Priebe Stefan, Reininghaus Ulrich
Centre for Mental Health Research, City, University of London, London, UK.
Central Institute of Mental Health, University of Heidelberg, Mannheim, Germany.
Psychol Med. 2024 Sep 10;54(13):1-3. doi: 10.1017/S0033291724001478.
Common approaches for improving the mental health of the population in general and of vulnerable groups in particular include policies to address social determinants and the expansion of professional health services. Both approaches have substantial limitations in practice. A more promising option is actions that utilize resources that either already exist or can easily be generated in local communities. Examples are provided for various local initiatives with the potential to facilitate helpful interactions and relationships that are likely to benefit the mental health of significant parts of the population. Developing and implementing such initiatives is a challenge to communities, while their evaluation may require innovative methods in research.
改善普通人群尤其是弱势群体心理健康的常见方法包括解决社会决定因素的政策以及扩大专业医疗服务。这两种方法在实践中都有很大局限性。一个更有前景的选择是利用当地社区现有或易于产生的资源采取行动。文中列举了各种当地倡议的例子，这些倡议有可能促进有益的互动和关系，从而可能使相当一部分人的心理健康受益。制定和实施这些倡议对社区来说是一项挑战，而对它们的评估可能需要创新的研究方法。
