Ethical issues raised in addressing the needs of people with serious mental disorders in complex emergencies.
Ethical issues raised in addressing the needs of people with serious mental disorders in complex emergencies.
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在复杂紧急情况下满足严重精神障碍患者的需求时提出的道德问题。
DOI：
10.1001/dmp.2011.88
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发表时间：
2012
影响因子：
2.7
通讯作者：
HodgeJr,JamesG
中科院分区：
文献类型：
--
作者：
Wissow,LawrenceS;Rutkow,Lainie;Kass,NancyE;Rabins,PeterV;Vernick,JonS;HodgeJr,JamesG
最近发生的人为和自然灾害突出表明，旨在保护民众免受伤害和尽量减少对社会和建筑环境的破坏的公共卫生系统存在弱点。因此，应急规划和应对工作主要侧重于确保灾害期间和灾害后民众的身体健康。包括世界卫生组织在内的许多公共卫生当局已经认识到在应急计划中同时解决精神和身体健康问题的重要性。精神障碍患者在总人口中占很大比例，预测他们的需求对于全面的应急规划和应对工作至关重要。由于患有严重精神障碍的人历来被污名化，许多患有精神障碍的人可能无法照顾自己，道德指导可能有助于从事应急规划和反应的人。本文认为，在紧急情况下出现的严重精神障碍的人的伦理问题的几个大类，并提供建议的方式，应急规划人员和其他利益相关者可以开始，以解决这些伦理挑战。（公共卫生应急预案。2012;6：72-78）
Recent manmade and natural disasters highlight weaknesses in the public health systems designed to protect populations from harm and minimize disruption of the social and built environments. Emergency planning and response efforts have, as a result, focused largely on ensuring populations' physical well-being during and after a disaster. Many public health authorities, including the World Health Organization, have recognized the importance of addressing both mental and physical health concerns in emergency plans. Individuals with mental disorders represent a notable proportion of the overall population, and anticipating their needs is critical to comprehensive emergency planning and response efforts. Because people with serious mental disorders historically have been stigmatized, and many individuals with mental disorders may be unable to care for themselves, ethical guidance may be of assistance to those engaged in emergency planning and response. This article considers several broad categories of ethical issues that arise during emergencies for people with serious mental disorders and offers recommendations for ways in which emergency planners and other stakeholders can begin to address these ethical challenges.(Disaster Med Public Health Preparedness. 2012;6:72–78)