Promoting healing and restoring trust: policy recommendations for improving behavioral health care for American Indian/Alaska Native adolescents.
Promoting healing and restoring trust: policy recommendations for improving behavioral health care for American Indian/Alaska Native adolescents.
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DOI：
10.1007/s10464-010-9347-4
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发表时间：
2010-12
影响因子：
3.1
通讯作者：
Lee, Christopher
中科院分区：
文献类型：
--
作者：
Goodkind, Jessica R.;Ross-Toledo, Kimberly;John, Susie;Hall, Janie Lee;Ross, Lucille;Freeland, Lance;Coletta, Ernest;Becenti-Fundark, Twila;Poola, Charlene;Begay-Roanhorse, Regina;Lee, Christopher
关键词：
美洲印第安人/阿拉斯加土著青年代表了许多国家和部落的力量和持续生存。然而，他们目前面临着许多健康差距和挑战，包括美国15至24岁人群的自杀率最高。我们对AI/AN青年心理健康方面的文献进行了全面审查，强调了导致行为健康差异的七个主要原因：1)高水平的暴力和创伤暴露和创伤损失，2)过去和现在的压迫，种族主义和歧视，3)资金不足的护理系统，4)在服务提供，政策和资金方面无视有效的土著实践，5)过度依赖循证实践，6)护理系统和提供者缺乏文化能力，7)护理障碍。本文提出、支持和讨论了七项政策建议，这些建议认识到超越完全依赖西方护理模式的重要性，并寻求促进个人、家庭、社区、行为卫生服务护理系统和社会结构的转变。
American Indian/Alaska Native youth represent the strength and continued survival of many Nations and Tribes. However, they currently experience numerous health disparities and challenges, including the highest rate of suicide among 15 to 24 year-olds in the United States. Our comprehensive review of the literature on the mental health of AI/AN youth highlighted seven focal causes of behavioral health disparities: 1) high levels of violence and trauma exposure and traumatic loss, 2) past and current oppression, racism, and discrimination, 3) underfunded systems of care, 4) disregard for effective indigenous practices in service provision, policy, and funding, 5) overreliance on evidence-based practices, 6) lack of cultural competence among systems of care and providers, and 7) barriers to care. Seven policy recommendations that recognize the importance of moving beyond exclusive reliance on western models of care and that seek to foster transformation of individuals, families, communities, behavioral health service systems of care, and social structures are presented, supported, and discussed.
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影响因子：
3
作者：
Buchwald, D;Beals, J;Manson, SM
通讯作者：
Manson, SM
影响因子：
3
作者：
Horn, Susan D.;Gassaway, Julie
通讯作者：
Gassaway, Julie
影响因子：
12.7
作者：
Beauvais, F
通讯作者：
Beauvais, F
影响因子：
5.9
作者：
Duran, B;Oetzel, J;Beals, J
通讯作者：
Beals, J
影响因子：
--
作者：
Beals, J;Manson, SM;Mitchell, CM
通讯作者：
Mitchell, CM