Minas Harry, Klimidis Steven, Kokanovic Renata
Centre for International Mental Health, School of Population Health, The University of Melbourne, Bouverie Street, Carlton, Victoria 3053, Australia.
Aust New Zealand Health Policy. 2007 Jul 23;4:16. doi: 10.1186/1743-8462-4-16.
Depression is one of the leading causes of disability in Australia. The cultural and linguistic diversity of the Australian population poses a significant challenge to health policy development, service provision, professional education, and research. The purpose of this study is to explore the extent to which the fact of cultural and linguistic diversity has influenced the formulation of mental health policy, the conduct of mental health research and the development of mental health services for people with depression from ethnic minority communities.
The methods used for the different components of the study included surveys and document-based content and thematic analyses.
Policy is comprehensive but its translation into programs is inadequate. Across Australia, there were few specific programs on depression in ethnic minority communities and they are confronted with a variety of implementation difficulties. The scope and scale of research on depression in Ethnic minority communities is extremely limited.
A key problem is that the research that is necessary to provide evidence for policy and service delivery is lacking. If depression in Ethnic minority communities is to be addressed effectively the gaps between policy intentions and policy implementation, and between information needs for policies and practice and the actual research that is being done, have to be narrowed.
抑郁症是澳大利亚导致残疾的主要原因之一。澳大利亚人口的文化和语言多样性对卫生政策制定、服务提供、专业教育和研究构成了重大挑战。本研究的目的是探讨文化和语言多样性这一事实在多大程度上影响了心理健康政策的制定、心理健康研究的开展以及为来自少数民族社区的抑郁症患者提供心理健康服务。
本研究不同部分所采用的方法包括调查以及基于文档的内容和主题分析。
政策内容全面,但在转化为项目方面存在不足。在澳大利亚各地,针对少数民族社区抑郁症的具体项目很少,且这些项目面临各种实施困难。少数民族社区抑郁症研究的范围和规模极其有限。
一个关键问题是缺乏为政策和服务提供提供证据所需的研究。若要有效解决少数民族社区的抑郁症问题,就必须缩小政策意图与政策实施之间、政策信息需求与实践之间以及实际开展的研究之间的差距。