George Mason University, College of Public Health, Department of Social Work.
University of North Carolina-Charlotte, Department of Psychological Sciences.
Am J Orthopsychiatry. 2024;94(4):392-402. doi: 10.1037/ort0000773.
Mental health, historically framed as the mere absence of mental health disorders, has led to unequal treatment, resulting in more persons living with mental health challenges. This limited framing of mental health, often woven into policy and practices across a broad range of governance structures, programs, and services, has led to individual and collective discrimination and structural and systemic inequities, culminating in the infringement of fundamental human rights. Using a broader framework for viewing mental health (e.g., mental health as a continuum), the authors of this article propose that a right to mental health should form the basis of mental health policy. The article also considers the impact of stigma and discrimination and the implications of social determinants of health in forwarding a rights-based approach to mental health policy. The authors conduct a trends analysis of 80 years of United States' mental health policy and reflect on how social determinants and efforts to reduce stigma and discrimination have led to measurable progress toward achieving mental health equity. The Call-to-Action highlights opportunities to further support mental health and wellness through the use of interdisciplinary policy and practice recommendations that include the framing of mental health as a human right. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
心理健康,从历史上看,被定义为仅仅没有心理健康障碍,这导致了不平等的待遇,使更多的人面临心理健康挑战。这种对心理健康的有限定义,通常被编织在广泛的治理结构、项目和服务的政策和实践中,导致了个人和集体的歧视以及结构性和系统性的不平等,最终侵犯了基本人权。本文的作者采用更广泛的心理健康框架(例如,将心理健康视为一个连续体),提出心理健康权应成为心理健康政策的基础。本文还考虑了污名和歧视的影响以及健康社会决定因素对推进基于权利的心理健康政策的影响。作者对美国 80 年来的心理健康政策进行了趋势分析,并反思了社会决定因素和减少污名和歧视的努力如何在实现心理健康公平方面取得了可衡量的进展。行动呼吁强调了通过使用包括将心理健康定义为人权在内的跨学科政策和实践建议来进一步支持心理健康和健康的机会。(PsycInfo 数据库记录(c)2024 APA,保留所有权利)。