Global Health Program, NYU School of Global Public Health, New York, NY 10003, USA.
Department of Social and Behavioral Sciences, NYU School of Global Public Health, New York, NY 10003, USA.
Int J Environ Res Public Health. 2023 May 31;20(11):6006. doi: 10.3390/ijerph20116006.
The COVID-19 pandemic has further aggravated the burden of mental health and presents an opportunity for public health research to focus on evidence-based interventions appropriate for populations residing in resource-constrained, post-conflict settings. Post-conflict settings have a higher service gap in mental health and fewer protective factors, such as economic and domestic security. Post-conflict settings are defined as locations where open warfare has ended but resulting challenges have remained for years. A strong emphasis on the engagement of diverse stakeholders is needed to arrive at sustainable and scalable solutions to mental health service delivery. This review discusses mental health service delivery gaps in post-conflict settings, highlights the urgency of the matter in the context of the COVID-19 pandemic, and provides recommendations for service gaps from evidence-based case study exemplars with an implementation science lens using the Consolidated Framework for Implementation Research (CFIR) as guide to improving adaptation and uptake.
新冠疫情大流行进一步加重了精神卫生负担,为公共卫生研究提供了一个机会,重点关注适合资源有限、冲突后环境中人群的基于证据的干预措施。冲突后环境中精神卫生服务差距更大,保护因素更少,如经济和国内安全。冲突后环境是指公开战争已经结束但多年来仍存在挑战的地方。需要大力强调让不同利益攸关方参与,以找到可持续和可扩展的精神卫生服务提供解决方案。本综述讨论了冲突后环境中的精神卫生服务提供差距,强调了在新冠疫情背景下解决这一问题的紧迫性,并从基于证据的案例研究范例中提供了服务差距建议,使用实施科学视角和实施研究综合框架 (CFIR) 作为指南,以改善适应性和采用率。