World Psychiatry. 2011 Feb;10(1):2-10. doi: 10.1002/j.2051-5545.2011.tb00002.x.
The purpose of this guidance is to review currently available evidence on mental health problems in migrants and to present advice to clinicians and policy makers on how to provide migrants with appropriate and accessible mental health services. The three phases of the process of migration and the relevant implications for mental health are outlined, as well as the specific problems of groups such as women, children and adolescents, the elderly, refugees and asylum seekers, and lesbian, gay, bisexual and transgender individuals. The concepts of cultural bereavement, cultural identity and cultural congruity are discussed. The epidemiology of mental disorders in migrants is described. A series of recommendations to policy makers, service providers and clinicians aimed to improve mental health care in migrants are provided, covering the special needs of migrants concerning pharmacotherapies and psychotherapies.
本指南旨在回顾移民的心理健康问题现有证据,并就如何为移民提供适当和可及的精神卫生服务向临床医生和政策制定者提供建议。概述了移民过程的三个阶段及其对心理健康的相关影响,以及妇女、儿童和青少年、老年人、难民和寻求庇护者以及女同性恋、男同性恋、双性恋和跨性别者等群体的具体问题。讨论了文化丧亲和文化认同及文化契合的概念。描述了移民中精神障碍的流行病学。为政策制定者、服务提供者和临床医生提供了一系列改善移民精神卫生保健的建议,涵盖了移民在药物治疗和心理治疗方面的特殊需求。