de Jong Joop, Komproe Ivan, Van Ommeren Mark
Transcultural Psychosocial Organisation, WHO Collaborating Center (Ethnic Minorities and Refugees), Keizersgracht 329, 1016 EE Amsterdam, The Netherlands, email
Int Psychiatry. 2003 Jul 1;1(1):8-9. eCollection 2003 Jul.
The consequences of terrorism, wars and natural disasters are a challenge to the psychiatric profession. The large numbers of people estimated to have mental health problems surpass the capacities of existing mental health services, whether modern or traditional. The bulk of the 35 million refugees and internally displaced people worldwide reside in countries that, on average, have less than one psychiatrist or psychologist per 100 000 people (WHO, 2001). Even the 500 000 people estimated to need some form of psychological support after the attack in New York on 11 September 2001 exceeded the service capacity, despite the fact that New York has the highest density of mental health professionals in the world (Herman & Susser, this issue, pp. 2-4). Elsewhere, many survivors of various types of disaster reside in peripheral areas of countries and are not covered by modern mental health services.
恐怖主义、战争和自然灾害的后果对精神科专业构成了挑战。据估计,有心理健康问题的人数众多,超过了现有心理健康服务机构的能力,无论是现代的还是传统的。全球3500万难民和境内流离失所者大多居住在平均每10万人中精神病医生或心理学家不足一人的国家(世界卫生组织,2001年)。即使是2001年9月11日纽约袭击事件后估计有50万人需要某种形式心理支持的情况,也超出了服务能力,尽管纽约是世界上精神卫生专业人员密度最高的地方(赫尔曼和苏瑟,本期,第2 - 4页)。在其他地方,各种灾难的许多幸存者居住在各国的边缘地区,得不到现代心理健康服务的覆盖。