Damari Behzad, Sharifi Vandad, Asgardoon Mohammad Hossein, Hajebi Ahmad
Department of Governance and Health, Neuroscience Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Department of Psychiatry, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Iran J Psychiatry. 2021 Jan;16(1):76-86. doi: 10.18502/ijps.v16i1.5382.
The social component of health plays a significant role in improving the mental health of the people of a district. A national program on providing comprehensive social and mental health services, entitled "SERAJ", was developed and piloted in three districts of Iran. The present study aims to determine its model for improving the indicators of the social component of mental health. This study is a system design for which a literature review, interviews with experts, and focused group discussions with stakeholders were used. Community action in promoting the mental health of the districts has three main components: strengthening intersectoral collaboration through the memorandum of understandings (MoU), increasing people's participation by establishing People's Participation House (PPH) with the presence of the representative of current People's network, and social protection of people suffering from mental disorders by establishing the Social Support Unit (SSU) for self-reliance activity. All three components are controlled by the governor and with supervision and technical consult of the health network of the district and stakeholder participation. The model uses the inner capacities of the city instead of creating new structures. The prerequisites for the effective function of the main three components are educating departments, educating members of the PPH, and hiring a social worker at the SSU. The effective measures taken by the departments to reduce the risk factors for mental disorders are dependent on the technical and financial support of relevant organizations at the provincial and national levels.
健康的社会组成部分在改善一个地区人民的心理健康方面发挥着重要作用。伊朗制定了一项名为“SERAJ”的全国性综合社会和心理健康服务计划,并在三个地区进行了试点。本研究旨在确定其改善心理健康社会组成部分指标的模式。 本研究是一项系统设计,采用了文献综述、专家访谈以及与利益相关者的焦点小组讨论。社区促进地区心理健康的行动有三个主要组成部分:通过谅解备忘录加强部门间合作,在现有人民网络代表在场的情况下设立人民参与之家以增加民众参与,以及通过设立社会支持单位开展自力更生活动对精神障碍患者进行社会保护。这三个组成部分均由省长控制,并在地区卫生网络和利益相关者参与的监督及技术咨询下进行。该模式利用城市的内在能力而非创建新的结构。这三个主要组成部分有效运作的前提条件是对各部门进行培训、对人民参与之家的成员进行培训,以及在社会支持单位雇用一名社会工作者。各部门为降低精神障碍风险因素所采取的有效措施取决于省级和国家级相关组织的技术和资金支持。