Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
Psychiatr Serv. 2009 Nov;60(11):1532-4. doi: 10.1176/ps.2009.60.11.1532.
For much of its history the U.S. Centers for Disease Control and Prevention (CDC) considered mental health to be outside of its mission. That assumption persisted even after CDC became a leading public health agency and began to face important mental health issues. This narrative describes how the organizational paradigm indicating that mental health was not mission related was challenged and superseded by a new paradigm recognizing mental health as part of CDC's public health mission. Even after the CDC Mental Health Work Group's establishment in 2000, CDC took eight more years to overcome powerful remnants of the old paradigm that had for so long excluded, minimized, or discouraged attention to mental health. The CDC Mental Health Work Group led the agency's mental health efforts without funding or dedicated staffing but with more than 100 CDC professionals from multiple disciplines and centers serving as voluntary members, in addition to their other CDC responsibilities.
在美国疾病控制与预防中心（CDC）的历史上，其大部分时间都认为精神卫生不属于其使命范围。即使在 CDC 成为主要公共卫生机构并开始面临重要的精神卫生问题之后，这种假设仍然存在。本叙述描述了表明精神卫生与使命无关的组织模式如何受到挑战，并被一种新的模式所取代，该模式将精神卫生视为 CDC 公共卫生使命的一部分。即使在 2000 年成立了 CDC 心理健康工作组之后，CDC 又花了八年时间才克服了长期以来将精神卫生排除、轻视或不重视的旧模式的强大残余。CDC 心理健康工作组在没有资金或专门人员的情况下领导机构的精神卫生工作，但有来自多个学科和中心的 100 多名 CDC 专业人员作为志愿成员，除了他们在 CDC 的其他职责外。
