A scoping review of international policy responses to mental health recovery during the COVID-19 pandemic.

A scoping review of international policy responses to mental health recovery during the COVID-19 pandemic.
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DOI:
10.1186/s12961-020-00652-3
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发表时间:
2021-04-06
影响因子:
4
通讯作者:
Mulholland C
Mulholland C
中科院分区:
医学2区
文献类型:
--
作者:
McCartan C;Adell T;Cameron J;Davidson G;Knifton L;McDaid S;Mulholland C

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COVID-19疫情影响了人们的身心健康。隔离和其他封锁措施改变了人们的日常生活;焦虑、抑郁、物质使用、自我伤害和自杀意念的程度有所增加。本评论评估了国际政府、机构和组织如何应对COVID-19对精神健康影响的挑战,旨在为当前和长期所需的持续政策和服务响应提供信息。它确定了文献中出现的一些关键主题,认识到风险人群,并强调了精神卫生服务中的创新机会,重点关注已发表的学术文献,国际卫生部网站以及英国和爱尔兰以外的其他相关国际组织。COVID-19已经挑战并可能永久改变了精神卫生服务。它突出并加剧了先前存在的压力和不平等。许多决策者认为这是一个转变精神卫生保健的机会,解决精神卫生的社会决定因素和开展预防工作将是这种转变的必要组成部分。更好的数据收集、建模和共享将加强政策和服务的发展。这场危机为积极的创新提供了机会:基于社区的护理的适应性和灵活性;在服务的设计,开发和监测中借鉴生活经验;机构间合作;加速数字医疗保健;以及连接身心健康。
The COVID-19 pandemic has affected people’s physical and mental health. Quarantine and other lockdown measures have altered people’s daily lives; levels of anxiety, depression, substance use, self-harm and suicide ideation have increased. This commentary assesses how international governments, agencies and organisations are responding to the challenge of the mental health impact of COVID-19 with the aim of informing the ongoing policy and service responses needed in the immediate and longer term. It identifies some of the key themes emerging from the literature, recognises at-risk populations and highlights opportunities for innovation within mental health services, focusing on the published academic literature, international health ministry websites and other relevant international organisations beyond the United Kingdom and Ireland. COVID-19 has challenged, and may have permanently changed, mental health services. It has highlighted and exacerbated pre-existing pressures and inequities. Many decision-makers consider this an opportunity to transform mental health care, and tackling the social determinants of mental health and engaging in prevention will be a necessary part of such transformation. Better data collection, modelling and sharing will enhance policy and service development. The crisis provides opportunities to build on positive innovations: the adaptability and flexibility of community-based care; drawing on lived experience in the design, development and monitoring of services; interagency collaboration; accelerating digital healthcare; and connecting physical and mental health.
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