Structural Disadvantage and Culture, Race, and Ethnicity in Early Psychosis Services: International Provider Survey.
Structural Disadvantage and Culture, Race, and Ethnicity in Early Psychosis Services: International Provider Survey.
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DOI：
10.1176/appi.ps.202000211
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发表时间：
2021-03-01
影响因子：
3.8
通讯作者：
Compton, Michael T.
中科院分区：
文献类型：
--
作者：
Jones, Nev;Kamens, Sarah;Oluwoye, Oladunni;Mascayano, Franco;Perry, Chris;Manseau, Marc;Compton, Michael T.
对于精神病早期干预(EIP)服务、计划和模式中结构性劣势和文化差异的程序性反应，提供者的观点知之甚少。这项研究的主要目的是调查提供者对弱势和少数族裔、族裔和文化的影响的看法，并描述当前的做法和感知到的差距和关切。在英国、美国、加拿大、澳大利亚和智利发布了对专业EIP提供商的在线调查。共有164家供应商，代表110个独特的网站，完成了调查。封闭式问题收集了人口和方案数据，包括关于创伤或逆境的正式评估、创伤知情护理的整合、正式文化评估工具的整合、侧重于文化的培训、解决文化相关问题的方案变化以及与文化内部人士的咨询等方面的信息。开放式问题涉及该项目客户人群的人口结构组合；创伤、结构性劣势和文化差异的感知作用和影响；以及与这些主题相关的关切和需求。检查了封闭式项目的频率；系统地对开放式回答进行了编码。总体而言，调查结果表明，在生态工业园项目中，与文化多样性相关的各种评估和支持做法的实施水平较低。对不限成员名额答复的编码表明，许多人担心不利条件和文化差异对客户的影响，以及在政策和执行方面的明显差距。扩大研究和服务开发，以更好地满足患有早期精神病的年轻人及其家人在弱势和文化方面的需要，应是这一领域的优先事项。
Little is known about provider perspectives on programmatic responses to structural disadvantage and cultural differences within early intervention in psychosis (EIP) services, programs, and models. The primary objective of this study was to investigate providers’ perspectives on the impacts of disadvantage and minority race, ethnicity, and culture and to describe current practices and perceived gaps and concerns. An online survey of specialized EIP providers was disseminated in the United Kingdom, United States, Canada, Australia, and Chile. A total of 164 providers, representing 110 unique sites, completed the survey. Closed-ended questions gathered demographic and program data, including information on formal assessment of trauma or adversity, integration of trauma-informed care, integration of formal cultural assessment tools, training focused on culture, programmatic changes to address culture-related issues, and consultation with cultural insiders. Open-ended questions addressed the demographic mix of the program’s client population; the perceived role and influence of trauma, structural disadvantage, and cultural differences; and concerns and needs related to these topics. Frequencies were examined for closed-ended items; open-ended responses were systematically coded. Overall, survey findings suggested low levels of implementation of a variety of assessment and support practices related to cultural diversity in EIP programs. Coding of open-ended responses revealed numerous concerns regarding the impacts of disadvantage and cultural difference on clients and perceived gaps in policy and implementation. An expansion of research and service development aimed at better meeting the disadvantage- and culture-related needs of young people with early psychosis and their families should be a priority for the field.
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影响因子：
3.4
作者：
Horvitz-Lennon, Marcela;Volya, Rita;Normand, Sharon-Lise T.
通讯作者：
Normand, Sharon-Lise T.
影响因子：
73.3
作者：
Heinz, Andreas;Deserno, Lorenz;Reininghaus, Ulrich
通讯作者：
Reininghaus, Ulrich
影响因子：
1.8
作者：
Habib, Nazish;Dawood, Saima;Naeem, Farooq
通讯作者：
Naeem, Farooq
DOI：
10.1080/17522439.2013.816337
发表时间：
2013-10-01
影响因子：
1.2
作者：
Corstens, Dirk;Longden, Eleanor
通讯作者：
Longden, Eleanor
影响因子：
5.4
作者：
Fahy, A. E.;Stansfeld, S. A.;Clark, C.
通讯作者：
Clark, C.