Lisbon Institute of Global Mental Health, Lisbon, Portugal.
Epidemiol Psychiatr Sci. 2022 Jul 14;31:e53. doi: 10.1017/S2045796022000373.
The new WHO World Health Report on Mental Health includes a comprehensive and updated assessment of the current mental health situation at the global level, a critical and well-documented reflexion on the progresses achieved and the failures registered in global mental health, and an indication of the paths and strategies that should be prioritised to ensure the transformations that are urgently needed. The report offers significant enrichments on different areas like social determinants, premature mortality of persons suffering from mental disability, the negative aspects of the persistence of inpatient institutions, the role of people with lived experience as important agents of change, the importance of child and adolescent mental health. The present Editorial stresses the importance of Deinstitutionalisation as a cross-cutting element of health policy, plans, budgeting and service organisation and draws attention to the fact that the ubiquitous persistence of large psychiatric institutions is a clear indicator that reality is far from declarations despite the UN Convention on the Rights of Persons with Disability.
世界卫生组织新的《世界卫生报告》关注精神健康,其中全面而详尽地评估了当前全球的精神健康状况,对全球精神卫生领域所取得的进展和遭遇的挫折进行了批判性的反思,还指明了应优先选择的路径和战略,以确保实现紧急需求的转变。该报告在社会决定因素、精神残疾患者过早死亡、住院机构持续存在的负面影响、有精神健康问题经历的人作为重要变革推动者的作用、儿童和青少年精神健康等不同领域提供了重要的补充。本社论强调了去机构化作为卫生政策、计划、预算编制和服务组织的跨领域要素的重要性,并提请注意这样一个事实,即尽管存在《联合国残疾人权利公约》,但无处不在的大型精神病机构的大量存在清楚地表明,现实与宣言相去甚远。