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Support the frontliners – good initiatives during the COVID-19 pandemic for healthcare workers across the world: is this what we really need? 支持前线——在新冠肺炎大流行期间为世界各地的医护人员提供的良好举措:这是我们真正需要的吗?
Q2 Medicine Pub Date : 2022-03-03 DOI: 10.1192/bji.2022.6
Ruta Karaliuniene, Sachin Nagendrappa, Chonnakarn Jatchavala, M. Ojeahere, Irfan Ullah, Drita Gashi Bytyçi, O. P. Ogunnubi, M. Cherro, Mohammadreza Shalbafan, C. Noël, Jairo M. Gonzalez-Diaz, R. Vadivel, V. Pereira-Sanchez, Mohammad Abu Slaih, S. Shoib, R. de Filippis
Healthcare workers have faced an unprecedented workload in overstretched health facilities during the COVID-19 pandemic, and we describe various initiatives to support them. Psychological, financial and peer support, accommodation and meal services, proper personal protective equipment, applause and gratitude in the community, spiritual and religious life, child care and volunteering were identified. The potential effects of the COVID-19 pandemic – permanent stress, burnout and other mental health problems among healthcare professionals – can be expected to grow. Continued monitoring is essential to bolster resilience among healthcare workers and prevent the possible consequences for their mental health.
在COVID-19大流行期间,医疗工作者在超负荷的医疗设施中面临着前所未有的工作量,我们描述了支持他们的各种举措。确定了心理、经济和同伴支持、住宿和膳食服务、适当的个人防护装备、社区的掌声和感激、精神和宗教生活、儿童保育和志愿服务。预计2019冠状病毒病大流行的潜在影响——医疗保健专业人员的永久性压力、倦怠和其他心理健康问题——将会加剧。持续监测对于加强卫生保健工作者的复原力和防止可能对其心理健康造成的后果至关重要。
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引用次数: 4
History of psychiatry in Nepal. 尼泊尔精神病学的历史。
Q2 Medicine Pub Date : 2022-02-01 DOI: 10.1192/bji.2021.51
Rakesh Singh, Anoop Krishna Gupta, Babita Singh, Pragyan Basnet, S M Yasir Arafat

The history of psychiatry as a discipline in Nepal has been poorly studied. We have attempted to summarise historical landmarks to explore how it began and its evolution over time in relation to contemporary political events. Although Nepal has achieved several milestones, from establishing a psychiatric out-patient department with one psychiatrist in 1961 to having more than 500 psychiatric in-patient beds with 200 psychiatrists by 2020, the pace, commitment and dedication seem to be slower than necessary: the current national mental health policy dates back to 1996 and has not been updated since; there is no Mental Health Act; the number of psychiatric nurses and in-patient psychiatric beds has increased only slowly; and there is a dearth of professional supervision in rehabilitation centres. Thus, despite making significant progress, much more is required, at greater intensity and speed, and with wide collaboration and political commitment in order to improve the mental health of all Nepali citizens, including those living in rural areas and or in deprived conditions.

精神病学作为一门学科在尼泊尔的历史研究很少。我们试图总结历史地标,以探索它是如何开始的,以及它随着时间的推移与当代政治事件的演变。尽管尼泊尔取得了若干里程碑,从1961年建立一个精神病门诊部,只有一名精神病医生,到2020年拥有500多张精神病住院病床和200名精神病医生,但步伐、承诺和奉献似乎比必要的要慢:目前的国家精神卫生政策可追溯到1996年,此后一直没有更新;没有《精神卫生法》;精神科护士和精神科住院病床的数量增长缓慢;而且康复中心缺乏专业的监督。因此,尽管取得了重大进展,但还需要做更多的工作,以更大的力度和速度,以及广泛的合作和政治承诺,以改善所有尼泊尔公民的心理健康,包括生活在农村地区和/或处于贫困条件的人。
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引用次数: 4
Mental health law in Nepal. 尼泊尔的精神卫生法。
Q2 Medicine Pub Date : 2022-02-01 DOI: 10.1192/bji.2021.52
Rakesh Singh, Seema Khadka

During the past three decades Nepal has gone through series of reforms to address the mental health needs of the Nepalese population by promulgation of an exclusive National Mental Health Policy and related Strategic Action Plan. Small but significant improvements have been achieved in Nepal with regard to mental health policies and plans. This article discusses the evolution of mental health policies in Nepal and analyses the challenges to be overcome for their effective implementation.

