Nohealthwithoutmentalhealth-汉.doc

No health without mental health. The enormous gap between mental health needs and available services in developing countries has been well documented, culminating in the 2001 World Health Report. Of the 450 million people worldwide with mental health problems most live in developing countries. Mental and behavioral disorders affect one out of four people during their lives. Although treatment is not expensive, most people do not receive the treatments they need and governments on average allocate less than one percent of their health expenditure to mental health.在发展中国家精神健康需要和有效服务之间的巨大差距已经得到了很好的证明，在2001年的世界健康报告中达到了顶峰。在全球4亿5千万具有精神健康疾病的人中，大多数居住在发展中国家。在其生活中，精神障碍及行为异常对1/4的人群产生了影响。尽管治疗并不昂贵，但是大多数人不接受他们所需要的治疗，并且政府平均拨给精神健康方面的费用不足其医疗费用的1%。 Five of the ten leading causes of disability and premature death worldwide are psychiatric conditions. Depression, anxiety, and alcohol and drug abuse are the most common mental disorders. Psychotic disorders such as schizophrenia and bipolar disorder, although less common, are profoundly disabling. It is no surprise, then, that mental disorders feature prominently in the list of leading causes of disability worldwide. Although children make up a large proportion of the populations of many developing countries, the number of people over 60 is growing. Mental disorders specific to childhood and, as Prince argues in this issue of insights health, ageing are perhaps the least acknowledged.在全球造成残疾和过早死亡的十个主要的原因中，有五个是精神方面的情况。抑郁、忧虑以及酗酒和吸毒是最普通的精神障碍。精神失调症如精神分裂症和双相型障碍尽管不常见，但是极易致残。那么，精神障碍在全球主要的致残原因中位于显著地位也就不足为奇了。尽管在许多发展中国家孩子占大部分人口，但是年龄超过60岁的人员数目日益增加。正如Prince在自知力健康问题中指出的那样，精神障碍特别容易发生在幼年，老化也许是最不能得到公认的。 The right treatment正确的治疗 Many people with mental disorders do not seek help and families bear the brunt of the untreated condition and resulting disability. Swartz describes the significant impact of globalisation and social change on the risk of mental health. These changes are influencing how families are able to cope and as Prince points out, care in t