Climent C E, de Arango M V, León C A
Educ Med Salud. 1983;17(1):40-53.
About 90% of the 40 million victims of mental disorders in the developing countries receive no treatment, and little progress is being made in this respect. This article examines the use of new strategies for solving the problem. It is obvious that the traditional methods of mental health care have been ineffective and that new programs should now be undertaken that can ensure proper service within the coming decades for those being neglected. Based on the results of a practical experiment carried out in Colombia, the authors, without making any definitive recommendations, point to the usefulness of training auxiliary staff of urban and rural health centers to work as a team (under the supervision of a physician or a graduate nurse) in the care and management of psychiatric patients. They enumerate the advantages offered by training programs on various aspects of mental health for general practitioners (who usually have little interest in psychiatry), psychiatry residents, nurses, and auxiliaries.
发展中国家4000万精神障碍患者中，约90%未得到治疗，且在这方面进展甚微。本文探讨了解决该问题的新策略的应用。显然，传统的精神卫生保健方法效果不佳，现在应开展新的项目，以确保在未来几十年为那些被忽视的人提供适当的服务。基于在哥伦比亚进行的一项实际实验结果，作者在未提出任何明确建议的情况下，指出培训城乡卫生中心的辅助人员作为一个团队（在医生或注册护士的监督下）参与精神病患者护理和管理工作的有用性。他们列举了针对全科医生（他们通常对精神病学兴趣不大）、精神科住院医师、护士和辅助人员开展的关于精神卫生各个方面的培训项目所带来的优势。
