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首页> 外文期刊>Journal of the American Academy of Child and Adolescent Psychiatry >Resources for global mental health: too little for too long.
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Resources for global mental health: too little for too long.

机译：全球精神卫生资源：太少了，太久了。

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摘要

Using the Diagnostic Interview Schedule for Children-Revised, Whitbeck and colleagues (p. 890) documented prevalence rates of psychiatric disorders in indigenous adolescents on four reserves in the United States and Canada. Compared to general U.S. population rates from the National Comorbidity Survey, the rates of substance use disorder and conduct disorder in this indigenous population were two- to threefold higher, and rates of odier psychiatric disorders were at the high end of population prevalence estimates. Rates of substance use disorder and conduct disorder increased dramatically between 10 and 12 and 13 and 15 years, ultimately affecting more than 25% of indigenous children. As with other disadvantaged populations, few services exist to address this mounting mental health crisis. These results underscore die critical need for both culturally sensitive mental health services and policy changes to address mental heakh disparities in the indigenous population.
机译：Whitbeck及其同事使用《针对儿童的诊断性面试时间表》（第890页）记录了美国和加拿大四个保护区中土著青少年的精神疾病患病率。与美国全国合并症调查得出的美国总体人口比率相比，该土著人口的物质使用障碍和品行障碍比率高出两倍至三倍，而精神疾病的发病率则处于人口普遍估计的高端。在10至12至13至15岁之间，物质使用障碍和行为障碍的发生率急剧上升，最终影响了25％以上的土著儿童。与其他弱势群体一样，很少有服务可以解决这种日益严重的精神卫生危机。这些结果突出表明，迫切需要对文化敏感的精神卫生服务和政策变化，以解决土著人口中精神上的差距。

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