Intersectoral and multisectoral approaches to enable recovery for people with severe mental illness in low- and middle-income countries: A scoping review.
Intersectoral and multisectoral approaches to enable recovery for people with severe mental illness in low- and middle-income countries: A scoping review.
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DOI：
10.1017/gmh.2023.10
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Brooke-Sumner, Carrie
中科院分区：
文献类型：
--
作者：
van Rensburg, Andre J.;Brooke-Sumner, Carrie
严重精神疾病患者的需求是复杂的，需要在协调良好的护理系统中提供一系列服务，以促进康复、促进福祉和优化社会融合。康复的概念在很大程度上植根于多部门和跨部门护理系统的中心地位，虽然在以高收入地区为重点的分析中强调了精神卫生系统的多部门和跨部门层面，但在低收入和中等收入国家（LMICs）严重精神疾病患者（SMI）的康复中，这些方法的阐述却很少。本综述的目的是确定和描述支持中低收入国家社区SMI康复干预的多部门和跨部门方法。根据以下步骤进行范围检讨：(1)制订和完善检讨的目标；(2)系统检索数据库（EbscoHost、PubMed、b谷歌Scholar）和2012 - 2022年的文献综述，确定相关论文；(3)在低收入和中等收入国家中，聚焦于重度精神障碍和恢复（对干预措施的具体描述，部门之间有明确联系），并以英文发表的论文入选；(4)提取数据并绘制图表；(5)对研究结果进行专题分析和报告。来自18个国家的36篇论文被纳入分析，包括定性研究、试验、桌面和二手数据审查以及案例研究。多部门和跨部门行动的例子包括保健和社区支助系统之间的合作，在为康复提供支助住房和支助性社区空间方面的合作，以及生物医学和社会保健领域之间的联系。障碍包括精神卫生专业人员在提供护理方面占主导地位，社区对重度精神分裂症的污名化态度。恢复SMI的多部门和跨部门合作需要由理事机构在筹资、教育和协调方面进行投资。
The needs of people with severe mental illness are complex and require a range of services embedded in well-coordinated systems of care to enable recovery, promote well-being and optimise social integration. The concept of recovery is strongly rooted in the centrality of multi and intersectoral systems of care, and, while multi and -intersectoral dimensions of mental health systems have been highlighted in analyses focusing on high-income regions, little has been elaborated in terms of these approaches in the recovery of people with severe mental illness (SMI) in low- and middle-income countries (LMICs). The aim of this review was to identify and describe multi and intersectoral approaches underpinning community-based SMI recovery interventions in LMICs. A scoping review was carried out following the following steps: (1) Objectives for the review were developed and refined; (2) A systematic search of databases (EbscoHost, PubMed, Google Scholar) and previous reviews were undertaken from 2012 to 2022, where relevant papers were identified; (3) Papers with a focus on SMI and recovery, a specific description of an intervention, located in LMICs, with explicit linkages between sectors, and published in English, were selected for inclusion; (4) Data were extracted and charted and (5) Findings were analysed and reported thematically. Thirty-six papers were included for analysis, from 18 countries, including qualitative studies, trials, desktop and secondary data reviews and case studies. Examples of multi- and intersectoral action included collaboration between healthcare and community support systems, collaboration in providing supported housing and supportive community spaces for recovery, and linkages between biomedical and social spheres of care. Barriers included the dominance of mental health professions in delivering care, community-based stigmatising attitudes towards SMI. Multi- and intersectoral collaboration for SMI recovery requires investments in financing, education and coordination by a governing body.
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影响因子：
3.6
作者：
Brooke-Sumner C;Lund C;Petersen I
通讯作者：
Petersen I
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：
1.7
作者：
Brooke-Sumner, Carrie;Lund, Crick;Petersen, Inge
通讯作者：
Petersen, Inge
DOI：
10.1007/s10488-019-00976-5
发表时间：
2019-10-15
影响因子：
2.6
作者：
Chen, Ying;Yau, Eva;Mo, Xiaohong
通讯作者：
Mo, Xiaohong
影响因子：
15.8
作者：
Raja S;Underhill C;Shrestha P;Sunder U;Mannarath S;Wood SK;Patel V
通讯作者：
Patel V