Nakash Ora, Razon Liat, Levav Itzhak
School of Psychology, Interdisciplinary Center (IDC), P.O. Box 167, Herzliya, 46150 Israel.
Department of Community Mental Health, Faculty of Social Welfare & Health Sciences, Haifa University, Haifa, 31905 Israel.
Isr J Health Policy Res. 2015 Feb 23;4:3. doi: 10.1186/2045-4015-4-3. eCollection 2015.
The World Health Organization Comprehensive Mental Health Action Plan (CMHAP) 2013-2020 proposes the implementation of primary prevention strategies to reduce the mental health burden of disease. The extent to which Israeli academic programs and published research adhere to the principles spelled out by the CMHAP is unknown.
To investigate the presence of mental health primary prevention themes in published research and academic programs in Israel.
We searched for mental health primary prevention themes in: (1) three major journals of psychiatry and social sciences during the years 2001-2012; (2) university graduate programs in psychology, social work and medicine in leading universities for the academic year of 2011-2012; and (3) doctoral and master's theses approved in psychology and social work departments in five universities between the years 2007-2012. We used a liberal definition of primary prevention to guide the above identification of themes, including those related to theory, methods or research information of direct or indirect application in practice.
Of the 934 articles published in the three journals, 7.2%, n = 67, addressed primary prevention. Of the 899 courses in the 19 graduate programs 5.2%, n = 47, elective courses addressed primary prevention. Of the 1960 approved doctoral and master's theses 6.2%, n = 123, addressed primary prevention. Only 11 (4.7%) articles, 5 (0.6%) courses, and 5 (0.3%) doctoral and master's theses addressed primary prevention directly.
The psychiatric reform currently implemented in Israel and WHO CMHAP call for novel policies and course of action in all levels of prevention, including primary prevention. Yet, the latter is rarely a component of mental health education and research activities. The baseline we drew could serve to evaluate future progress in the field.
世界卫生组织《2013 - 2020年综合精神卫生行动计划》(CMHAP)提议实施一级预防策略以减轻精神疾病的负担。以色列学术项目和已发表研究遵循CMHAP所阐明原则的程度尚不清楚。
调查以色列已发表研究和学术项目中精神卫生一级预防主题的存在情况。
我们在以下方面搜索精神卫生一级预防主题:(1)2001 - 2012年期间的三种主要精神病学和社会科学期刊;(2)2011 - 2012学年顶尖大学的心理学、社会工作和医学专业的大学研究生项目;(3)2007 - 2012年期间五所大学心理学和社会工作系批准的博士和硕士论文。我们采用了一级预防的宽泛定义来指导上述主题识别,包括那些与直接或间接应用于实践的理论、方法或研究信息相关的主题。
在三种期刊上发表的934篇文章中,7.2%(n = 67)涉及一级预防。在19个研究生项目的899门课程中,5.2%(n = 47)的选修课程涉及一级预防。在1960篇批准的博士和硕士论文中,6.2%(n = 123)涉及一级预防。只有11篇(4.7%)文章、5门(0.6%)课程以及5篇(0.3%)博士和硕士论文直接涉及一级预防。
以色列目前正在实施的精神病学改革以及世界卫生组织的CMHAP要求在包括一级预防在内的各级预防中制定新政策和行动方针。然而,一级预防很少成为精神卫生教育和研究活动的一部分。我们得出的基线可用于评估该领域未来的进展。