Finnish Association for Mental Health, Helsinki, Finland.
World Psychiatry. 2015 Feb;14(1):36-42. doi: 10.1002/wps.20178.
Public mental health deals with mental health promotion, prevention of mental disorders and suicide, reducing mental health inequalities, and governance and organization of mental health service provision. The full impact of mental health is largely unrecognized within the public health sphere, despite the increasing burden of disease attributable to mental and behavioral disorders. Modern public mental health policies aim at improving psychosocial health by addressing determinants of mental health in all public policy areas. Stigmatization of mental disorders is a widespread phenomenon that constitutes a barrier for help-seeking and for the development of health care services, and is thus a core issue in public mental health actions. Lately, there has been heightened interest in the promotion of positive mental health and wellbeing. Effective programmes have been developed for promoting mental health in everyday settings such as families, schools and workplaces. New evidence indicates that many mental disorders and suicides are preventable by public mental health interventions. Available evidence favours the population approach over high-risk approaches. Public mental health emphasizes the role of primary care in the provision of mental health services to the population. The convincing evidence base for population-based mental health interventions asks for actions for putting evidence into practice.
公共精神卫生涉及精神卫生促进、预防精神障碍和自杀、减少精神卫生不平等以及精神卫生服务提供的治理和组织。尽管精神和行为障碍导致的疾病负担不断增加,但精神卫生的全面影响在公共卫生领域尚未得到充分认识。现代公共精神卫生政策旨在通过解决所有公共政策领域的精神卫生决定因素来改善社会心理健康。精神障碍的污名化是一种普遍现象,它构成了寻求帮助和发展医疗服务的障碍,因此是公共精神卫生行动的核心问题。最近,人们对促进积极的精神健康和幸福感产生了浓厚的兴趣。已经为在家庭、学校和工作场所等日常环境中促进精神健康制定了有效的方案。新的证据表明,许多精神障碍和自杀是可以通过公共精神卫生干预措施预防的。现有证据支持人群方法优于高危方法。公共精神卫生强调初级保健在向人群提供精神卫生服务方面的作用。基于人群的精神卫生干预措施的令人信服的证据基础要求采取行动将证据付诸实践。