Department of Clinical Sciences, University of Houston College of Medicine, Health 2 Building, 4849 Calhoun Road, Room 6014, Houston, TX 77201-6064, USA.
Columbia University, Vagelos College of Physicians and Surgeons, New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY 10032, USA.
Psychiatr Clin North Am. 2020 Sep;43(3):439-450. doi: 10.1016/j.psc.2020.05.004. Epub 2020 Jul 15.
This article offers a brief history of mental health policies that have shaped current inequities in health care financing and service delivery. Mental health has a unique position within the health care system given the pervasive nature of stigma associated with illness; race and ethnicity often amplify this burden. The acknowledgment of disparities in mental health and the development of policies that address the needs of minority groups are relatively recent phenomena. Highlighted are legislative actions that have influenced reforms of the health care landscape. This text outlines opportunities to advance a targeted, community-based approach to mental health policy development.
本文简要回顾了心理健康政策的历史，这些政策塑造了当前医疗保健融资和服务提供方面的不平等。鉴于与疾病相关的污名具有普遍性，心理健康在医疗保健系统中具有独特的地位；种族和民族往往会加剧这种负担。承认心理健康方面的差异以及制定满足少数群体需求的政策是相对较新的现象。本文重点介绍了影响医疗保健领域改革的立法行动。本文概述了为精神卫生政策制定提供以社区为基础的有针对性方法的机会。
