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本文引用的文献

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Karnataka telemedicine mentoring and monitoring program for complete integration of psychiatry in the general health care.卡纳塔克邦远程医疗指导与监测项目，旨在将精神病学全面融入普通医疗保健。
Indian J Psychiatry. 2021 Mar-Apr;63(2):171-174. doi: 10.4103/psychiatry.IndianJPsychiatry_134_20. Epub 2021 Apr 14.
2
Identification of Psychiatric Disorders by Rural Grass-Root Health Workers: Case Series & Implications for the National Mental Health Program of India.农村基层卫生工作者识别精神障碍：病例系列及对印度国家心理健康计划的启示。
Psychiatr Q. 2021 Mar;92(1):389-395. doi: 10.1007/s11126-020-09807-5.
3
What do Accredited Social Health Activists need to provide comprehensive care that incorporates non-communicable diseases? Findings from a qualitative study in Andhra Pradesh, India.认证社会卫生活动家需要提供哪些综合护理才能包含非传染性疾病？来自印度安得拉邦的定性研究结果。
Hum Resour Health. 2019 Oct 22;17(1):73. doi: 10.1186/s12960-019-0418-9.
4
Psychotropic medication non-adherence and associated factors among adult patients with major psychiatric disorders: a protocol for a systematic review.精神科药物不依从与成年重性精神障碍患者相关因素：系统评价方案
Syst Rev. 2018 Jan 22;7(1):10. doi: 10.1186/s13643-018-0676-y.
5
Community health workers in rural India: analysing the opportunities and challenges Accredited Social Health Activists (ASHAs) face in realising their multiple roles.印度农村地区的社区卫生工作者：分析经认证的社会健康活动家（ASHAs）在履行其多重角色时所面临的机遇与挑战。
Hum Resour Health. 2015 Dec 9;13:95. doi: 10.1186/s12960-015-0094-3.
6
Factors influencing access to psychiatric treatment in persons with schizophrenia: A qualitative study in a rural community.影响精神分裂症患者获得精神治疗的因素：农村社区的定性研究。
Indian J Psychiatry. 2014 Jan;56(1):54-60. doi: 10.4103/0019-5545.124714.
7
Economic evaluation of a task-shifting intervention for common mental disorders in India.印度常见精神障碍任务转移干预的经济评价。
Bull World Health Organ. 2012 Nov 1;90(11):813-21. doi: 10.2471/BLT.12.104133. Epub 2012 Sep 14.
8
A mental health training program for community health workers in India: impact on knowledge and attitudes.印度社区卫生工作者心理健康培训计划：对知识和态度的影响。
Int J Ment Health Syst. 2011 Aug 5;5(1):17. doi: 10.1186/1752-4458-5-17.
9
Community health workers in global health: scale and scalability.全球卫生领域的社区卫生工作者：规模与可扩展性
Mt Sinai J Med. 2011 May-Jun;78(3):419-35. doi: 10.1002/msj.20260.
10
Tying their hands? Institutional obstacles to the success of the ASHA community health worker programme in rural north India.束缚他们的双手？印度北部农村地区促进印度社会健康活动者社区卫生工作者项目成功实施的制度障碍。
AIDS Care. 2010;22 Suppl 2:1606-12. doi: 10.1080/09540121.2010.507751.

认证社会卫生活动家 (ASHA) 及其在地区心理健康计划中的作用：从新冠疫情中吸取的经验教训。

Accredited Social Health Activist (ASHA) and Her Role in District Mental Health Program: Learnings from the COVID 19 Pandemic.

机构信息

Community Psychiatry Unit, Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, Karnataka, 560029, India.

Department of Health and Family Welfare, Government of Karnataka, Bengaluru, Karnataka, India.

出版信息

Community Ment Health J. 2021 Apr;57(3):442-445. doi: 10.1007/s10597-021-00773-1. Epub 2021 Jan 16.

DOI:10.1007/s10597-021-00773-1
PMID:33452947
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7811346/
Abstract

COVID 19 pandemic has posed challenges for public mental healthcare delivery, particularly in LAMI countries such as India. However, this unique situation has also brought in opportunities to revisit the health system and optimally utilize the available resources. In this brief report, we report one such new initiative in which existing community health workers (CHWs), known as ASHAs (Accredited Social Health Activist) acted as a bridge between patients with mental illness and the District Mental Health Program (DMHP) of Ramanagara district of Karnataka State, India. They maintained continuity of care of 76 patients by delivering mental healthcare services to the patients' doorstep. This has paved the way to rethink and revisit their role in public mental healthcare delivery not only during COVID 19 times, but also beyond.

摘要

COVID-19 大流行给公共精神卫生保健服务带来了挑战，特别是在印度等 LAMI 国家。然而，这种独特的情况也为重新审视卫生系统和最佳利用现有资源提供了机会。在这份简短的报告中，我们报告了一项新举措，即利用现有的社区卫生工作者（称为 ASHAs）作为桥梁，将精神病患者与印度卡纳塔克邦拉马纳加拉区的地区精神卫生计划（DMHP）联系起来。他们通过上门为 76 名患者提供精神卫生服务，保持了患者的护理连续性。这为重新思考和重新审视他们在公共精神卫生保健服务中的作用铺平了道路，不仅在 COVID-19 期间，而且在以后也是如此。