Coaching mental health peer advocates for rural LGBTQ people.
Coaching mental health peer advocates for rural LGBTQ people.
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为农村 LGBTQ 人群提供心理健康同伴倡导者辅导。
DOI：
10.1080/19359705.2016.1166469
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发表时间：
2016
影响因子：
1.6
通讯作者：
Smiley,Verida
中科院分区：
文献类型：
--
作者：
Willging,CathleenE;Israel,Tania;Ley,David;Trott,EliseM;DeMaria,Catherine;Joplin,Aaron;Smiley,Verida
女同性恋，男同性恋，双性恋，变性人和同性恋或质疑（LGBTQ）的人受到心理健康差异的影响，特别是在农村社区。我们在农村地区培训同伴倡导者，使他们了解心理健康、外展、教育和支持这一群体的基本知识。同伴倡导者由有执照的心理健康专业人员指导。我们通过半结构化访谈的迭代定性分析以及教练和倡导者的书面日志来评估这一过程。六个主要主题组成的结果集中在（1）教练支持，（2）同行倡导技能和准备，（3）与寻求帮助者合作，（4）谈判多样性，（5）在农村环境中的后勤挑战，（6）系统性挑战。我们的结论是，对LGBTQ精神痛苦人群的同伴宣传提供了一种积极的，以社区为基础的战略，以帮助服务不足的人。然而，为了取得成功，同侪倡导者可能需要持续的培训，辅导和基础设施支持，以谈判可能影响社区资源提供的背景因素，并支持农村社区内的LGBTQ人群。
Lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) people are affected by mental health disparities, especially in rural communities. We trained peer advocates in rural areas in the fundamentals of mental health, outreach, education, and support for this population. The peer advocates were coached by licensed mental health professionals. We evaluated this process through iterative qualitative analysis of semi-structured interviews and written logs from coaches and advocates. The six major themes comprising the results centered on (1) coaching support, (2) peer advocate skills and preparation, (3) working with help seekers, (4) negotiating diversity, (5) logistical challenges in rural contexts, and (6) systemic challenges. We concluded that peer advocacy for LGBTQ people with mental distress offers an affirmative, community-based strategy to assist the underserved. To be successful, however, peer advocates will likely require ongoing training, coaching, and infrastructural support to negotiate contextual factors that can influence provision of community resources and support to LGBTQ people within rural communities.