アラブ諸国における地域精神保健サービスの統合における課題: スコーピング・レビュー
Mohammed Qutishat1, Nahla M Al Ali1,2, Mohammed Albalushi3
1Community and Mental Health Department, College of Nursing, Sultan Qaboos University, Muscat, Sultanate of Oman.
The International journal of social psychiatry
|September 3, 2025
まとめ
アラブ諸国でのコミュニティメンタルヘルスサービス (CMHS) の統合は 汚名や資源不足などの障壁に直面しています こうした問題に対処するには 意識の向上や 文化的配慮や 精神保健医療へのアクセスを改善するための 支援政策が必要です
科学分野:
- メンタルヘルスサービス研究
- 公衆衛生政策
- クロスカルチャー精神医学
背景:
- アラブ諸国の文化に敏感なケアにはコミュニティメンタルヘルスサービス (CMHS) の統合が不可欠です.
- 進歩にも関わらず 資源の不足や メンタルヘルスの汚名といった 大きな障壁が 効果的なサービス提供を妨げています
研究 の 目的:
- アラブ諸国におけるCMHS統合における課題と機会を見直す.
- アラブ諸国における地域精神保健サービスの実施を妨げている障壁を特定する.
主な方法:
- PubMedとScopus (2015-2024) の文献のスコーピングレビュー.
- アークシーとオマレーのフレームワークとPRISMAのガイドラインを活用し,16の記事を分析しました.
- CMHSの有効性を評価するためのナラティブ・シンセシスと理論的枠組みを採用した.
主要な成果:
- 主な障壁は 精神疾患の汚名 資源の不足 医療従事者の訓練不足 サービスの断片化です
- ソーシャル・メディアによる自己診断に加えて 文化的・法的不適切さも 追加的な課題をもたらします
- アラブ世界におけるコミュニティ精神保健サービスの実施における障壁を特定した.
結論:
- CMHSの質とアクセシビリティを高めるには,不可欠な障壁を排除することが重要です.
- 戦略は,市民の意識,文化的敏感性,政策改革に重点を置くべきです.
- 訓練,リソース,そしてターゲット化された政策への投資は,既存の医療インフラへのCMHSの統合を容易にする.
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