Daub Suzanne
National Council for Behavioral Health.
Fam Syst Health. 2014 Mar;32(1):12-3. doi: 10.1037/fsh0000020.
Discusses the problem of people with serious mental illness not feeling welcome in primary care. The issue may be that health care providers are simply uncomfortable with the symptoms of serious mental illness, and this results in avoidance, both individually and as a system. This health disparity can only be addressed if the affected population is part of the conversation. Community-based primary care has a responsibility to address the physical health needs of the seriously mentally ill. To do this, we need to start by acknowledging our discomfort, listening deeply to the voices of people with severe mental illness, and learning how to intervene effectively to improve their health.
讨论了患有严重精神疾病的患者在初级保健中不被接纳的问题。问题可能在于医疗保健提供者对严重精神疾病的症状感到不自在,这导致了个体层面以及整个系统层面的回避。只有让受影响的人群参与到对话中来,这种健康差距才能得到解决。基于社区的初级保健有责任满足严重精神疾病患者的身体健康需求。要做到这一点,我们首先需要承认自己的不适感,深入倾听重症精神疾病患者的声音,并学习如何进行有效干预以改善他们的健康状况。