地方政府推广心理健康:对社区精神卫生工作者的共识研究
Beatriz Lourenço1, Teresa Maia2,3, Ana Rita Goes3
1NOVA National School of Public Health, NOVA University Lisbon, Lisbon, Portugal. bgr.lourenco@ensp.unl.pt.
Discover mental health
|September 30, 2025
概括
社区精神卫生工作者对于促进精神健康至关重要. 专家们达成共识,需要有结构的培训和资金来支持这些角色在地方政府计划.
科学领域:
- 公共卫生 公共卫生
- 心理健康服务研究 心理健康服务研究
- 社区健康 社区健康
背景情况:
- 精神疾病是全球残疾的重要原因,需要在临床环境之外提供护理.
- 社区卫生工作者 (CHW) 在心理健康方面表现有前途,但缺乏明确的角色和培训指南.
- 心理健康中CHW计划的现有框架是不发达的.
研究的目的:
- 为了在实施社区精神卫生工作者计划的框架上达成专家共识.
- 定义培训要求,战略优先事项,服务提供和为CHW心理健康计划提供资金.
- 制定指导方针,将CHW纳入地方政府的心理健康倡议.
主要方法:
- 一项为期三轮的德尔菲研究,涉及30名专家.
- 参与者使用五分利克特级别来评价57个项目和排名的选项.
- 达成共识需要70%的同意或不同意.
主要成果:
- 在51个项目上达成共识,在第三轮中达成中度到强大的协议.
- 专家们肯定了CHW在社区心理健康促进和协作中的关键作用.
- 缺乏适当的培训被认为是一个障碍,而资金被视为一个关键的激励因素.
结论:
- 专家的共识强调了医疗保健在心理健康中的关键作用,以及需要有结构的本地培训.
- 确定了成功的社区精神卫生工作者计划的关键要素和战略方法.
- 这项研究为开发和实施有效的CHW心理健康倡议提供了基础.
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