Department of Social and Behavioral Sciences, College of Public Health, Temple University, Philadelphia. Ruth S. Shim, M.D., M.P.H., and Michael T. Compton, M.D., M.P.H., are editors of this column.
Psychiatr Serv. 2021 Jul 1;72(7):836-839. doi: 10.1176/appi.ps.202000394. Epub 2021 Mar 18.
It is well documented that individuals with serious mental illnesses are disadvantaged in their employment, educational attainment, social relationships, family relationships, and other areas, which are all social determinants of health. They are also the focus of community inclusion initiatives that are based in legal and human rights. This column reviews the history and development of the community inclusion concept and the health-related outcomes that are expected to result from community inclusion efforts. Incorporating fundamentals and indicators of community inclusion into mental health systems offers a paradigm for addressing social determinants and improving health as part of the larger health care agenda.
有大量文献记载表明，患有严重精神疾病的个体在就业、教育程度、社会关系、家庭关系和其他方面处于不利地位，而这些都是健康的社会决定因素。他们也是以法律和人权为基础的社区包容倡议的重点关注对象。本专栏回顾了社区包容概念的历史和发展，以及预期社区包容努力将带来的与健康相关的结果。将社区包容的基本原则和指标纳入精神卫生系统为解决社会决定因素和改善健康提供了一种模式，这也是更广泛的医疗保健议程的一部分。
