Adapting Community Health Worker Care Models to Advance Mental Health Services Among LGBTQ Youth.
Adapting Community Health Worker Care Models to Advance Mental Health Services Among LGBTQ Youth.
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DOI：
10.1007/s10488-023-01268-9
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发表时间：
2023-07
影响因子：
2.6
通讯作者：
Broder-Fingert, Sarabeth
中科院分区：
文献类型：
--
作者：
Barnett, Miya L.;Salem, Hanan;Rosas, Yessica Green;Feinberg, Emily;Nunez-Pepen, Rocio;Chu, Andrea;Belmont-Ryu, Hana;Matsuno, Em;Broder-Fingert, Sarabeth
女同性恋、男同性恋、双性恋、跨性别和酷儿（LGBTQ）有色人种青年的精神健康障碍发病率很高，但他们在获得精神健康服务方面面临挑战。社区卫生工作者（CHW）的护理模式有可能促进LGBTQ青年的公平精神卫生服务。我们的目的是了解如何调整CHW模型，以更好地支持有色人种的LGBTQ青年获得心理健康服务。对来自马萨诸塞州和加利福尼亚州的有色人种LGBTQ青年（n = 16）、LGBTQ青年的照料者（n = 11）和chw （n = 15）进行了半结构化的定性访谈。访谈由研究小组的8名成员编码。进行了快速定性分析以确定主题。护理人员、年轻人和CHW都赞同CHW模型对这一人群的价值。他们还几乎普遍认为，要使这种模式有效，需要进行多种调整。与干预适应相关的主题主要有四大类：(1)为什么LGBTQ青年需要适应；(2)谁应该担任提供护理的卫生工作者；(3)卫生工作者应该如何培训；(4)干预需要包括哪些内容。总的来说，研究结果表明，有色人种LGBTQ青年的CHW模型与解决耻辱和歧视经历、获得文化和语言相关服务以及LGBTQ青年对照顾者支持的需求相关。卫生保健员需要在这些方面加强培训。
Lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth of color experience high rates of mental health disorders, yet they experience challenges to accessing mental health services. Community health worker (CHW) models of care have potential to promote equitable mental health services among LGBTQ youth. Our aim was to understand how CHW models could be adapted to better support LGBTQ youth of color in accessing mental health services. Semi-structured qualitative interviews were conducted with LGBTQ youth of color (n = 16), caregivers of LGBTQ youth (n = 11), and CHWs (n = 15) in Massachusetts and California. Interviews were coded by 8 members of the research team. A Rapid Qualitative Analysis was conducted to identify themes. Caregivers, youth, and CHWs all endorsed the value of CHW models for this population. They also almost universally suggested multiple adaptations are needed for the model to be effective. Four main categories of themes emerged related to intervention adaptations: (1) Why adaptations are needed for LGBTQ youth, (2) Who should serve as CHWs providing care, (3) How CHWs should be trained, and (4) What content needs to be included in the intervention. Broadly, findings suggest the relevance of having CHW models for LGBTQ youth of color to address stigma and discrimination experienced, access to culturally and linguistically relevant services, and the need for caregiver support of LGBTQ youth. CHWs need increased training in these areas.
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影响因子：
3.6
作者：
English, Devin;Boone, Cheriko A.;Carter, Joseph A.;Talan, Ali J.;Busby, Danielle R.;Moody, Raymond L.;Cunningham, Diamond J.;Bowleg, Lisa;Rendina, H. Jonathon
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DOI：
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DOI：
10.1007/s10488-017-0815-0
发表时间：
2018-03
期刊：
Administration and policy in mental health
影响因子：
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作者：
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通讯作者：
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DOI：
10.15585/mmwr.ss6708a1
发表时间：
2018-06-15
期刊：
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影响因子：
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作者：
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DOI：
10.1146/annurev-clinpsy-050817084825
发表时间：
2018-01-01
期刊：
ANNUAL REVIEW OF CLINICAL PSYCHOLOGY, VOL 14
影响因子：
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作者：
Barnett, Miya L.;Lau, Anna S.;Miranda, Jeanne
通讯作者：
Miranda, Jeanne