Evelyn P Tomaszewski,Laura R Lento,Surasya Guduru,Ruta Rangel,Svetlana Yampolskaya,Kriti Vashisht,Samantha X L Tan
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引用次数: 0
摘要
心理健康在历史上被定义为仅仅没有精神疾病,这导致了不平等的待遇,使更多的 人生活在心理健康的挑战中。这种有限的心理健康框架往往贯穿于广泛的治理结构、项目和服务的政策和实践中,导致了个人和集体的歧视,以及结构性和系统性的不平等,最终导致了对基本人权的侵犯。本文作者利用一个更广泛的框架来看待心理健康问题(例如,将心理健康作为一个连续体),提出心理健康权利应成为心理健康政策的基础。文章还考虑了污名化和歧视的影响,以及健康的社会决定因素在推进以权利为基础的心理健康政策方面的影响。作者对美国 80 年来的心理健康政策进行了趋势分析,并思考了社会决定因素以及为减少耻辱化和歧视所做的努力是如何在实现心理健康公平方面取得可衡量的进展的。行动呼吁 "强调了通过使用跨学科的政策和实践建议来进一步支持心理健康和幸福的机会,其中包括将心理健康作为一项人权。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
Eighty years of national mental health policy: Exploring the inclusion of a human rights approach.
Mental health, historically framed as the mere absence of mental health disorders, has led to unequal treatment, resulting in more persons living with mental health challenges. This limited framing of mental health, often woven into policy and practices across a broad range of governance structures, programs, and services, has led to individual and collective discrimination and structural and systemic inequities, culminating in the infringement of fundamental human rights. Using a broader framework for viewing mental health (e.g., mental health as a continuum), the authors of this article propose that a right to mental health should form the basis of mental health policy. The article also considers the impact of stigma and discrimination and the implications of social determinants of health in forwarding a rights-based approach to mental health policy. The authors conduct a trends analysis of 80 years of United States' mental health policy and reflect on how social determinants and efforts to reduce stigma and discrimination have led to measurable progress toward achieving mental health equity. The Call-to-Action highlights opportunities to further support mental health and wellness through the use of interdisciplinary policy and practice recommendations that include the framing of mental health as a human right. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
期刊介绍:
The American Journal of Orthopsychiatry publishes articles that clarify, challenge, or reshape the prevailing understanding of factors in the prevention and correction of injustice and in the sustainable development of a humane and just society.