心理健康政策:美国与非洲国家的比较研究

Ifeoma Pamela Odilibe, Opeoluwa Akomolafe, Jeremiah Olawumi Arowoogun, Evangel Chinyere Anyanwu, Chinyere Onwumere, Jane Osareme Ogugua
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摘要

这篇比较性综述研究了美国和非洲各国的精神卫生政策,揭示了为应对精神疾病带来的复杂挑战而采取的不同方法。分析强调了这些不同地区在制定和实施心理健康政策方面存在的细微差别。在美国,一个全面的心理健康政策框架已经发展了多年,其特点是联邦和各州的倡议相结合。心理健康均等与成瘾公平法案》与《平价医疗法案》一起,寻求将心理健康服务纳入主流医疗保健,促进可及性并减少耻辱感。此外,美国国家心理健康研究所在推动研究和循证干预方面发挥了关键作用。与此形成鲜明对比的是,非洲国家的心理健康政策呈现出广泛的多样性,反映了整个非洲大陆不同的社会经济和文化背景。一些国家在政策制定方面取得了长足进步,强调以社区为基础的方法以及与初级医疗保健系统的整合。然而,挑战依然存在,包括资源有限、心理健康人才短缺以及与心理健康问题相关的耻辱感。本综述探讨了文化因素在制定心理健康政策中的作用,强调非洲国家需要采取对文化敏感的方法。研究还强调了美国和非洲国家在资源分配和心理健康基础设施方面的差异,这也是造成服务可及性和医疗质量差异的原因之一。此外,研究还强调了持续努力消除心理健康问题的污名化、提高公众意识和加强社区支持系统的重要性。综述最后呼吁加强国际合作、知识交流和资源调动,以解决美国和非洲国家之间的心理健康差异,促进全球对整体心理保健的承诺。关键词 健康、政策、精神、护理、污名化。
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MENTAL HEALTH POLICIES: A COMPARATIVE REVIEW BETWEEN THE USA AND AFRICAN NATIONS
This comparative review examines mental health policies in the United States and various African nations, shedding light on the divergent approaches taken to address the complex challenges posed by mental health disorders. The analysis underscores the contextual nuances that shape mental health policy formulation and implementation in these distinct regions. In the United States, a comprehensive mental health policy framework has evolved over the years, characterized by a combination of federal and state initiatives. The Mental Health Parity and Addiction Equity Act, alongside the Affordable Care Act, has sought to integrate mental health services into mainstream healthcare, promoting accessibility and reducing stigma. Additionally, the National Institute of Mental Health plays a pivotal role in advancing research and evidence-based interventions. Contrastingly, African nations exhibit a wide spectrum of mental health policy landscapes, reflecting the diverse socioeconomic and cultural contexts across the continent. Some countries have made significant strides in policy development, emphasizing community-based approaches and integration with primary healthcare systems. However, challenges persist, including limited resources, mental health workforce shortages, and stigma associated with mental health conditions. The review explores the role of cultural factors in shaping mental health policies, emphasizing the need for culturally sensitive approaches in African nations. It also highlights the disparities in resource allocation and mental health infrastructure between the USA and African countries, contributing to variations in service accessibility and quality of care. Furthermore, the study emphasizes the importance of ongoing efforts to destigmatize mental health issues, improve public awareness, and strengthen community support systems. The review concludes by calling for increased international collaboration, knowledge exchange, and resource mobilization to address the mental health disparities between the USA and African nations, fostering a global commitment to holistic mental healthcare. Keywords:  Health, Policies, Mental, Care, Stigmatize.
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