Belz Franz F, Vega Potler Natan J, Johnson Isaac N S, Wolthusen Rick P F
School of Medicine (Belz) and Department of Psychiatry & Behavioral Sciences (Wolthusen), Duke University, Durham, North Carolina; Department of Child and Adolescent Psychiatry, Grossman School of Medicine, New York University, New York City (Vega Potler); Yale Child Study Center, Yale University, New Haven (Johnson).
Psychiatr Serv. 2024 Jul 1;75(7):699-702. doi: 10.1176/appi.ps.20230348. Epub 2024 Jan 31.
The United States is facing a mental health workforce shortage, exacerbated by the COVID-19 pandemic. Low- and middle-income countries (LMICs) have historically grappled with even greater shortages. Therefore, LMICs have thought creatively about expanding the mental health workforce and the settings in which to deliver evidence-based and equitable mental health care. The authors introduce some mental health interventions in LMICs, describe evidence of the efficacy of these interventions gleaned from this context, and discuss the applicability of these interventions to the United States. The authors also reflect on the benefits and challenges of implementing these interventions in the U.S. mental health care system to alleviate its current workforce shortage.
美国正面临心理健康工作人员短缺的问题，而新冠疫情使这一问题更加恶化。历史上，低收入和中等收入国家（LMICs）一直面临着更为严重的短缺问题。因此，低收入和中等收入国家一直在创造性地思考如何扩大心理健康工作人员队伍以及提供循证且公平的心理健康护理的场所。作者介绍了一些低收入和中等收入国家的心理健康干预措施，描述了在此背景下这些干预措施有效性的证据，并讨论了这些干预措施在美国的适用性。作者还反思了在美国心理健康护理系统中实施这些干预措施以缓解当前工作人员短缺问题的益处和挑战。
