三种模式的社区心理健康服务在低收入国家。
Three models of community mental health services In low-income countries.
机构信息
Faculty of Epidemiology & Population Health, London School of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, UK.
出版信息
Int J Ment Health Syst. 2011 Jan 25;5(1):3. doi: 10.1186/1752-4458-5-3.
OBJECTIVE
To compare and contrast three models of community mental health services in low-income settings.
DATA SOURCES/STUDY SETTING: Primary and secondary data collected before, during, and after site visits to mental health programs in Nigeria, the Philippines, and India.
STUDY DESIGN
Qualitative case study methodology.
DATA COLLECTION
Data were collected through interviews and observations during site visits to the programs, as well as from reviews of documentary evidence.
PRINCIPAL FINDINGS
A set of narrative topics and program indicators were used to compare and contrast three community mental health programs in low-income countries. This allowed us to identify a diversity of service delivery models, common challenges, and the strengths and weaknesses of each program. More definitive evaluations will require the establishment of data collection methods and information systems that provide data about the clinical and social outcomes of clients, as well as their use of services.
CONCLUSIONS
Community mental health programs in low-income countries face a number of challenges. Using a case study methodology developed for this purpose, it is possible to compare programs and begin to assess the effectiveness of diverse service delivery models.
目的
比较和对比三种在低收入环境下的社区心理健康服务模式。
资料来源/研究地点：在对尼日利亚、菲律宾和印度的心理健康项目进行实地考察之前、期间和之后收集的主要和次要数据。
研究设计
定性案例研究方法。
资料收集
通过对项目进行实地考察时的访谈和观察，以及对文件证据的审查，收集了数据。
主要发现
使用一套叙述性主题和项目指标来比较和对比三种在低收入国家的社区心理健康计划。这使我们能够确定不同的服务提供模式、共同的挑战，以及每个项目的优势和劣势。更明确的评估将需要建立数据收集方法和信息系统，提供关于客户的临床和社会结果的信息，以及他们对服务的使用情况。
结论
低收入国家的社区心理健康计划面临着许多挑战。使用为此目的开发的案例研究方法，可以对项目进行比较，并开始评估不同服务提供模式的有效性。
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