审查中低收入国家的精神健康危机综述:对促成因素和指导方法的洲际分析"

Naeem Mubarak, Sabba Kanwal, Fatima Rahman Rana, Saba Tariq, Sundus Tariq, Mohamed Hassan Elnaem, Asad Majeed Khan
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引用次数: 0

摘要

近几十年来,错综复杂的心理健康挑战已成为全球关注的焦点,在中低收入国家(LMICs)尤为紧迫。本手稿深入探讨了这些地区普遍存在的多层面心理健康问题,通过洲际分析,试图揭示其成因并提出改进策略。通过对不同的社会文化、经济和医疗保健相关变量进行细致研究,本研究旨在全面了解影响低收入和中等收入国家心理健康危机的复杂动态。通过洲际视角,我们的分析旨在超越地域界限,审视低收入与中等收入国家心理健康状况的共性与差异。这项研究具有双重目的:全面了解心理健康挑战的决定因素,并找出具有指导意义的方法,为有针对性的干预措施奠定基础。在探索这一知识领域的过程中,我们的研究不仅致力于为有关全球心理健康的学术讨论做出贡献,还希望为政策和实践提供信息,促进对心理健康动态的细致入微的理解,并制定循证策略,以减轻低收入和中等收入国家的个人所面临的负担。通过综合当前的研究、经验数据和理论框架,我们的探索不仅揭示了面临的挑战,还努力找出具有指导意义的方法,在资源有限的环境中减轻心理健康问题的影响。影响低收入和中等收入国家心理健康的各种因素交织在一起,需要跨学科的视角。本文揭示了心理健康服务的巨大差距,并将这种差距归咎于有限的公共资金、对儿童和青少年的拨款不足以及心理健康基础设施的资金分配不均。心理健康工作者的稀缺,尤其是在初级医疗机构,进一步加剧了这一问题。导致低收入和中等收入国家出现心理健康危机的因素包括立法、领导力和国家卫生政策不力,以及文化观念和陈规定型观念。缺乏心理健康信息系统进一步阻碍了这些地区取得有意义的进展。有必要建立一个全面的精神卫生系统,考虑到低收入与中等收入国家特有的文化、社会和经济因素。为了应对低收入与中等收入国家所面临的挑战,文章提出了一些策略,包括立法改革、政策制定、减少耻辱感的公共教育以及推广循证干预措施。通过借鉴现有的原则和考虑因素,作者提供了一个基于社区护理和 "将心理健康纳入所有政策 "方法的具体心理健康服务体系,主张合理分配投资,同时考虑社会决定因素、流行率数据以及对这些地区有心理健康问题的个人的人道待遇。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Examining the tapestry of mental health crises in low- & middle-income countries: an intercontinental analysis of the contributing factors and instructive approaches"
In recent decades, the intricate landscape of mental health challenges has become a focal point of global concern, with particular urgency in Low- and Middle-Income Countries (LMICs). This manuscript delves into the multidimensional tapestry of mental health issues prevalent in these regions, offering an intercontinental analysis that seeks to unravel the contributing factors and proposes strategies for improvement. Through a meticulous examination of diverse sociocultural, economic, and healthcare-related variables, this study aims to provide a comprehensive understanding of the complex dynamics shaping mental health crises in LMICs. Through an intercontinental lens, our analysis aims to transcend geographical boundaries, examining the commonalities and distinctions inherent in the mental health landscapes of LMICs. This inquiry is driven by a dual commitment: to comprehensively understand the determinants of mental health challenges and to identify instructive approaches that can serve as foundations for targeted interventions. In navigating this intellectual terrain, our study not only strives to contribute to the academic discourse on global mental health but also aspires to inform policy and practice, fostering a nuanced understanding of mental health dynamics and cultivating evidence-based strategies to ameliorate the burden faced by individuals in LMICs. By synthesizing current research, empirical data, and theoretical frameworks, our exploration not only illuminates the challenges but also endeavors to identify instructive approaches for mitigating the impact of mental health issues in resource-constrained settings. The confluence of factors influencing mental health in LMICs demands an interdisciplinary lens, and this manuscript endeavors to navigate this intricate terrain with rigor and precision. This article exposes the significant gap in mental health services, attributing this disparity to limited public funding, insufficient allocation for children and adolescents, and an inadequate distribution of funds in mental health infrastructure. The scarcity of mental health workers, particularly in primary healthcare settings, further exacerbates the problem. The contributing factors to mental health crises in LMICs include ineffective legislation, leadership, and national health policies, as well as cultural beliefs and stereotypes. The lack of a mental health information system further hampers meaningful progress in these regions. There is a need for a comprehensive mental health system that considers cultural, social, and economic factors unique to LMICs. To address the challenges faced by LMICs, the article suggests strategies, including legislative reforms, policy development, public education to reduce stigma, and promotion of evidence-based interventions. By drawing on existing principles and considerations, the authors provide a specific system of mental health services grounded in community-based care and "mental health-in-all-policies" approach which advocates for rational investment allocations, considering social determinants, prevalence data, and the humane treatment of individuals with mental health issues in these regions.
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