The cultural relevance of community support programs
The cultural relevance of community support programs
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DOI：
10.1176/appi.ps.51.7.879
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发表时间：
2000-07-01
影响因子：
3.8
通讯作者：
Barrio, C
中科院分区：
文献类型：
--
作者：
Barrio, C
对研究和实践文献进行了审查，以确定社区支持计划是否对民族文化问题做出反应，并得出制定与文化相关的计划的战略。不同的文化在家庭实践、精神疾病的概念、精神疾病造成的耻辱以及对供养人制度的期望方面存在很大差异。少数民族文化通常以家庭为中心，而西欧文化的特点是更加个人主义和重视独立。研究表明，一些基于西方模式的康复方法在用于少数民族患者时可能会产生不良影响。纳入家庭网络和使用团体模式的干预措施被认为是文化契合的，来自社会中心文化的当事人可能拥有强大的支持网络，并表现出可在康复过程中利用的亲社会行为。社区支持计划应将文化因素纳入心理社会评估，培训工作人员进行人种学访谈，并利用焦点小组了解他们所服务的客户的文化。
The research and practice literature was examined to determine whether community support programs are responsive to ethnocultural issues and to derive strategies for developing culturally relevant programming. Great variation exists across cultures in family practices, conceptions of mental illness, stigma attributed to mental illness, and expectations of the provider system. Ethnic minority cultures are typically centered on the family, whereas Western European cultures are characterized as more individualistic and as valuing independence. Research shows that some rehabilitation approaches based on Western models may produce adverse effects when used with patients from ethnic minority groups. Interventions that incorporate family networks and use group modalities are considered culturally congruent, Clients from sociocentric cultures may have strong support networks and display prosocial behaviors that can be tapped in the rehabilitation process. Community support programs should incorporate cultural factors into psychosocial assessments, train staff to conduct ethnographic interviews, and use focus groups to gain an understanding of the cultures of clients they serve.