Increasing Culturally Responsive Care and Mental Health Equity With Indigenous Community Mental Health Workers
Increasing Culturally Responsive Care and Mental Health Equity With Indigenous Community Mental Health Workers
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DOI：
10.1037/ser0000358
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发表时间：
2021-02-01
影响因子：
2.3
通讯作者：
Barlow, Allison
中科院分区：
文献类型：
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作者：
O'Keefe, Victoria M.;Cwik, Mary F.;Barlow, Allison
有600个不同的美洲印第安人/阿拉斯加原住民社区，代表了整个印第安国家强大而富有弹性的民族。然而，种族灭绝做法、文化攻击和持续压迫的历史导致了精神健康和药物使用障碍的高发病率。精神卫生保健资源不足和获得服务的众多障碍维持了这些差距。土著社区精神卫生工作者对当地的历史、文化和传统的健康和保健观点有着深刻的理解，可以减少护理障碍，同时促进部落健康、经济自决和主权。土著社区精神卫生工作者与不断增长的土著精神卫生专业人员的结合可能会创造一个理想的系统，使部落社区能够恢复平衡和整体健康，与土著世界观和治疗传统保持一致。
There are 600 diverse American Indian/Alaska Native communities that represent strong and resilient nations throughout Indian Country. However, a history of genocidal practices, cultural assaults, and continuing oppression contribute to high rates of mental health and substance use disorders. Under-resourced mental health care and numerous barriers to services maintain these disparities. Indigenous community mental health workers hold local understandings of history, culture, and traditional views of health and wellness and may reduce barriers to care while promoting tribal health and economic self-determination and sovereignty. The combination of Native community mental health workers alongside a growing workforce of Indigenous mental health professionals may create an ideal system in which tribal communities are empowered to restore balance and overall wellness, aligning with Native worldviews and healing traditions.