A parish-based multilevel cluster randomized controlled trial to reduce stigma and mental health treatment disparities among Latino communities.
A parish-based multilevel cluster randomized controlled trial to reduce stigma and mental health treatment disparities among Latino communities.
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一项基于教区的多级集群随机对照试验，旨在减少拉丁裔社区之间的耻辱和心理健康治疗差异。
DOI：
10.1016/j.cct.2023.107080
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发表时间：
2023
影响因子：
2.2
通讯作者：
Derose,KathrynP
中科院分区：
文献类型：
--
作者：
Wong,EuniceC;Torres,VanessaN;Martinez,MarioO;Han,Bing;Vue,Melen;Derose,KathrynP
美国的拉丁裔社区受到持续的，高水平的未经治疗的精神疾病的不成比例的影响。有限的心理健康素养，耻辱和文化因素是拉丁美洲心理健康治疗差异的主要因素。虽然拉丁美洲人可能不愿意寻求心理健康专业人员，但他们在面对精神疾病时往往依赖宗教团体。然而，宗教团体报告说，与精神卫生部门合作面临重大障碍，包括缺乏精神卫生培训、人员配备和资源。宗教团体和社区组织之间的战略伙伴关系可以用来针对拉丁美洲精神健康治疗差异的来源。全国精神疾病联盟（NAMI）是全国最大的基层精神卫生组织，已经制定了一系列针对受精神疾病影响的社区的不同需求和群体的方案，包括旨在解决文化多样性和信仰社区的方案。这项随机分组对照试验利用了NAMI和圣贝纳迪诺教区的集体资源，以提供和评估多层次，基于教区的干预措施的有效性，以减少耻辱，增加心理健康素养，并改善拉丁美洲教区居民获得心理健康服务的机会。这项研究将招募来自14个教区的1400名参与者，他们将被随机分配立即接受干预或等待名单控制条件。这种干预可以丰富对心理健康问题的认识，塑造有关精神疾病的规范，促进治疗的获得，并增加宗教团体的支持，以利用基于文化和信仰的定制方法来针对拉丁美洲人的心理健康差异。
Latino communities within the U.S. are disproportionately affected by persistent, high levels of untreated mental illness. Limited mental health literacy, stigma, and cultural factors are major contributors to Latino mental health treatment disparities. Although Latino individuals may be reluctant to seek out mental health professionals, they often rely on religious congregations when confronted with mental illness. However, religious congregations report major obstacles to collaborating with the mental health sector including the lack of mental health training, staffing, and resources. Strategic partnerships between religious congregations and community-based organizations can be leveraged to target sources of Latino mental health treatment disparities. The National Alliance on Mental Illness (NAMI), the nation's largest grassroots mental health organization, has developed a host of programs tailored to the different needs and segments of the community affected by mental illness, including programs designed to address culturally diverse and faith-based communities. This cluster-randomized controlled trial leverages the collective resources of NAMI and the Diocese of San Bernardino to deliver and evaluate the effectiveness of a multi-level, parish-based, intervention to decrease stigma, increase mental health literacy, and improve access to mental health services among Latino parishioners. This study will enroll 1400 participants from 14 parishes that will be randomly assigned to receive the intervention immediately or a wait-list control condition. The intervention could enrich awareness of mental health issues, shape norms about mental illness, facilitate treatment access, and add support from religious congregations to target Latino mental health disparities using culturally and faith-based tailored approaches.