Rocha Thiago Botter-Maio, Graeff-Martins Ana Soledade, Kieling Christian, Rohde Luis Augusto
aDepartment of Psychiatry, Hospital de Clinicas de Porto Alegre, Universidade Federal do Rio Grande do Sul bDepartment of Psychiatry, Universidade de São Paulo cNational Institute for Developmental Psychiatry for Children and Adolescents, Brazil.
Curr Opin Psychiatry. 2015 Jul;28(4):330-5. doi: 10.1097/YCO.0000000000000169.
There has been increased attention towards the burden imposed by mental disorders on children and adolescents. The present overview explores the current state of child and adolescent mental healthcare provision around the globe.
Current research indicates a concerning gap in the provision of care for the child and adolescent population. The disparities between need, demand and access to youth mental healthcare are likely to be even greater in low and- middle-income countries (LAMIC), where the proportion of children and adolescents in the population is higher. The scarcity of available resources for youth mental healthcare, especially in LAMIC, represents a major obstacle to decreasing the impact of mental disorders across the lifespan.
Our review highlights the discrepancy between demands and availability of mental healthcare for youth populations throughout the world. We describe some of the potential contributors to the current state of youth mental healthcare, such as problematic access to services, implementation deficiencies and inadequacy of policies. Recent innovative strategies to reduce these barriers are also presented.
儿童和青少年精神障碍所带来的负担已受到越来越多的关注。本综述探讨了全球范围内儿童和青少年精神卫生保健服务的现状。
当前研究表明,儿童和青少年群体的护理服务存在令人担忧的差距。在低收入和中等收入国家(LAMIC),儿童和青少年在总人口中的比例较高,需求、需求与获得青少年精神卫生保健服务之间的差距可能更大。青少年精神卫生保健可用资源的稀缺,尤其是在低收入和中等收入国家,是降低精神障碍对整个生命周期影响的主要障碍。
我们的综述突出了全球青少年群体精神卫生保健需求与可获得性之间的差异。我们描述了导致青少年精神卫生保健现状的一些潜在因素,如服务获取困难、实施缺陷和政策不足。还介绍了最近减少这些障碍的创新策略。