Br J Psychiatry. 2011 Jun;198(6):417-9. doi: 10.1192/bjp.bp.110.091181.
The government's Public Health White Paper for England sets out a utopian vision of how to prevent and remedy mental health problems. The public health approach relies on primary prevention, promoting individual responsibilities and resilience, while also sustaining existing services and tackling inequalities. These ambitions are consistent with the preventive psychiatric paradigm, and with the best of evidence-based psychiatric practice. Although the evidence on cost-effectiveness of public mental health interventions is growing, the challenge is to ensure that specialist knowledge informs policy, practice and research so that inequalities are not compounded. Specialist mental health professionals are needed to inform and lead public health reforms.
英国政府的《公共卫生白皮书》阐述了一个如何预防和改善心理健康问题的乌托邦式愿景。公共卫生方法依赖于初级预防，促进个人责任和适应能力，同时维持现有服务并解决不平等问题。这些目标与预防精神病学范式以及基于最佳证据的精神病学实践一致。尽管关于公共心理健康干预措施的成本效益的证据不断增加，但挑战是确保专业知识为政策、实践和研究提供信息，以避免不平等加剧。需要专业的心理健康专业人员为公共卫生改革提供信息和指导。
