Design of a Behavioral Health Program for Urban American Indian/Alaska Native Youths: A Community Informed Approach
Design of a Behavioral Health Program for Urban American Indian/Alaska Native Youths: A Community Informed Approach
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DOI：
10.1080/02791072.2011.629152
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发表时间：
2011-10-01
影响因子：
2.8
通讯作者：
Johnson, Carrie L.
中科院分区：
文献类型：
--
作者：
Dickerson, Daniel L.;Johnson, Carrie L.
美国印第安人/阿拉斯加原住民（AI/AN）城市青年经历了严重的心理健康和药物使用问题。然而，在城市环境中纳入社区观点的具有文化相关性的治疗方法有限。本研究分析了社区的观点，从AI/AN父母，AI/AN青年，和服务提供者在洛杉矶县。收集的信息被用来制定一个需要评估的AI/AN青年与精神健康和药物使用问题，并设计一个社区知情的治疗方法。进行了9个焦点小组和关键线人访谈。洛杉矶县社区强烈表示，需要在其治疗方案中为城市AI/AN青少年提供传统的康复服务和文化活动。然而，查明了在获得心理健康和药物滥用治疗服务方面存在的各种障碍。根据社区观点提出的意见，随后设计了一种综合处理办法。该社区认为，为城市AI/AN青少年提供综合治疗方法，除了增强他们的文化认同和自尊外，还可能降低精神健康和药物滥用问题的风险。
American Indian/Alaska Native (AI/AN) urban youths experience significant mental health and substance use problems. However, culturally relevant treatment approaches that incorporate community perspectives within the urban setting are limited. This study analyzes community perspectives from AI/AN parents, AI/AN youths, and services providers within Los Angeles County. Information gathered was utilized to develop a needs assessment for AI/AN youths with mental health and substance use problems and to design a community-informed treatment approach. Nine focus groups and key informant interviews were conducted. The Los Angeles County community strongly expressed the need for providing urban AI/AN youths with traditional healing services and cultural activities within their treatment program. However, various barriers to accessing mental health and substance abuse treatment services were identified. An integrated treatment approach was subsequently designed as a result of input derived from community perspectives. The community believed that providing urban AI/AN youths with an integrated treatment approach has the potential to decrease the risk of mental health and substance abuse problems in addition to enhancing their cultural identity and self esteem.