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关注中低收入国家心理健康干预创新模式的召唤。

Heeding the Call of an Innovative Paradigm for Mental Health Interventions in Low- and Middle-income Countries.

机构信息

Department of Psychiatry and Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, Ontario (MacDougall); Parkwood Institute Research, Lawson Health Research Institute, London, Ontario (MacDougall); School of Rehabilitation Therapy, Faculty of Health Sciences, Queen's University, Kingston, Ontario (Lysaght, Krupa); Department of Psychology, Faculty of Humanities and Social Sciences, Douglas College, New Westminster, British Columbia (Casey); School of Leadership and Social Change, Brescia University College, London, Ontario (Le Ber); Africa Mental Health and Training Foundation, Nairobi, Kenya (Mutiso, Ndetei).

出版信息

Psychiatr Serv. 2022 Jul;73(7):812-814. doi: 10.1176/appi.ps.202000125. Epub 2021 Nov 23.

Abstract

The provision of mental health care for people living in low- and middle-income countries presents a particularly complex problem because of fractured service availability and provision, widespread stigma associated with mental illness, and the economic burden inherent in conventional mental health service delivery. People with serious mental illness in these settings are among the most marginalized in their societies and are at risk of becoming increasingly powerless in the face of top-down, service-oriented systems. Innovative intersectoral approaches that are based on asset development and entrepreneurism and that embrace the power of peer-driven networks hold promise to effect transformative and meaningful change.

摘要

为中低收入国家的民众提供精神卫生保健服务是一个特别复杂的问题,因为这些国家的服务提供和可得性支离破碎,精神疾病污名化普遍存在,以及传统精神卫生服务提供方式本身存在经济负担。在这些环境中,患有严重精神疾病的人属于其社会中最边缘化的群体,他们面临着以服务为导向的自上而下的系统,变得越来越无能为力。以资产开发和创业精神为基础并利用同行驱动网络的创新性跨部门方法,有望带来变革性和有意义的变化。

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