Ali Alvina, Chakraborty Nandini
Child And Adolescent Psychiatrist, Child And Adolescent Mental Health Unit, Leicestershire Partnership NHS Trust, UK, email:
Consultant Psychiatrist, PEIR Team, Leicestershire Partnership NHS Trust, UK.
BJPsych Int. 2022 May;19(2):41-44. doi: 10.1192/bji.2021.32.
In the majority of low- and middle-income countries, mental healthcare is delivered by primary care workers. Often, they are the only contact for patients and their families. Although their knowledge base can be limited, they are expected to manage complex cases with few resources. The authors describe their experience of partnership with mental health centres set up by the Nigeria Health Care Project, and training their primary care workers based on the World Health Organization's Mental Health Gap Action Programme. Although the programme was very effective in helping to upskill their knowledge and experience, a need for continued professional development was highlighted. Based on their feedback, multiple evidence-based options are explored, including the use of remote learning and social media (increased significantly around the world because of the COVID-19 pandemic), to help primary care workers improve their knowledge base and maintain their competencies with the limited resources available.
在大多数低收入和中等收入国家，精神卫生保健由初级保健工作者提供。通常，他们是患者及其家属的唯一接触对象。尽管他们的知识储备可能有限，但却要在资源稀缺的情况下处理复杂病例。作者描述了他们与尼日利亚医疗保健项目设立的精神卫生中心合作的经历，以及根据世界卫生组织的精神卫生差距行动规划对其初级保健工作者进行培训的情况。尽管该项目在帮助提升他们的知识和经验方面非常有效，但仍凸显出持续专业发展的必要性。根据他们的反馈，探讨了多种循证方案，包括利用远程学习和社交媒体（由于新冠疫情在全球范围内使用量大幅增加），以帮助初级保健工作者在现有有限资源的情况下提高知识储备并维持其能力。
