Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham, Birmingham, AL, USA.
Psychiatr Clin North Am. 2020 Sep;43(3):511-524. doi: 10.1016/j.psc.2020.06.002. Epub 2020 Jul 11.
There are historical predicates for the inequities noted in present-day community mental health. Stigma has led to discrimination for those living with mental illness. It is more difficult for research to occur, and to access care (prevention, early identification, evidence-based treatment services) because funding is limited and workforce development curtailed. Strategies to decrease stigma are suggested, means to enhance funding are offered, and models for workforce development are noted. Different treatment delivery systems are suggested to recruit and retain sufficient numbers of culturally competent and trauma-informed providers, so as to maximize access to necessary services.
目前社区心理健康中存在的不平等现象有其历史根源。污名化导致了精神疾病患者受到歧视。由于资金有限和劳动力发展受到限制，研究和获得护理（预防、早期识别、循证治疗服务）更加困难。本文提出了减少污名化的策略，提供了增加资金的手段，并指出了劳动力发展的模式。建议采用不同的治疗提供系统来招募和留住足够数量的文化能力强且具有创伤知情意识的提供者，从而最大限度地获得必要的服务。
