Ventevogel P, de Jong J T V M
HealthNet-TPO, Afghanistan.
Tijdschr Psychiatr. 2006;48(4):283-93.
In developing countries psychiatric disorders are a major cause of disability and reduced economic productivity.
To present an overview of intervention and policy options in mental health care in developing countries.
We searched the literature using PubMed, supplementing our finding with what we have learned from experience in the field.
Research data, though very limited, indicate that psychiatric disorders can be treated effectively in developing countries. Mental health care can be provided at three different levels: at the level of the existing health care system, at primary care level and at community level. We discuss interventions at each of these levels on the basis of three cases.
More research is needed into the efficacy and cost-effectiveness of mental health care interventions in developing countries; research must be accompanied by the actual implementation of mental health programmes in these countries.
在发展中国家，精神障碍是导致残疾和经济生产力下降的主要原因。
概述发展中国家精神卫生保健的干预措施和政策选择。
我们使用PubMed搜索文献，并结合我们在该领域的经验所得来补充我们的发现。
尽管研究数据非常有限，但表明精神障碍在发展中国家可以得到有效治疗。精神卫生保健可以在三个不同层面提供：现有卫生保健系统层面、初级保健层面和社区层面。我们根据三个案例讨论了每个层面的干预措施。
需要对发展中国家精神卫生保健干预措施的疗效和成本效益进行更多研究；这些国家必须在开展研究的同时实际实施精神卫生项目。
