Jaung Michael, Jani Suni, Banu Sophia, Mackey Joy M
Department of Emergency Medicine, Baylor College of Medicine, 1504 Taub Loop, Houston, TX 77030, USA.
Massachusetts General Hospital, McLean Department of Child and Adolescent Psychiatry, Yawkey Center for Outpatient Care, 6A, 55 Fruit Street, Boston, MA 02114, USA.
Psychiatr Clin North Am. 2017 Sep;40(3):565-574. doi: 10.1016/j.psc.2017.05.015.
Mental health disorders are a major cause of morbidity and a growing burden in low-income and middle-income countries; but there is little existing literature on the detailed epidemiology, diagnosis, and treatment in low-resource settings. Special situations with vulnerable populations, such as those created by international humanitarian emergencies, refugees or internally displaced people, and victims of human trafficking, are increasing in prevalence. These victims are often resettled in developed countries and come to the emergency department seeking care. To better care for these populations, knowledge of specialized psychosocial and cultural considerations should inform the comprehensive psychiatric assessment and treatment plan.
心理健康障碍是低收入和中等收入国家发病的主要原因,且负担日益加重;但关于资源匮乏地区详细的流行病学、诊断和治疗的现有文献很少。弱势群体的特殊情况,如国际人道主义紧急情况、难民或境内流离失所者以及人口贩运受害者所造成的情况,其发生率正在上升。这些受害者往往在发达国家重新定居,并前往急诊科寻求治疗。为了更好地照顾这些人群,专业的社会心理和文化考量知识应贯穿于全面的精神科评估和治疗计划之中。