PDF(Pubmed)
Abstract：
Mental disorders are prevalent worldwide, often causing significant distress and impairment across various life domains. Furthermore, they may lead to psychosocial disabilities exacerbated by stigma, discrimination, and social exclusion that hinder full societal participation and frequently result in human rights violations denying access to education, work, high-quality health, and reproductive rights. Therefore, a comprehensive and coordinated response to mental health requires a biopsychosocial approach and the integration of holistic promotion, prevention, support, care, and rehabilitation. Effective interventions need to be recovery-focused and should include social interventions. This editorial discusses the social interventions that can be utilized to address psychosocial disabilities in individuals with severe mental disorders. There is a need for developing innovative strategies, tools, and digital solutions, the provision of psychoeducation and caregiver support, along with conducting recovery-oriented research and provider training. Furthermore, the focus should be more on strengths instead of pathology and on cultivating a mental health-promoting environment. This requires inclusive policies, increased advocacy to decrease stigma and promote human rights, redirecting funds to community-based services from long-stay mental hospitals, and a multisectoral collaboration between different sectors such as employment, education, health, housing, social, and judicial sectors to provide support across different life stages, facilitate access to human rights, and attain equal opportunities to help individuals with severe mental disorders reach their full potential and live a meaningful life.
摘要：
精神障碍在世界范围内普遍存在，经常在各种生活领域造成严重的痛苦和损害。此外，他们可能会导致社会心理残疾，歧视,和社会排斥，阻碍充分的社会参与，并经常导致侵犯人权，剥夺受教育的机会，工作,高品质的健康,和生殖权利。因此,对心理健康的全面和协调的反应需要生物心理社会方法和整体促进的整合，预防,支持,care,和康复。有效的干预措施必须以恢复为重点，并应包括社会干预措施。这篇社论讨论了可用于解决严重精神障碍患者的心理社会残疾的社会干预措施。有必要制定创新战略，工具,数字解决方案,提供心理教育和护理人员支持，同时进行面向恢复的研究和提供者培训。此外，重点应该更多地放在优势上，而不是病理学上，以及培养促进心理健康的环境。这需要包容性的政策，加强宣传以减少污名和促进人权，将资金从长期住院的精神病院转用于社区服务，以及就业等不同部门之间的多部门合作，教育,健康,住房,社会,和司法部门在不同的生命阶段提供支持，促进获得人权，并获得平等的机会，帮助患有严重精神障碍的人充分发挥潜力，过上有意义的生活。
