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减少未来创伤风险:论全球灾害政策在特定卫生领域和既定实践领域的融合。

Reducing the Future Risk of Trauma: On the Integration of Global Disaster Policy within Specific Health Domains and Established Fields of Practice.

机构信息

Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC 3010, Australia.

Disaster Research Unit, Department of Political and Social Sciences, Free University of Berlin, 12165 Berlin, Germany.

出版信息

Int J Environ Res Public Health. 2018 Sep 5;15(9):1932. doi: 10.3390/ijerph15091932.

Abstract

The global increase in the frequency and severity of natural hazards and extreme climatic events necessitates more efficient global and national strategies to reduce the likelihood and impact of traumatic consequences for disaster-affected populations. The recent inclusion of mental health in the Sendai Framework for Disaster Risk Reduction marks a pivotal point in the recognition of the significant burden of disasters on mental health, and a global commitment to reducing its impacts. Nevertheless, effective agreement implementation and efforts to reduce disaster mental health risks are facing significant challenges. These include a lack of clarity about the conceptual interlinkages and place of disaster risk reduction principles within the field of disaster mental health, which is traditionally marked by a prevailing recovery orientation, and the need for effective translation into disaster mental health policy and practice. Therefore, this study drew on data from interviews with European disaster mental health and risk reduction experts in order to appraise the merit and implications of a global disaster risk reduction policy for advancing population mental health in the context of disaster. Study findings outline existing opportunities, challenges, and key strategies for the integration of disaster risk reduction within disaster mental health policy and practice.

摘要

全球范围内自然灾害和极端气候事件的频率和严重程度不断增加,这就需要更有效的全球和国家战略,以降低受灾人群受到创伤性后果的可能性和影响。最近,《仙台减少灾害风险框架》将心理健康纳入其中,这标志着人们认识到灾害对心理健康造成的巨大负担以及全球减少其影响的承诺达到了一个关键的转折点。然而,有效的协议实施和减少灾害心理健康风险的努力仍面临重大挑战。这些挑战包括:缺乏对灾害风险减少原则在灾害心理健康领域中的概念相互联系和地位的明确认识,该领域传统上以复苏为导向;需要将其有效转化为灾害心理健康政策和实践。因此,本研究利用了对欧洲灾害心理健康和减少风险专家的访谈数据,以评估全球减少灾害风险政策在灾害背景下促进人口心理健康的价值和意义。研究结果概述了将减少灾害风险纳入灾害心理健康政策和实践的现有机会、挑战和关键战略。

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