Mount Sinai Program in Global Mental Health (Katz, Sacco, Schuetz-Mueller) and the Department of Psychiatry (Katz and Schuetz-Mueller), Icahn School of Medicine at Mount Sinai, New York; Liberia Ministry of Health, Monrovia (Washington). Kathleen M. Pike, Ph.D., and Pamela Scorza, Sc.D., M.P.H., are editors of this column.
Psychiatr Serv. 2019 Mar 1;70(3):243-246. doi: 10.1176/appi.ps.201800363. Epub 2018 Nov 30.
Worldwide, attention to mental disorders lags far behind the staggering morbidity attributed to them. In low-resource settings, the majority of people with serious mental illness go untreated, and a major reason for this treatment gap is the worldwide shortage of mental health professionals. In Liberia, this shortfall has been addressed by training and licensing nurses, midwives, and physician assistants as mental health clinicians (MHCs) via an intensive 6-month training program. This column describes a pilot program utilizing senior American psychiatry residents to provide remote posttraining supervision to the MHCs via live teleconferencing.
在全球范围内，人们对精神障碍的关注远远落后于这些疾病所导致的惊人发病率。在资源匮乏的环境中，大多数患有严重精神疾病的人得不到治疗，造成这种治疗差距的一个主要原因是全球范围内精神卫生专业人员的短缺。在利比里亚，通过一项为期 6 个月的强化培训计划，培训和许可护士、助产士和医师助理成为精神健康临床医生（MHCs），从而解决了这一短缺问题。本专栏介绍了一个试点项目，利用资深美国精神病学住院医师通过实时远程会议为 MHCs 提供远程培训后监督。
