Improving access to psychological treatments: Lessons from developing countries
Improving access to psychological treatments: Lessons from developing countries
复制标题
DOI：
10.1016/j.brat.2011.06.012
复制
发表时间：
2011-09-01
影响因子：
4.1
通讯作者：
Verdeli, Helen
中科院分区：
文献类型：
--
作者：
Patel, Vikram;Chowdhary, Neerja;Verdeli, Helen
尽管世卫组织一直主张将心理治疗作为一系列精神障碍的治疗方法，通过全球初级保健扩大规模，但绝大多数潜在受益者无法获得这些治疗。两个主要障碍阻碍了循证治疗和改善获得之间的道路：缺乏熟练的人力资源和跨文化治疗的可接受性。本文综合了三个资源贫乏的发展中国家开发和评估抑郁症心理治疗方案的经验。这些方案通过培训外行或社区卫生工作者提供治疗来解决人力资源障碍，并通过系统地使治疗适应环境因素来解决可接受性障碍。与常规护理相比，所有方案在恢复率方面都表现出显着的优势，证明了该方法的有效性。这些经验，以改善获得心理治疗在全球范围内的影响进行了讨论。(C)2011爱思唯尔有限公司保留所有权利。
Even though psychological treatments have been advocated as treatments for a range of mental disorders by the WHO for scaling up through primary care globally, the vast majority of potential beneficiaries are unable to access these treatments. Two major barriers impede the path between evidence based treatments and improved access: the lack of skilled human resources and the acceptability of treatments across cultures. This essay synthesizes the experiences of programs which developed and evaluated psychological treatments for depression in three resource poor developing countries. These programs addressed the human resource barrier by training lay or community health workers to deliver the treatments and addressed the acceptability barrier by systematically adapting the treatment to contextual factors. All programs demonstrated significant benefits in recovery rates when compared with usual care demonstrating the effectiveness of the approach. The implications for these experiences to improving access to psychological treatments in the global context are discussed. (C) 2011 Elsevier Ltd. All rights reserved.