在过去三十年中,尼泊尔通过颁布一项专门的国家精神卫生政策和相关的战略行动计划,进行了一系列改革,以满足尼泊尔人口的精神卫生需求。尼泊尔在精神卫生政策和计划方面取得了微小但重大的改善。本文讨论了尼泊尔精神卫生政策的演变,并分析了有效实施这些政策需要克服的挑战。
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引用次数: 1
BJI volume 19 issue 1 Cover and Front matter BJI第19卷第1期封面和封面问题
Q2 Medicine Pub Date : 2022-01-28 DOI: 10.1192/bji.2021.59
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引用次数: 0
Providing mental health services in poverty 在贫困中提供心理健康服务
Q2 Medicine Pub Date : 2022-01-28 DOI: 10.1192/bji.2021.56
D. Skuse
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引用次数: 0
BJI volume 19 issue 1 Cover and Back matter BJI第19卷第1期封面和封底
Q2 Medicine Pub Date : 2022-01-28 DOI: 10.1192/bji.2021.60
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引用次数: 0
The Medical Training Initiative scheme in forensic psychiatry: reflections on training and practice in the UK and Nigeria 法医精神病学医学培训倡议计划:对联合王国和尼日利亚培训和实践的反思
Q2 Medicine Pub Date : 2022-01-18 DOI: 10.1192/bji.2021.63
N. Igbinomwanhia, B. Mapayi, James Lee, D. Tracy
The Royal College of Psychiatrists’ Medical Training Initiative (MTI) enables qualified foreign-trained psychiatrists to gain further experience within the UK National Health Service (NHS). This article summarises the observations of two Nigerian psychiatrists during their forensic psychiatry placements on the MTI scheme and two of their UK supervisors. It discusses similarities and differences between Nigeria and the UK in forensic psychiatry, including the use of mental health legislation, the scope of forensic psychiatry and elements of the pathway to qualification in both countries. It concludes with recommendations that could improve the robustness of the MTI scheme.
英国皇家精神病学院的医学培训计划(MTI)使合格的外国培训精神病学家能够在英国国家医疗服务体系(NHS)获得更多的经验。本文总结了两名尼日利亚精神病学家在MTI计划的法医精神病学实习期间以及他们的两名英国主管的观察结果。它讨论了尼日利亚和英国在法医精神病学方面的异同,包括心理健康立法的使用、法医精神病学的范围以及两国获得资格途径的要素。它最后提出了一些建议,可以提高MTI计划的稳健性。
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引用次数: 0
Mental health services in Luxembourg: an overview 卢森堡的心理健康服务:概览
Q2 Medicine Pub Date : 2021-12-01 DOI: 10.1192/bji.2021.58
Anja Malmendier-Muehlschlegel, N. Power
We describe mental health services in Luxembourg and how they have evolved over the past 50 years. Health services in Luxembourg are provided through a social health insurance-based system and mental health services are no exception. Additional services are offered through mixed-funding avenues drawing on social care budgets in the main. Luxembourg is closely connected with neighbouring countries, where a large proportion of its workforce live. No run-through medical training exists and the entire medical workforce, including psychiatrists, have trained in other countries. This is reflected in a rich but often non-uniform approach to the provision of psychiatric care.
我们描述了卢森堡的心理健康服务,以及它们在过去50年中是如何发展的。卢森堡的医疗服务是通过以社会医疗保险为基础的系统提供的,心理健康服务也不例外。主要利用社会护理预算,通过混合资金渠道提供额外服务。卢森堡与邻国关系密切,其大部分劳动力居住在这些国家。没有贯穿始终的医疗培训,包括精神科医生在内的所有医务人员都在其他国家接受过培训。这反映在提供精神病护理的方法丰富但往往不统一。
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引用次数: 0
Mental health legislation in Luxembourg, a small country in Western Europe 西欧小国卢森堡的精神卫生立法
Q2 Medicine Pub Date : 2021-11-26 DOI: 10.1192/bji.2021.55
Anja Malmendier-Muehlschlegel, N. Power
The article provides a brief overview of the legislation governing involuntary admissions to psychiatric hospitals in Luxembourg. The legislation was completely overhauled in 2009 and several human rights principles are enshrined into it. Emphasis is placed on voluntary, community-based treatment, and where compulsory treatment is required, it uses the least restrictive treatment option. Mentally ill offenders are dealt with through separate specialist legislation. Young people under the age of 18 are often detained using family law.
该条简要概述了卢森堡精神病院非自愿入院的立法。该法在2009年进行了全面修订,并纳入了几项人权原则。重点放在自愿的、以社区为基础的治疗,在需要强制治疗的情况下,它使用限制最少的治疗方案。精神病罪犯通过单独的专门立法加以处理。18岁以下的年轻人经常被家庭法拘留。
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引用次数: 1
Undergraduate psychiatric education: current situation and way forward 本科精神病学教育:现状与未来
Q2 Medicine Pub Date : 2021-11-05 DOI: 10.1192/bji.2021.48
G. Sampogna, H. Elkholy, F. Baessler, B. Coskun, M. Pinto da Costa, R. Ramalho, F. Riese, A. Fiorillo
Undergraduate psychiatric education is essential for the training of medical students and for their recruitment into psychiatry. A significant shortage of graduates choosing a career in psychiatry has been recently documented, and this trend might have many causes. When medical students have positive experiences of teaching, elective placements and exposure to psychiatric patients, their attitudes towards psychiatry are significantly better. Therefore, there is a need to improve the quality of undergraduate training courses in psychiatry. Innovative teaching strategies are suggested, including the use of movies, virtual reality, simulated patients and multiprofessional training wards.
本科精神病学教育对于培养医学生和招募他们从事精神病学工作至关重要。最近有证据表明,选择精神病学职业的毕业生明显短缺,这一趋势可能有许多原因。医学生有积极的教学经历、实习经历和接触精神病人的经历时,其对精神病学的态度显著改善。因此,有必要提高精神病学本科培养课程的质量。提出了利用电影、虚拟现实、模拟病人、多专业训练病房等创新教学策略。
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引用次数: 6
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BJPsych International
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