Lomax Silicia, Cafaro Cori L, Hassen Nadha, Whitlow Clysha, Magid Kirby, Jaffe Gita
Perelman School of Medicine.
College of Science and Health.
Am J Orthopsychiatry. 2022;92(3):364-370. doi: 10.1037/ort0000618. Epub 2022 Apr 7.
Applying a human rights lens to mental health and well-being will improve the systems that govern and operate U.S. society. Achieving this requires learning from successful approaches and scaling up the implementation of effective strategies that promote equity by actively addressing determinants and barriers across systems that impede overall health. As a country, the U.S. has shown significant success in innovation but has failed at taking successful programs and initiatives to scale. Having endured over a year of loss in education, social connection, and routines, the COVID-19 pandemic illuminated America's deeply rooted structural inequities that have worsened population mental health and well-being. Integrating mental health into institutions and systems, while recovering and rebuilding, must be at the forefront to provide a path for transformation. Three recommendations are derived from the strategies and initiatives described throughout this article that offer tangible steps for achieving wellbeing as a human right: 1. Embed mental health within and across all systems, and expand its definition across the continuum; 2. Prioritize prevention and health promotion through person-centered and community-driven strategies; and 3. Expand the diversification and training of the mental health workforce across sectors. The inequities addressed in this article are not the products of a global pandemic. Instead, they result from historical oppression, injustice, and inaction, exacerbated by the current context. Embedding a human rights approach to mental health in the United States is fundamental to individual and community well-being. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
从人权视角审视心理健康与幸福将改善管理和运作美国社会的体系。要实现这一点,需要借鉴成功方法,并扩大实施有效策略,通过积极应对阻碍整体健康的各系统中的决定因素和障碍来促进公平。作为一个国家,美国在创新方面取得了显著成功,但在将成功的项目和举措扩大规模方面却遭遇失败。在经历了一年多教育、社会联系和日常活动的缺失后,新冠疫情凸显了美国根深蒂固的结构性不平等,这些不平等加剧了民众的心理健康问题和幸福感缺失。在恢复和重建过程中,将心理健康融入机构和系统必须处于优先地位,以提供转型之路。本文所述的策略和举措得出了三项建议,为将幸福作为一项人权来实现提供了切实可行的步骤:1. 将心理健康融入所有系统并贯穿各系统,在整个连续过程中扩大其定义;2. 通过以人为本和社区驱动的策略优先开展预防和健康促进工作;3. 扩大跨部门心理健康工作队伍的多元化并加强培训。本文所探讨的不平等并非全球大流行造成的。相反,它们源于历史压迫、不公正和不作为,并因当前背景而加剧。在美国将人权方法融入心理健康对个人和社区幸福至关重要。(PsycInfo数据库记录(c)2022美国心理学会,保留所有权利)