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实施国家心理健康项目:地方领导人的观点及国家行动的经验教训

Implementing National Mental Health Program: Local leaders' perspectives and lessons for national action.

作者信息

Chander Kalaivanan Rakesh, Basavaraju Vinay, Sadh Kamaldeep, Rahul Patley, Harihara Nagabhushana Shashidhara, Manjunatha Narayana, Kumar Channaveerachari Naveen, Math Suresh Bada

机构信息

Department of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru 560029, India.

Department of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru 560029, India.

出版信息

Asian J Psychiatr. 2020 Oct;53:102233. doi: 10.1016/j.ajp.2020.102233. Epub 2020 Jun 20.

Abstract

The article is about a set of leadership programs on 'mental health leadership under NMHP' that was completed for 161 participants who are the district level health authorities and service providers (psychiatrists, psychologists, nurses and social workers) by the Community Psychiatry Unit of the Department of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru. The overarching aim of these programs was to provide an impetus to mental health leadership at district levels that could enable them to upscale public mental healthcare delivery. Upon completion of the program, 109 participants provided a feedback on the content of the program. Majority (98 %) were satisfied with the format of the program in which it was conducted and felt that their expectations were either partially or completely satisfied with appropriate content (93 %). The health authorities (43 %) gained better insights into the magnitude of mental health concerns and agreed that mental health service delivery should scale up. The service providers (17 %) felt the need to upgrade their skills in specialty areas of psychiatry in order to gear up for comprehensive mental health care delivery. Finally, the authors argue that such local level learnings should drive the policy making at the national level.

摘要

这篇文章讲述的是由班加罗尔国家精神卫生和神经科学研究所(NIMHANS)精神病学系社区精神病学部门为161名地区级卫生当局和服务提供者(精神科医生、心理学家、护士和社会工作者)完成的一系列关于“国家精神卫生计划下的心理健康领导力”的领导力项目。这些项目的总体目标是推动地区层面的心理健康领导力,使他们能够提升公共精神卫生保健服务的提供。项目结束后,109名参与者对项目内容提供了反馈。大多数(98%)对项目的开展形式感到满意,并认为他们的期望通过适当的内容得到了部分或完全满足(93%)。卫生当局(43%)对心理健康问题的严重程度有了更深入的了解,并一致认为精神卫生服务的提供应该扩大规模。服务提供者(17%)感到有必要提升他们在精神病学专业领域的技能,以便为全面的精神卫生保健服务做好准备。最后,作者认为这种地方层面的经验教训应该推动国家层面的政策制定。

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