Coercive and voluntary referrals: how ethnic minority adults get into mental health treatment.

Coercive and voluntary referrals: how ethnic minority adults get into mental health treatment.
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强制和自愿转介:少数民族成年人如何接受心理健康治疗。

DOI:
10.1080/13557858.1998.9961857
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发表时间:
1998
期刊:
Ethnicity & health.
影响因子:
--
通讯作者:
Cheung,MK
Cheung,MK
中科院分区:
--
文献类型:
--
作者:
Takeuchi,DT;Cheung,MK

文献摘要

被引文献

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两个假设通常被用来检验成年人被转介到精神卫生保健中心的情况。第一种是临床行为假说,认为精神问题将人定义为危险和危险的人。因此,患有严重精神障碍的人更有可能被强制送进精神健康机构。第二种假设表明,权力较小的人比权力较大的人更有可能被强制送入精神治疗。我们通过调查社区心理健康诊所的转诊来检验这些假设在大城市社区中得到支持的程度,这些诊所主要服务于贫困人口。该数据集是独一无二的,因为它包括四个种族类别,白人、非裔美国人、亚裔美国人和墨西哥裔美国人。结果表明,临床行为假说适用于白人,分层假说与非裔美国人,特别是非裔美国人男性的数据一致。墨西哥裔美国人和亚裔美国人的转介模式与白人和非裔美国人的调查结果不一致。其他社会文化因素很可能会影响这些种族类别的转介。
Two hypotheses are typically invoked to examine the referral of adults into mental health care. The first is the clinical behavior hypothesis that suggests the psychiatric problem defines people as dangerous and risky. Accordingly, people with severe mental disorders are more likely to be coercively placed into mental health facilities. The second hypothesis suggests that people with less power are more likely than the powerful to be coercively placed in psychiatric care. We examine the extent to which these hypotheses are supported in a large urban community by investigating referrals into community mental health clinics that serve predominantly poor populations. The data set is unique because it includes four ethnic categories, whites, African Americans, Asian Americans, and Mexican Americans. The findings indicate that the clinical behavior hypothesis is applicable to whites and the stratification hypothesis is consistent with the data for African American, particularly African American men. The referral pattern for Mexican Americans and Asian Americans do not conform to the findings for whites and African Americans. It is likely that other sociocultural factors influence the referrals of these ethnic categories.