In their own words: Young people's mental health in drought-affected rural and remote NSW
In their own words: Young people's mental health in drought-affected rural and remote NSW
复制标题
DOI：
10.1111/j.1440-1584.2011.01224.x
复制
发表时间：
2011-10-01
影响因子：
1.8
通讯作者：
Hart, Craig Richard
中科院分区：
文献类型：
--
作者：
Carnie, Tracey-Lee;Berry, Helen Louise;Hart, Craig Richard
目的：记录年轻人与干旱有关的经历，并将其与教师和其他成年人的观察进行对比。设计：在半结构化的学校论坛中提出的问题和优先事项的内容分析。设置：新南威尔士州中心的农村学校。参与者：年轻人，他们的教师和服务提供者。干预：根据农村逆境心理健康计划组织的六个青年和社区论坛。结果：与会者欢迎为应对长期干旱而加强社区联系，但报告说，干旱对心理健康的影响主要是负面的。成年人注意到儿童的痛苦，不知道是否有人注意到这一点，他们看到年轻人担心自己的家庭，越来越孤立，面临伤害的风险，无法获得帮助，面临教育和就业限制。年轻人在学校和家里暴露了许多心理健康和关系方面的困难。他们担心自己的家庭、社区和未来，担心金钱和被孤立。结论：成年人和年轻人报告了长期干旱对年轻人心理健康的类似影响。但是，虽然成年人更关心年轻人面临的风险（伤害、虐待、无家可归、法律问题和机会受限），但年轻人只是不知所措，希望得到帮助来解决他们眼前的担忧。他们寻求学校内部的协调支持，学校合作，更多关于心理健康的信息，以及在哪里为他们和他们的朋友寻求帮助，并支持了解干旱和农村情况的人，他们可以依靠他们的自由裁量权。在大城市环境中开发的心理健康计划需要在农村环境中部署之前进行调整。
Objective: To record the drought-related experiences of young people and to contrast these with their teachers' and other adults' observations.Design: Content analysis of issues and priorities raised in semistructured school-based forums.Setting: Rural schools in NSW centres.Participants: Young people, their teachers and service providers.Intervention: Six youth and community forums organised under the Rural Adversity Mental Health Program.Results: Participants welcomed increased community connectedness in response to prolonged drought but reported that drought's mental health impact was mainly negative. Adults observed children's distress, wondering if anyone else noticed it. They witnessed young people worrying about their families, increasingly isolated, at risk of harm, unable to obtain help and facing educational and employment limitations. Young people disclosed many mental health and relationship difficulties at school and at home. They worried about their families, communities and futures and about money and being isolated.Conclusion: Adults and young people reported similar effects of prolonged drought on young people's mental health. But, while adults were more concerned with risks to young people (of harm, abuse, homelessness, problems with the law and constrained opportunities), young people were simply overwhelmed, wanting help for their immediate worries. They sought coordinated support within schools, schools working together, more information about mental health and where to seek help for them and their friends, and support people who understood drought and rural circumstances and on whose discretion they could rely. Mental health programs that are developed in and for metropolitan contexts need to be adapted before being deployed in rural settings.