Future Directions in Mental Health Treatment with Stigmatized Youth.
Future Directions in Mental Health Treatment with Stigmatized Youth.
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DOI：
10.1080/15374416.2022.2109652
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发表时间：
2022-09
影响因子：
4.2
通讯作者：
Hollinsaid, Nathan L.
中科院分区：
文献类型：
--
作者：
Price, Maggi A.;Hollinsaid, Nathan L.
污名是指社会认为与环境，行为，地位或身份有关的自卑。它表现在内部、人际和结构上。几十年的研究表明，所有形式的耻辱都与心理健康问题的风险增加有关（例如，抑郁症，创伤后应激障碍，自杀）在污名化的青年（即，儿童，青少年和年轻人有一个或多个污名化的身份，如青年的颜色，变性青年）。值得注意的是，研究发现，生活在结构性污名化程度高的地方的污名化青年-被定义为伤害污名化人群的法律/政策和规范/态度-更难获得心理健康治疗，也更难从中受益。为了减少青年心理健康不平等，我们的领域必须更好地理解并最终解决每个层面的污名化问题。为了促进这一奋进，我们简要回顾了污名和青少年心理健康治疗的研究，重点是结构性污名，并提出了这一领域研究的三个未来方向：（1）直接解决治疗中的污名，（2）培训治疗师在文化上响应护理，（3）结构性干预。最后，我们对更广泛的心理健康治疗研究的最佳实践提出了建议。
Stigma refers to societally-deemed inferiority associated with a circumstance, behavior, status, or identity. It manifests internally, interpersonally, and structurally. Decades of research indicate that all forms of stigma are associated with heightened risk for mental health problems (e.g., depression, PTSD, suicidality) in stigmatized youth (i.e., children, adolescents, and young adults with one or more stigmatized identities, such as youth of Color, transgender youth). Notably, studies find that stigmatized youth living in places with high structural stigma – defined as laws/policies and norms/attitudes that hurt stigmatized people – have a harder time accessing mental health treatment and are less able to benefit from it. In order to reduce youth mental health inequities, it is imperative for our field to better understand, and ultimately address, stigma at each of these levels. To facilitate this endeavor, we briefly review research on stigma and youth mental health treatment, with an emphasis on structural stigma, and present three future directions for research in this area: (1) directly addressing stigma in treatment, (2) training therapists in culturally responsive care, and (3) structural interventions. We conclude with recommendations for best practices in broader mental health treatment research.
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DOI：
10.1186/s13012-021-01097-0
发表时间：
2021-03-19
期刊：
Implementation science : IS
影响因子：
--
作者：
Brownson RC;Kumanyika SK;Kreuter MW;Haire-Joshu D
通讯作者：
Haire-Joshu D
影响因子：
5.2
作者：
Anderson, Riana Elyse;McKenny, Monique;Stevenson, Howard C.
通讯作者：
Stevenson, Howard C.
影响因子：
3.9
作者：
Arczynski, Alexis V.;Morrow, Susan L.
通讯作者：
Morrow, Susan L.
影响因子：
2
作者：
Baams, Laura;Russell, Stephen T.
通讯作者：
Russell, Stephen T.
影响因子：
3.9
作者：
Bailey, Tamba-Kuii M.;Yeh, Christine J.;Madu, Kachiside
通讯作者：
Madu, Kachiside