Center of Complex Interventions, Center of Addiction and Mental Health.
Am Psychol. 2021 Dec;76(9):1457-1467. doi: 10.1037/amp0000944.
Evidence-based psychological treatments are among the most effective interventions in medicine and are recommended as the first line of treatment to address the significant burden of depression, anxiety, and stress-related disorders worldwide. Despite this evidence, these treatments remain inaccessible for the great majority of the world's population. Global Mental Health (GMH) is an evolving discipline of research and practice that places a priority on improving mental health and achieving equity in mental health for all people worldwide. Equity is a driving principle, and this recognizes that inequalities exist within all nations and between nations. At the heart of this equity, there is the need for person-centered care. This essay discusses how GMH has sought to address a range of barriers to scale up the delivery of psychological treatments for common mental disorders. While the initial focus of the field has been to address access to quality care in low- and middle-income countries, this article also draws attention to how similar strategies are being implemented at scale in some high-income countries, with appropriate modifications to suit the context. In considering some of these evidence-based, contextually driven strategies, psychological communities have potential to address the growing burden of depression and anxiety worldwide. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
循证心理治疗是医学中最有效的干预措施之一，被推荐作为解决全球范围内抑郁、焦虑和与压力相关障碍的主要负担的一线治疗方法。尽管有这一证据，但这些治疗方法对世界上绝大多数人来说仍然难以获得。全球心理健康（GMH）是一个不断发展的研究和实践学科，它优先重视改善全球所有人的心理健康并实现心理健康公平。公平是一个推动原则，这认识到不平等现象存在于所有国家内部和国家之间。这一公平的核心是需要以人为本的护理。本文讨论了 GMH 如何努力解决一系列障碍，以扩大常见精神障碍的心理治疗服务规模。虽然该领域最初的重点是解决中低收入国家获得高质量护理的问题，但本文还提请注意，在一些高收入国家，如何在规模上实施类似的策略，并根据具体情况进行适当调整。在考虑一些基于证据、具有背景驱动的策略时，心理界有可能解决全球范围内日益增长的抑郁和焦虑负担。（PsycInfo 数据库记录（c）2022 APA，保留所有权利）。
