CAPE(同情、果断行动、务实和证据)脆弱性指数--第二版:将心理健康纳入外交政策,以应对全球化、冲突、气候变化和自然灾害

J. Torales, J. Castaldelli-Maia, Antonio Ventriglio, I. Barrios, J. Almirón-Santacruz, O. García, Tomás Caycho-Rodríguez, G. Day, Valsraj Menon, Anna Sri, A. Persaud, D. Bhugra
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摘要

背景:CAPE 脆弱性指数是一个世界性的外交政策指标,意味着哪些国家应首先获得援助。它为在以心理健康为基础的双边安排中使用援助提供了循证、结构合理、理由充分的战略。目标:编制第二版 CAPE VI 的目的是确定哪些国家应优先获得外援。材料与方法:我们考虑了国家层面的各种指数或衡量标准,它们反映了国家的平均健康状况或影响公众健康的因素。为了做出选择,我们使用了 26 个国际上可获得且经过验证的指标。在研究中,我们根据这些指数对各国进行打分,并优先考虑得分最差的国家。结果:CAPE 脆弱性指数是基于一个国家在低分国家中的排名次数。它基于九个参数,是一个独立的衡量标准,尽管可能与预期寿命、残疾调整寿命年数(DALYs)、医生人数和国内生产总值(GDP)等类似指数存在相关性。结论我们得出的结论是,低分国家属于脆弱国家或失败国家,如政府缺乏完全的监督或权力、经常压迫和腐败、被指控侵犯人权、或存在不同形式的政治动荡、严重的环境破坏、严重的贫困化、不平等、文化和种族分裂、无法提供基本的生活设施、成为恐怖主义的受害者等。为了解决这些影响脆弱国家的基本问题,政府、援助捐赠者、地方组织、心理健康专家和协会应通力合作。
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The CAPE (Compassion, Assertive Action, Pragmatism, and Evidence) vulnerability index – Second Edition: Putting mental health into foreign policy to address globalization, conflict, climate change, and natural disasters
Background: The CAPE Vulnerability Index serves as a worldwide foreign policy indicator that implies which countries should get assistance first. It provides an evidence-based, well-structured, and well-reasoned strategy for employing aid in bilateral arrangements with mental health as a basis. Objective: The second edition of the CAPE VI has been developed to identify which nations should get priority foreign aid. Materials and Methods: We considered various indices or measures at the country level reflecting the average national health status or factors influencing public health. To make our choice, we used 26 internationally accessible and verified indicators. For the study, we have scored the countries according to these indices and prioritized those with the worst scores. Results: The CAPE Vulnerability Index is based on the number of times a country is ranked among the low-scoring nations. It is based on nine parameters and is an independent measure even though there may be a correlation with similar indices such as life expectancy, disability-adjusted life years(DALYs), physician numbers, and gross domestic product(GDP). Conclusion: We concluded that low-scoring countries were fragile or failed states, such as nations where governments lack complete oversight or power, are often oppressive and corrupt, have allegations of violations of human rights, or are marked by political turmoil in different forms, drawbacks from severe environmental damage, severe impoverishment, inequalities, cultural and racial divisions, cannot supply fundamental amenities, are victims of terrorism, and so on. To address these essential problems impacting fragile nations, administrations, aid donors, local organizations, mental health specialists, and associations should collaborate.
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