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人群心理健康科学:指导原则和初步议程。

Population mental health science: Guiding principles and initial agenda.

机构信息

Sanford School of Public Policy, Duke University.

American Psychological Association.

出版信息

Am Psychol. 2024 Sep;79(6):805-823. doi: 10.1037/amp0001334. Epub 2024 Jun 3.

Abstract

A recent American Psychological Association Summit provided an urgent call to transform psychological science and practice away from a solely individual-level focus to become accountable for population-level impact on health and mental health. A population focus ensures the mental health of all children, adolescents, and adults and the elimination of inequities across groups. Science must guide three components of this transformation. First, effective individual-level interventions must be scaled up to the population level using principles from implementation science, investing in novel intervention delivery systems (e.g., online, mobile application, text, interactive voice response, and machine learning-based), harnessing the strength of diverse providers, and forging culturally informed adaptations. Second, policy-driven community-level interventions must be innovated and tested, such as public efforts to promote physical activity, public policies to support families in early life, and regulation of corporal punishment in schools. Third, transformation is needed to create a new system of universal primary care for mental health, based on models such as Family Connects, Triple P, PROmoting School-community-university Partnerships to Enhance Resilience, Communities That Care, and the Early Childhood Collaborative of the Pittsburgh Study. This new system must incorporate valid measurement, universal screening, and a community-based infrastructure for service delivery. Addressing tasks ahead, including scientific creativity and discovery, rigorous evaluation, and community accountability, will lead to a comprehensive strategic plan to shape the emergent field of public mental health. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

摘要

最近,美国心理协会峰会发出紧急呼吁,要求将心理学科学和实践从单纯的个体层面关注转变为对健康和心理健康的人口层面影响负责。关注人口层面可以确保所有儿童、青少年和成年人的心理健康,并消除群体之间的不平等。科学必须指导这一转变的三个组成部分。首先,必须利用实施科学的原则,将有效的个体层面干预措施扩大到人口层面,投资于新的干预传递系统(例如在线、移动应用、短信、交互式语音应答和基于机器学习的系统),利用各种提供者的优势,并进行文化上有针对性的调整。其次,必须创新和测试以政策为驱动的社区层面干预措施,例如促进体育活动的公共努力、支持早期生活中家庭的公共政策以及规范学校中的体罚行为。第三,需要进行转变,以建立一个新的全民初级保健心理健康系统,该系统基于 Family Connects、Triple P、促进学校-社区-大学伙伴关系以增强韧性、关注社区和匹兹堡研究的幼儿合作等模式。这个新系统必须包含有效的测量、普遍筛查和基于社区的服务交付基础设施。解决未来的任务,包括科学创造力和发现、严格评估和社区问责制,将导致制定一个全面的战略计划,以塑造新兴的公共心理健康领域。(PsycInfo 数据库记录(c)2024 APA,保留所有权利)。

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