Lisbon Institute of Global Mental Health, Lisbon, Portugal.
Epidemiol Psychiatr Sci. 2019 Oct 11;29:e64. doi: 10.1017/S204579601900060X.
Global mental health (GMH) seems to enjoy increasing visibility in the global health and development discourse. However, this visibility implies also the urgency of addressing few questions about new priority setting in the domains of policy, care delivery, service organisation and research. Even before trying to answer these questions, rethinking more deeply the notion and implications of GMH seems to be a useful collective exercise. Some unanswered questions should be at the core of this exercise: Is GMH really global or rather Western? Is GMH concerned enough with local context? Is GMH too unbalanced towards a biomedical model? What are the consequences of the predominant emphasis given by GMH on common mental disorders and primary care level on people with severe mental disabilities? GMH is not global but rather it is hegemonised by western institutions. It would be useful to have an independent and very inclusive think tank which should promote a global debate on these issues and offer an unbiased support to WHO.
全球心理健康（GMH）似乎在全球健康和发展话语中越来越受到关注。然而，这种可见度也意味着需要解决一些关于政策、护理提供、服务组织和研究领域新重点制定的问题。甚至在试图回答这些问题之前，更深入地思考 GMH 的概念和影响似乎是一个有用的集体活动。一些未回答的问题应该是这个活动的核心：GMH 真的是全球性的还是更倾向于西方？GMH 是否足够关注当地背景？GMH 是否过于偏向生物医学模式？GMH 对常见精神障碍和初级保健水平的严重精神障碍患者给予过多关注的后果是什么？GMH 不是全球性的，而是被西方机构所主导。建立一个独立且包容性极强的智库将是有益的，该智库应该就这些问题促进全球辩论，并为世卫组织提供无偏见的支持。
