New York State Psychiatric Institute, Washington Heights Community Service, Columbia University Department of Psychiatry, 1051 Riverside Drive, Box 112, New York, NY 10032, USA.
Department of Psychiatry Center for Diversity, MGH Depression Clinical and Research Program (DCRP), Harvard Medical School (HMS), HMS, Massachusetts General Hospital (MGH), One Bowdoin Square, 6th Floor, Boston, MA 02114-2790, USA.
Psychiatr Clin North Am. 2020 Sep;43(3):415-428. doi: 10.1016/j.psc.2020.05.001. Epub 2020 Jul 15.
Significant mental health disparities persist in screening, diagnosis, and treatment for racial and ethnic minorities compared with non-Latinx white people. Reducing mental health disparities, and ultimately achieving mental health equity, requires understanding the wide range of factors that influence health outcomes at multiple levels. Components of an effective strategy to achieve mental health equity include increasing population-based care; increasing community-based health care services; addressing the social determinants of health; engaging the community; enhancing the pipeline; and supporting a diverse, structurally competent workforce.
与非拉丁裔白人相比，在少数民族的筛查、诊断和治疗方面，仍存在显著的心理健康差距。缩小心理健康差距，最终实现心理健康公平，需要了解在多个层面上影响健康结果的广泛因素。实现心理健康公平的有效策略的组成部分包括：增加基于人群的护理；增加社区卫生保健服务；解决健康的社会决定因素；让社区参与进来；加强人才储备；支持多样化、结构上有能力的劳动力。
