Insufficient evidence guides mental health service development for survivors of violence against women in Sri Lanka. Provider and survivor perspectives on (1) what constitutes mental health, (2) quality of care, and (3) priority areas and stakeholders for intervention were identified through framework analysis of 53 in-depth interviews. Desired care is chiefly psychosocial—not psychological—prioritizing socioeconomic, parenting, and safe environment needs in non-clinical community settings. Our evidence points strongly to the need to strengthen non-mental health community-based providers as “first contacts” and reassessment of health system-centric interventions which neglect preferred community responses and more holistic approaches accounting for women's full circumstances.

中文翻译：

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妇女想要什么：斯里兰卡暴力侵害妇女行为背景下的心理健康——护理优先事项和能力的定性研究

没有足够的证据指导斯里兰卡暴力侵害妇女行为幸存者的心理健康服务发展。通过对 53 次深度访谈的框架分析，确定了提供者和幸存者对 (1) 心理健康的构成、(2) 护理质量以及 (3) 干预的优先领域和利益相关者的看法。所需的护理主要是社会心理而非心理，优先考虑非临床社区环境中的社会经济、养育和安全环境需求。我们的证据强烈表明，需要加强以社区为基础的非精神卫生提供者作为“第一联系人”，并重新评估以卫生系统为中心的干预措施，这些干预措施忽视了首选的社区反应和考虑到妇女全面情况的更全面的方法。