复杂的紧急情况中的心理健康
R F Mollica1, B Lopes Cardozo, H J Osofsky
1Harvard Program in Refugee Trauma, Massachusetts General Hospital, Cambridge, MA, USA. rmollica@partners.org
Lancet (London, England)
|December 8, 2004
概括
本综述介绍了针对复杂紧急情况的基于证据的心理健康行动计划. 经过适当培训的初级保健提供者,传统治疗师和救援工作者可以提供具有成本效益的心理健康护理.
科学领域:
- 公共卫生 公共卫生
- 心理健康干预 心理健康干预
- 应急响应应对紧急情况的反应.
背景情况:
- 复杂的紧急情况给公共卫生带来了重大挑战,特别是在心理健康方面.
- 在危机期间,现有的心理健康支持系统往往不足.
研究的目的:
- 为复杂的紧急情况提出一个文化上有效的,基于证据的心理健康行动计划.
- 概述在危机情况下有效提供心理健康护理的框架.
主要方法:
- 复杂紧急情况中心理健康干预的科学证据的审查.
- 制定一个结构化的行动计划,整合初级保健提供者,传统治疗者和救援工作者.
- 强调标准化的评估,监测和结果评估.
主要成果:
- 提出了一个全面的心理健康行动计划,利用现有的社区资源.
- 综合多样化的护理提供者可以确保具有成本效益和可访问的心理健康服务.
- 标准化的方法对于一致和可衡量的结果至关重要.
结论:
- 一个经过培训和支持的初级保健提供者,传统治疗师和救援工作者的网络可以在复杂的紧急情况下提供必要的心理健康护理.
- 定期传播结果和专门的研究议程对于改善未来的危机应对和填补知识空白至关重要.
相关概念视频
Ethical Dilemmas II
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
Pneumothorax-I
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Acute Coronary Syndrome IV: Interprofessional Care
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
Introduction Cardiac Emergencies
Cardiac emergencies are critical situations involving the heart that require immediate medical intervention to prevent severe complications or death. These emergencies often arise from underlying heart conditions that impair the heart's ability to function correctly.Types of Cardiac EmergenciesThe most common types of cardiac emergencies include Acute Coronary Syndrome (ACS), myocardial infarction (MI), cardiac arrest, and heart failure.Acute Coronary Syndrome (ACS)Acute Coronary Syndrome (ACS)...
Psychological Responses to Stress
Psychological responses to stress encompass the various cognitive and emotional reactions individuals experience when faced with challenging or threatening situations, such as a job loss. Prolonged exposure to stressors can disturb emotional balance, increasing negative emotions (e.g., anxiety and sadness) and diminishing positive emotions (e.g., joy and satisfaction). These persistent emotional shifts are associated with an increased risk of both physical illness and mental health issues, such...
Stress and Mental Health
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...

