South London and Maudsley NHS Foundation Trust, Institute of Psychiatry, King's College London, Health Service & Population Research Department, London, UK.
Eur Psychiatry. 2012 Feb;27(2):68-80. doi: 10.1016/j.eurpsy.2011.10.004. Epub 2012 Jan 28.
There is considerable evidence that various psychiatric conditions can be prevented through the implementation of effective evidence-based interventions. Since a large proportion of lifetime mental illness starts before adulthood, such interventions are particularly important during childhood and adolescence. Prevention is important for the sustainable reduction of the burden of mental disorder since once it has arisen, treatment can only reduce a relatively small proportion of such burden. The challenge for clinicians is to incorporate such interventions into non-clinical and clinical practice as well as engaging with a range of other service providers including public health. Similar strategies can be employed in both the European and global contexts. Promotion of mental well-being can prevent mental disorder but is also important in the recovery from mental disorder. This guidance should be read in conjunction with the EPA Guidance on Mental Health Promotion. This guidance draws on preparatory work for the development of England policy on prevention of mental disorder which used a wide range of sources.
有大量证据表明，通过实施有效的循证干预措施，可以预防各种精神疾病。由于大多数精神疾病在成年前就开始了，因此这种干预措施在儿童和青少年时期尤为重要。预防对于可持续减轻精神障碍负担非常重要，因为一旦出现精神障碍，治疗只能减轻相对较小的负担比例。临床医生面临的挑战是将这些干预措施纳入非临床和临床实践，并与包括公共卫生在内的一系列其他服务提供者合作。类似的策略可以在欧洲和全球范围内使用。促进心理健康可以预防精神障碍，对于从精神障碍中恢复也很重要。本指南应与 EPA 心理健康促进指南一并阅读。本指南借鉴了为制定英格兰预防精神障碍政策而进行的前期工作，该政策使用了广泛的资源。
