Promotion, prevention and treatment interventions for mental health in low- and middle-income countries through a task-shifting approach

被引:48
作者
Purgato, Marianna [1 ,2 ]
Uphoff, Eleonora [3 ]
Singh, Rakesh [4 ,5 ]
Thapa Pachya, Ambika [4 ,5 ]
Abdulmalik, Jibril [6 ]
van Ginneken, Nadja [7 ]
机构
[1] Univ Verona, Dept Neurosci Biomed & Movement Sci, Sect Psychiat, WHO Collaborating Ctr Res & Training Mental Hlth, Verona, Italy
[2] Univ Verona, Cochrane Global Mental Hlth, Verona, Italy
[3] Univ York, Ctr Reviews & Disseminat, Cochrane Common Mental Disorders, York, N Yorkshire, England
[4] Patan Acad Hlth Sci, Dept Community Hlth Sci, Lalitpur, Nepal
[5] Patan Acad Hlth Sci, Sch Publ Hlth, Lalitpur, Nepal
[6] Univ Ibadan, Dept Psychiat, Ibadan, Nigeria
[7] Univ Liverpool, Dept Primary Care & Mental Hlth, Liverpool, Merseyside, England
关键词
Low- and middle-income countries; prevention; primary mental health care; promotion; public mental health; task-shifting; treatment; HUMANITARIAN SETTINGS; GLOBAL BURDEN; PSYCHOSOCIAL INTERVENTIONS; SYSTEMATIC ANALYSIS; PRIMARY-CARE; DISORDERS; CHILDREN; DISEASE; INJURIES; SUPPORT;
D O I
10.1017/S204579602000061X
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Recently, mental health and ill health have been reframed to be seen as a continuum from health to ill health, through the stages of being asymptomatic 'at risk', to experiencing 'mental distress', 'sub-syndromal symptoms' and finally 'mental disorders'. This new conceptualisation emphasised the importance of mental health promotion and prevention interventions, aimed at reducing the likelihood of future disorders with the general population or with people who are identified as being at risk of a disorder. This concept generated discussion on the distinction between prevention and treatment interventions, especially for those mental health conditions which lie between psychological distress and a formal psychiatric diagnosis. The present editorial aims to clarify the definition of promotion, prevention and treatment interventions delivered through a task-shifting approach according to a global mental health perspective.
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收藏
页数:8
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