家的研究项目中是否纳入了关于老年人的流行病学研究；精神科住院实习期间用于老年精神病学教学的时间；为老年人及其照料者提供服务的覆盖程度；以及社会对三种精神疾病的污名化程度。
污名化和歧视似乎在卫生部门以及广大公众中都存在。
发展有效的卫生和社会设施以支持患有精神障碍的老年人，应是任何减少污名化和歧视战略的高度优先事项。这些设施应与社会其他部门协调努力，以实现尽可能大的影响。
