Serving the Underserved: Cultural Considerations in Behavioral Health Integration in Pediatric Primary Care
Serving the Underserved: Cultural Considerations in Behavioral Health Integration in Pediatric Primary Care
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DOI：
10.1037/pro0000131
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发表时间：
2017-06-01
影响因子：
1.5
通讯作者：
Hodgkinson, Stacy
中科院分区：
文献类型：
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作者：
Arora, Prerna G.;Godoy, Leandra;Hodgkinson, Stacy
儿科初级保健环境被认为是一个理想的环境，可以改善少数种族和族裔青年获得行为健康服务的机会。为了充分发挥儿科初级保健环境中综合保健的潜力，以适当解决保健方面的差异，心理学家需要进一步关注与服务不足人群合作的文化能力。本文旨在为儿科初级保健心理学家在解决服务不足，种族和少数民族青年的需求方面的努力做出贡献。在讨论提供者层面的文化和文化能力之后，我们回顾了与儿科初级保健环境中嵌入的心理学家的文化能力相关的特定领域。具体来说，我们强调了两个方面：(a)治疗参与，包括寻求帮助的行为和耻辱感；(b)文化知情干预的使用，包括文化适应和使用跨诊断或模块化治疗，这与在初级保健领域工作的心理学家特别相关。最后，我们为在儿科初级保健机构工作的心理学家提供实践建议。
The pediatric primary care setting has been put forth as an ideal context in which to improve access to behavioral health services for racial and ethnic minority youth. To fully actualize the potential for integrated health in pediatric primary care settings to appropriately address disparities in health care, additional focus on cultural competence in working with underserved populations by psychologists is needed. This article seeks to contribute to the efforts of psychologists in pediatric primary care in addressing the needs of underserved, racial and ethnic minority youth. Subsequent to a discussion of culture and cultural competence at the provider level, we review particular areas of focus as they relate to cultural competence for the psychologist embedded in pediatric primary care settings. Specifically, we highlight 2 areas: (a) treatment engagement, including help-seeking behaviors and stigma, and (b) use of culturally informed interventions, including cultural adaptations and use of transdiagnostic or modularized treatments, that are especially relevant for psychologists working within primary care. We conclude by providing recommendations for practice for the psychologist working within pediatric primary care settings.