低收入和中等收入国家的社区心理健康干预:与国际专家进行的定性研究
Clarissa Giebel1,2, Mark Gabbay3,4, Nipun Shrestha5
1Department of Primary Care & Mental Health, University of Liverpool, Liverpool, UK. Clarissa.giebel@liverpool.ac.uk.
International journal for equity in health
|February 2, 2024
概括
在低收入和中等收入国家 (LMICs) 开发有效的社区心理健康干预措施需要将服务整合到现有基础设施中,并让公众和利益相关者参与,以满足当地需求并克服后勤障碍.
科学领域:
- 全球心理健康全球心理健康
- 社区心理学 社区心理学
- 卫生系统研究 卫生系统研究
背景情况:
- 在低收入和中等收入国家 (LMICs) 中,精神卫生服务非常稀缺.
- 在这些环境中设计和实施有效的心理健康干预措施存在重大挑战.
- 在LMIC心理健康框架内,老年人代表了一个具有特定需求的关键人口群体.
研究的目的:
- 探索开发社区精神健康和福祉干预措施的关键教训.
- 确定这些干预措施的实施和评估中的促进者和障碍.
- 提供具体的见解,重点关注LMIC中老年人的干预措施.
主要方法:
- 与16名全球心理健康专家进行了远程访谈.
- 参与者在LMICs开发和实施基于社区的心理社会干预措施方面有经验.
- 数据使用联合感应和演主题分析进行了分析.
主要成果:
- 出现了五个主要主题:机制和背景,障碍,促进者,公众和利益相关者的参与,以及老龄化的镜头.
- 整合到现有的卫生基础设施中,并利用现有的职位角色作为交付代理,促进干预开发和交付.
- 为了满足当地需求和维持动机,公众和利益相关者的参与至关重要;物流障碍需要当地解决方案.
结论:
- 该研究为优化开发,实施和评估LMIC社区精神健康干预提供了有价值的见解.
- 结果可以补充现有的指导,对复杂的干预开发.
- 强调当地环境,利益相关者参与和可持续实践对于成功至关重要.
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