Application of Cultural Constructs in the Care of First Generation Latino Clients in a Community Mental Health Setting

Application of Cultural Constructs in the Care of First Generation Latino Clients in a Community Mental Health Setting
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文化建构在社区心理健康环境中第一代拉丁裔客户护理中的应用

DOI:
10.1097/00131746-200507000-00002
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发表时间:
2005
影响因子:
1.9
通讯作者:
C. Grilo
C. Grilo
中科院分区:
医学4区
文献类型:
--
作者:
L. Añez;M. Paris;Luis E. Bedregal;L. Davidson;C. Grilo

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随着美国拉丁裔人口的增长,必须注意向其成员提供的精神卫生保健的适当性。拉丁美洲人与美国其他种族和文化群体一样,经历着许多相同的行为健康障碍,但与许多其他群体相比,他们对服务的利用不足。这种未充分利用可能与诸如耻辱、语言和文化适应水平等问题有关,所有这些问题往往会对治疗造成障碍。第一代拉丁美洲人(即在美国以外出生的人)在寻求和接受治疗时特别容易受到不良经历的影响。部分原因可能是文化适应和语言问题,这些问题可能进一步导致今后服务利用不足。通过适当使用文化结构建立良好的治疗联盟可能有助于减轻一些拉丁裔群体面临的一些障碍,特别是那些第一代拉丁裔群体。本文回顾了西班牙裔行为健康文献中强调的几种文化结构,并讨论了它们对临床护理的潜在影响。本文为拉丁裔群体的心理健康专业人员提供了一些实用的临床指南。这些临床建议是基于综合选定的文化结构和作者在大型社区西班牙裔心理健康诊所工作的临床经验。
As the Latino population in the United States grows, it is imperative to attend to the appropriateness of the mental health care that is being provided to its members. Latinos experience many of the same behavioral health disorders as other ethnic and cultural groups in the United States, but underutilize services relative to many other groups. Such underutilization may be related to issues such as stigma, language, and acculturation level, all of which often create barriers to treatment. First generation Latinos (i.e., individuals born outside the United States) are especially vulnerable to adverse experiences when seeking and receiving treatment. This may be due in part to acculturation and language issues which may further contribute to future underutilization of services. A well established therapeutic alliance developed through the appropriate use of cultural constructs may help mitigate some of the barriers faced by some Latino groups, especially those who are first generation. This paper reviews several cultural constructs that have been highlighted in the Hispanic behavioral health literature and discusses their potential implications for clinical care. This paper offers a number of practical clinical guidelines for mental health professionals who work with Latino groups. These clinical recommendations are based on a synthesis of selected cultural constructs and the clinical experiences of the authors' work in a large community-based Hispanic mental health clinic.
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