Abstract:
In 2007, the Inter-Agency Standing Committee (IASC) published its guidelines for mental health and psychosocial support (MHPSS) in emergency situations. This was one of the first sets of MHPSS guidelines, developed during the last decades, to aid policymakers and practitioners in the planning and implementation of disaster mental health risk reduction activities. However, the potential merit of MHPSS guidelines for this purpose is poorly understood. The objective of this study is to review available MHPSS guidelines in disaster settings and assess their methodological quality. MHPSS guidelines, frameworks, manuals and toolkits were selected via a systematic literature review as well as a search in the grey literature. A total of 13 MHPSS guidelines were assessed independently by 3-5 raters using the Appraisal of Guidelines for Research and Evaluation-Health Systems (AGREE-HS) instrument. Guideline quality scores varied substantially, ranging between 21.3 and 67.6 (range 0-100, M = 45.4), with four guidelines scoring above midpoint (50). Overall, guidelines scored highest (on a 1-7 scale) on topic (M = 5.3) and recommendations (M = 4.2), while implementability (M = 2.7) is arguably the area where most of the progress is to be made. Ideally, knowledge derived from scientific research aligns with the receptive contexts of policy and practice where risks are identified and mitigated.
摘要:
2007年,机构间常设委员会(IASC)发布了紧急情况下的心理健康和社会心理支持(MHPSS)准则。这是MHPSS的第一套指南之一,在过去的几十年里发展起来的,帮助决策者和从业者规划和实施减少灾害精神健康风险的活动。然而,MHPSS指南为此目的的潜在优点尚不清楚.这项研究的目的是审查灾难环境中可用的MHPSS指南并评估其方法学质量。MHPSS指南,框架,手册和工具包是通过系统的文献综述以及灰色文献搜索选择的。3-5名评估者使用研究和评估-卫生系统评估指南(AGREE-HS)工具独立评估了13种MHPSS指南。指南质量评分差异很大,范围在21.3和67.6之间(范围0-100,M=45.4),有四个准则得分高于中点(50)。总的来说,指南在主题(M=5.3)和建议(M=4.2)方面得分最高(在1-7量表上),而可实施性(M=2.7)可以说是要取得大部分进展的领域。理想情况下,从科学研究中获得的知识与识别和减轻风险的政策和实践的接受背景相一致。