Acharya Bibhav, Hirachan Soniya, Mandel Jeffery S, van Dyke Craig
University of California, San Francisco, San Francisco, CA, USA.
Shared Minds, Boston, MA, USA.
Acad Psychiatry. 2016 Aug;40(4):667-71. doi: 10.1007/s40596-016-0572-5. Epub 2016 Jun 3.
In low- and middle-income countries, the majority of individuals with mental illness go untreated largely because of a severe shortage of mental health professionals. Global initiatives to close the mental health treatment gap focus on primary care providers delivering this care. For this to be effective, primary care providers require the skills to assess, diagnose, and treat patients with mental illness.
To assess primary care providers' training and experience in caring for mental health patients, the authors conducted five focus groups at three isolated district hospitals in rural Nepal where there was no access to mental health professionals.
Primary care providers reported limited training, lack of knowledge and skills, and discomfort in delivering mental health care.
To address the mental health education gap, primary care providers in Nepal, and perhaps other low- and middle-income countries, require more training during both undergraduate and graduate medical education.
在低收入和中等收入国家，大多数精神疾病患者未得到治疗，主要原因是精神卫生专业人员严重短缺。全球缩小精神卫生治疗差距的倡议侧重于由初级保健提供者提供此类护理。要使其有效，初级保健提供者需要具备评估、诊断和治疗精神疾病患者的技能。
为评估初级保健提供者在护理精神卫生患者方面的培训和经验，作者在尼泊尔农村地区三家与世隔绝的 district 医院开展了五个焦点小组访谈，这些医院无法获得精神卫生专业人员的服务。
初级保健提供者报告称培训有限、缺乏知识和技能，并且在提供精神卫生护理方面感到不自在。
为弥补精神卫生教育差距，尼泊尔以及其他低收入和中等收入国家的初级保健提供者在本科和研究生医学教育期间都需要接受更多培训。
