Step-Up: Promoting Youth Mental Health and Development in Inner-City High Schools.
Step-Up: Promoting Youth Mental Health and Development in Inner-City High Schools.
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DOI：
10.1007/s10615-011-0344-3
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发表时间：
2012-06-01
影响因子：
2.8
通讯作者：
McKay M
中科院分区：
文献类型：
--
作者：
Alicea S;Pardo G;Conover K;Gopalan G;McKay M
居住在市中心社区的非裔美国人和拉丁裔青年的心理健康受损风险更高，因为他们的社区往往与严重的压力源有关，包括贫困率升高，药物滥用，社区暴力，以及稀缺的青年支持资源和精神卫生保健选择。不利的城市环境的许多方面都有可能阻碍青年的成功发展。心理健康需求升高的青少年可能会经历判断力受损，解决问题能力差，人际关系冲突，导致不安全的性行为和吸毒。然而，城市青少年往往避免心理健康服务，他们可以从护理中获得实质性的好处。因此，为城市、低收入的非裔美国人和拉丁美洲青少年发展文化敏感、与环境相关和有效的服务至关重要。鉴于城市青年心理健康和社会需求的复杂性，提供服务的新方法可能需要考虑个人（即，未来成功的动机），家庭（即，家庭内外的成人支助），以及社区一级（即，工作和学校机会）临床组成部分。已制定了一个以高中为基础的心理健康服务提供模式，以支持与青年心理健康和积极的青年发展有关的家庭、青年和学校进程。“加强”方案（1）在内城生态领域对城市少数民族青少年进行干预;（2）在多个层面（学校、家庭和社区）开展工作，以解决青少年的心理健康问题;（3）提供机会，提高青少年解决社会问题的能力和生活技能。此外，Step-Up整合了现有的理论驱动的循证干预措施。本文介绍了加强临床目标，理论的影响，以及组件和关键功能，并提出了初步数据青年参与两个队列的学生。
African American and Latino youth who reside in inner-city communities are at heightened risk for compromised mental health, as their neighborhoods are too often associated with serious stressors, including elevated rates of poverty, substance abuse, community violence, as well as scarce youth-supportive resources, and mental health care options. Many aspects of disadvantaged urban contexts have the potential to thwart successful youth development. Adolescents with elevated mental health needs may experience impaired judgment, poor problem-solving skills, and conflictual interpersonal relationships, resulting in unsafe sexual behavior and drug use. However, mental health services are frequently avoided by urban adolescents who could gain substantial benefit from care. Thus, the development of culturally sensitive, contextually relevant and effective services for urban, low-income African American and Latino adolescents is critical. Given the complexity of the mental health and social needs of urban youth, novel approaches to service delivery may need to consider individual (i.e., motivation to succeed in the future), family (i.e., adult support within and outside of the family), and community-level (i.e., work and school opportunities) clinical components. Step-Up, a high school-based mental health service delivery model has been developed to bolster key family, youth and school processes related to youth mental health and positive youth development. Step-Up (1) intervenes with urban minority adolescents across inner-city ecological domains; (2) addresses multiple levels (school, family and community) in order to target youth mental health difficulties; and (3) provides opportunities for increasing youth social problem-solving and life skills. Further, Step-Up integrates existing theory-driven, evidence-based interventions. This article describes Step-Up clinical goals, theoretical influences, as well as components and key features, and presents preliminary data on youth engagement for two cohorts of students.
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DOI：
10.1177/0002716203260092
发表时间：
2004-01-01
影响因子：
2.8
作者：
Damon, W
通讯作者：
Damon, W
DOI：
10.1007/s10488-007-0118-y
发表时间：
2007-07-01
影响因子：
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影响因子：
16.4
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King, CA