Jones Lynne, Asare Joseph B, El Masri Mustafa, Mohanraj Andrew, Sherief Hassen, van Ommeren Mark
International Medical Corps Santa Monica, CA, USA.
Lancet. 2009 Aug 22;374(9690):654-61. doi: 10.1016/S0140-6736(09)61253-8.
People with severe mental disorders are a neglected and vulnerable group in complex emergencies. Here, we describe field experiences in establishing mental health services in five humanitarian settings. We show data to quantify the issue, and suggest reasons for this neglect. We then outline the actions needed to establish services in these settings, including the provision of practical training, medication, psychosocial supports, and, when appropriate, work with traditional healers. We have identified some persisting problems locally, nationally, and internationally, and suggest some solutions. Protection and care of people with severe mental disorders in complex emergencies is a humanitarian responsibility.
在复杂紧急情况下，严重精神障碍患者是一个被忽视的弱势群体。在此，我们描述在五个人道主义环境中建立心理健康服务的实地经验。我们展示数据以量化该问题，并指出被忽视的原因。然后，我们概述在这些环境中建立服务所需采取的行动，包括提供实践培训、药物治疗、心理社会支持，以及在适当情况下与传统治疗师合作。我们已经确定了一些在地方、国家和国际层面持续存在的问题，并提出了一些解决方案。在复杂紧急情况下保护和照顾严重精神障碍患者是一项人道主义责任。
