Moving Upstream to Improve Children's Mental Health Through Community and Policy Change
Moving Upstream to Improve Children's Mental Health Through Community and Policy Change
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DOI：
10.1007/s10488-019-01001-5
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发表时间：
2019-12-11
影响因子：
2.6
通讯作者：
Lantz, Paula M.
中科院分区：
文献类型：
--
作者：
Dopp, Alex R.;Lantz, Paula M.
使用健康的社会决定因素框架，我们认为，大多数以证据为基础的干预措施，重点是儿童和青少年的心理健康，受到他们对青年个人（有时是家庭）的关注的限制。这些干预措施虽然必要，但不足以解决社会心理健康的中游和上游/宏观决定因素。我们通过青少年心理健康和相关服务的四个例子来说明我们的观点，其中中游和上游干预措施-即在社区和公共政策层面，需要与下游治疗一起优先考虑，以改善人口心理健康并减少心理健康结果的社会不平等。
Using a social determinants of health framework, we argue that the majority of evidence-based interventions focused on child and adolescent mental health are limited by their focus on individual youth (and sometimes families). While necessary, these interventions are insufficient for addressing the midstream- and upstream/macro-level determinants of mental health in society. We illustrate our perspective through four examples from youth mental health and related services, in which midstream and upstream interventions-i.e., at the community and public policy levels-need to be prioritized along with downstream treatments to improve population mental health and reduce social inequalities in mental health outcomes.