Challenges and Opportunities in Global Mental Health: a Research-to-Practice Perspective.
Challenges and Opportunities in Global Mental Health: a Research-to-Practice Perspective.
复制标题
DOI：
10.1007/s11920-017-0780-z
复制
发表时间：
2017-05
影响因子：
6.7
通讯作者：
Arbuckle MR
中科院分区：
文献类型：
--
作者：
Wainberg ML;Scorza P;Shultz JM;Helpman L;Mootz JJ;Johnson KA;Neria Y;Bradford JE;Oquendo MA;Arbuckle MR
在全球范围内，全世界大多数需要精神卫生保健的人无法获得高质量的精神卫生服务。耻辱、人力资源短缺、服务提供模式分散以及缺乏执行和政策变化的研究能力是造成目前精神卫生治疗缺口的原因。在这篇综述中，我们描述了低收入和中等收入国家(LMIC)的卫生系统是如何解决心理健康差距的，并进一步确定了未来研究的挑战和优先领域。普通精神障碍占全球疾病负担的最大比例；然而，有充分证据表明，这些障碍以及严重的精神障碍可以通过在资源匮乏的社区或初级保健环境中由训练有素的非专业卫生工作者提供的循证干预措施得到成功治疗。污名是服务普及的障碍。尽管预防对于解决心理健康差距是必要的，但它并没有成为研究或规划的重点。需要进行从研究到实践的实施研究，以便为政策和扩大服务提供信息。为缩小精神卫生治疗差距和改善全球获得高质量精神卫生服务的机会，确定了四个重点关注领域：消除普遍存在的污名，建设精神卫生系统治疗和研究能力，实施预防方案以减少精神疾病的发生率，以及利用循证干预措施建立公共卫生系统的可持续扩大，以改善获得精神卫生治疗的机会。
Globally, the majority of those who need mental health care worldwide lack access to high-quality mental health services. Stigma, human resource shortages, fragmented service delivery models, and lack of research capacity for implementation and policy change contribute to the current mental health treatment gap. In this review, we describe how health systems in low- and middle-income countries (LMICs) are addressing the mental health gap and further identify challenges and priority areas for future research. Common mental disorders are responsible for the largest proportion of the global burden of disease; yet, there is sound evidence that these disorders, as well as severe mental disorders, can be successfully treated using evidence-based interventions delivered by trained lay health workers in low-resource community or primary care settings. Stigma is a barrier to service uptake. Prevention, though necessary to address the mental health gap, has not solidified as a research or programmatic focus. Research-to-practice implementation studies are required to inform policies and scale-up services. Four priority areas are identified for focused attention to diminish the mental health treatment gap and to improve access to high-quality mental health services globally: diminishing pervasive stigma, building mental health system treatment and research capacity, implementing prevention programs to decrease the incidence of mental disorders, and establishing sustainable scale up of public health systems to improve access to mental health treatment using evidence-based interventions.
登录
查看更多内容
影响因子：
4.4
作者：
Brooke-Sumner C;Petersen I;Asher L;Mall S;Egbe CO;Lund C
通讯作者：
Lund C
影响因子：
64.8
作者：
Collins, Pamela Y.;Patel, Vikram;Joestl, Sarah S.;March, Dana;Insel, Thomas R.;Daar, Abdallah S.
通讯作者：
Daar, Abdallah S.
影响因子：
3.7
作者：
Ali GC;Ryan G;De Silva MJ
通讯作者：
De Silva MJ
DOI：
10.2471/blt.12.104133
发表时间：
2012-11-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Buttorff, Christine;Hock, Rebecca S;Patel, Vikram
通讯作者：
Patel, Vikram
影响因子：
9.3
作者：
Abramsky, Tanya;Devries, Karen;Watts, Charlotte
通讯作者：
Watts, Charlotte