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瓦努阿图精神病学指导计划:支持太平洋地区新兴心理健康服务的发展。

The Vanuatu Psychiatry Mentorship Programme: supporting the development of a fledgling mental health service in the Pacific.

作者信息

Obed Jimmy, Bush Allister, Stathis Stephen, Hunter Ernest

机构信息

Senior Registrar Mental Health, Vila Central Hospital, Vanuatu.

Child and Adolescent Psychiatrist, Pasifika Child and Adolescent Mental Health Service, Capital Coast District Health Board, Porirua, New Zealand.

出版信息

Australas Psychiatry. 2020 Feb;28(1):24-26. doi: 10.1177/1039856219866370. Epub 2019 Sep 2.

DOI:10.1177/1039856219866370
PMID:31475568
Abstract

OBJECTIVE

To describe the Vanuatu Psychiatry Mentorship Programme (VPMP) set up to support the sole mental health doctor and local nurses developing mental health service capacity in Vanuatu.

METHOD

Following a request from Vanuatu, the VPMP was set up under the auspices of the Faculty of Child and Adolescent Psychiatry of the Royal Australian and New Zealand College of Psychiatrists (the College) with three components: regular online supervision, yearly onsite visits and advice over the Internet on an as-required basis.

RESULTS

Onsite visits undertaken by three VPMP psychiatrists provided opportunities for mentoring and teaching activities related to clinical psychiatry, community liaison, social and ethical considerations and mental health policy matters. Online supervision sessions were initially hampered by technology difficulties. Ad hoc advice over the Internet allowed more rapid responses in complex acute psychiatry cases.

CONCLUSIONS

Structured mentoring programmes can play a role in supporting the development of mental health capacity in low-resourced Pacific nations. Such programmes are likely to be more useful for Pacific participants if they are flexible, ongoing, sustained by support from the College and reviewed regularly.

摘要

目的

描述瓦努阿图精神病学指导计划(VPMP),该计划旨在支持瓦努阿图唯一的精神科医生和当地护士发展精神卫生服务能力。

方法

应瓦努阿图的请求,VPMP在澳大利亚和新西兰皇家精神科医学院儿童与青少年精神病学系(该学院)的主持下设立,包括三个组成部分:定期在线监督、每年的现场访问以及根据需要通过互联网提供建议。

结果

三名VPMP精神科医生进行的现场访问为与临床精神病学、社区联络、社会和伦理考量以及精神卫生政策事务相关的指导和教学活动提供了机会。在线监督会议最初受到技术困难的阻碍。通过互联网提供的临时建议能在复杂的急性精神病病例中做出更快速的反应。

结论

结构化的指导计划可以在支持资源匮乏的太平洋国家发展精神卫生能力方面发挥作用。如果此类计划灵活、持续、得到学院的支持并定期进行审查,那么它们对太平洋地区的参与者可能会更有用。

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Australas Psychiatry. 2020 Feb;28(1):24-26. doi: 10.1177/1039856219866370. Epub 2019 Sep 2.
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