The Fonagy review of NHS England’s mental health, ADHD and autism services was commissioned in 2025 by Wes Streeting, then the health secretary, in response to growing concerns that spiralling waiting lists for assessment, diagnosis and care threatened the NHS’s ability to meet the demand.(福纳吉对英格兰国民保健署心理健康、多动症和自闭症服务的审查，是2025年由时任卫生大臣韦斯·斯特里廷委托进行的，起因是人们日益担忧，评估、诊断和护理的候诊名单不断膨胀，威胁到国民保健署满足需求的能力。)
福纳吉对英格兰国民保健署心理健康、多动症和自闭症服务的审查，是2025年由时任卫生大臣韦斯·斯特里廷委托进行的，起因是人们日益担忧，评估、诊断和护理的候诊名单不断膨胀，威胁到国民保健署满足需求的能力。
The 607-page report, published on Friday, says that without a radical overhaul, mental health and neurodiversity services will be overwhelmed.(这份607页的报告于周五发布，指出如果不进行彻底改革，心理健康和神经多样性服务将不堪重负。) Here are some of its key findings and recommendations.
这份607页的报告于周五发布，指出如果不进行彻底改革，心理健康和神经多样性服务将不堪重负。以下是报告的一些关键发现和建议。
Unprecedented and growing levels of distress are real
前所未有的、不断加剧的心理困扰是真实存在的
The report is categoric that mental distress has “increased substantially across the population”, is real and affects everyday functioning, and that the rise “cannot be explained by greater awareness alone”.(报告明确指出，心理困扰“在全体人口中大幅增加”，是真实存在的，并影响日常功能，而且这种上升“不能仅用意识提高来解释”。) About one in four 16- to 24-year-olds are now thought to have a common mental disorder(常见精神障碍) such as anxiety and depression, up from one in six in 1993, while self-harm(自残), eating disorders, OCD(强迫症), PTSD(创伤后应激障碍) and drug dependence have also increased.
报告明确指出，心理困扰“在全体人口中大幅增加”，是真实存在的，并影响日常功能，而且这种上升“不能仅用意识提高来解释”。目前，约四分之一的16至24岁年轻人被认为患有焦虑、抑郁等常见精神障碍，而1993年这一比例为六分之一；与此同时，自残、饮食失调、强迫症、创伤后应激障碍和药物依赖也有所增加。
The system is failing everyone
整个体系辜负了所有人
Overdiagnosis of ADHD and autism is not yet widespread but is a growing risk
多动症和自闭症的过度诊断尚未普遍，但风险正在上升
Private companies should be banned from advertising ADHD and autism assessments
应禁止私营公司投放多动症和自闭症评估广告
The NHS should provide a needs-first service
国民保健署应提供“需求优先”的服务
Scrap first-come-first-served waiting lists
取消先到先得的候诊名单