Centre for Global Mental Health, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Harv Rev Psychiatry. 2012 Jan-Feb;20(1):6-12. doi: 10.3109/10673229.2012.649108.
This article charts the historical development of the discipline of global mental health, whose goal is to improve access to mental health care and reduce inequalities in mental health outcomes between and within nations. The article begins with an overview of the contribution of four scientific foundations toward the discipline's core agenda: to scale up services for people with mental disorders and to promote their human rights. Next, the article highlights four recent, key events that are indicative of the actions shaping the discipline: the Mental Health Gap Action Programme to synthesize evidence on what treatments are effective for a range of mental disorders; the evidence on task shifting to nonspecialist health workers to deliver these treatments; the Movement for Global Mental Health's efforts to build a common platform for professionals and civil society to advocate for their shared goal; and the Grand Challenges in Global Mental Health, which has identified the research priorities that, within the next decade, can lead to substantial improvements in the lives of people living with mental disorders. The article ends by examining the major challenges for the field, and the opportunities for addressing them in the future.
本文概述了全球心理健康学科的历史发展,其目标是改善精神卫生保健服务的可及性,并减少国家之间和国家内部精神卫生结果的不平等。本文首先概述了四个科学基础对该学科核心议程的贡献:扩大精神障碍患者的服务范围,并促进他们的人权。接下来,本文重点介绍了四个最近的关键事件,这些事件表明了塑造该学科的行动:心理健康差距行动规划旨在综合有关各种精神障碍有效治疗方法的证据;将治疗任务向非专业卫生工作者转移的证据;全球精神卫生运动努力为专业人员和民间社会搭建一个共同平台,倡导他们的共同目标;以及全球精神卫生重大挑战,该挑战确定了未来十年内可以显著改善精神障碍患者生活的研究重点。本文最后考察了该领域面临的主要挑战,以及未来解决这些挑战的机会。