Inter-University Research of Local Development (IidL) and Social Work and Social Services Department, University of Valencia, Valencia, Spain.
Basic Psychology Department, University of Valencia, Valencia, Spain.
Health Soc Care Community. 2020 Sep;28(5):1366-1379. doi: 10.1111/hsc.12968. Epub 2020 Mar 1.
The aim of this systematic integrative review is to analyse the challenges and barriers found in mental healthcare systems and the impact they have on the family. Searches were made of the Web of Science, Scopus, Medline and Cochrane databases using terms relating to mental health, family care and healthcare systems. We included and critically evaluated studies published in English between 2015 and 2019 that directly or indirectly analysed public mental health policies and the consequences they have for the family. We analysed our findings following the inductive content analysis approach. A total of 32 articles that met quality indicators were identified. Very closely related structural, cultural, economic and healthcare barriers were found that contribute to the treatment gap in mental health. The family covers the care systems' deficiencies and weaknesses, and this leads to overload and a diminishing quality of life for caregivers. It is acknowledged that people with mental illness and their families should be able to participate in the development of policies and thus contribute to strengthening mental healthcare systems worldwide.
本系统综述的目的是分析精神卫生保健系统中发现的挑战和障碍及其对家庭的影响。我们使用与心理健康、家庭护理和医疗保健系统相关的术语，在 Web of Science、Scopus、Medline 和 Cochrane 数据库中进行了检索。我们纳入并批判性评估了 2015 年至 2019 年间以英文发表的直接或间接分析公共精神卫生政策及其对家庭影响的研究。我们按照归纳内容分析方法分析研究结果。确定了 32 篇符合质量指标的文章。发现了非常密切相关的结构、文化、经济和医疗保健障碍，这些障碍导致精神卫生治疗差距的产生。家庭弥补了护理系统的不足和弱点，这导致照顾者负担过重，生活质量下降。人们承认，精神疾病患者及其家属应该能够参与政策的制定，从而有助于加强全球精神卫生保健系统。
