One Size Does Not Fit All: Taking Diversity, Culture and Context Seriously

One Size Does Not Fit All: Taking Diversity, Culture and Context Seriously
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DOI:
10.1007/s10488-010-0283-2
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发表时间:
2010-03-01
影响因子:
2.6
通讯作者:
Stelk, Wayne
Stelk, Wayne
中科院分区:
医学3区
文献类型:
--
作者:
Alegria, Margarita;Atkins, Marc;Stelk, Wayne

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有证据表明,目前的精神卫生系统未能为不同的儿童和家庭提供高质量的精神卫生保健。本文讨论了一个关键领域缺失,以改善护理:认真关注多样性,文化和背景。它讨论了我们在个人,家庭,组织和社会层面理解文化和背景的意义。关注儿童在自然环境中适应的关键预测因素,将更加重视建设社区和家庭能力,加强儿童的心理健康。最后,我们建议改变组织文化,建立自然的支持,以提高儿童的心理健康。
Evidence suggests that the current mental health system is failing in the provision of quality mental health care for diverse children and families. This paper discusses one critical domain missing to improve care: serious attention given to diversity, culture, and context. It discusses what we mean by understanding culture and context at the individual, family, organizational, and societal level. Focusing on key predictors of children's adjustment in natural contexts would increase attention to building community and family capacities that strengthen children's mental health. To conclude, we suggest changes in organizational culture to build natural supports to enhance children's mental health.