Saraceno Benedetto
Department of Mental Health and Substance Dependence, World Health Organization, Geneva.
World Psychiatry. 2004 Feb;3(1):3-5.
Mental disorders represent a major challenge to global development worldwide. Effective (and in some cases cost-effective) interventions are available for almost all of them. However, these interventions are often not implemented. Unknown variables, quite similar among themselves across the world, can have a strong influence in increasing the service quality in spite of the differences in resources and technologies. These unknown variables often result from the adoption of paradigms which are relatively independent from resources and technologies. We examine here four such paradigms.
精神障碍是全球发展面临的一项重大挑战。几乎所有精神障碍都有有效的(在某些情况下具有成本效益的)干预措施。然而,这些干预措施往往未得到实施。尽管资源和技术存在差异,但在全球范围内彼此颇为相似的未知变量,可能会对提高服务质量产生重大影响。这些未知变量往往源于采用相对独立于资源和技术的范式。我们在此审视四种这样的范式。