Culturally adapted mental healthcare: evidence, problems and recommendations.

Culturally adapted mental healthcare: evidence, problems and recommendations.
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DOI:
10.1192/pb.bp.115.050872
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发表时间:
2015-08
期刊:
影响因子:
2.6
通讯作者:
Dinos S
Dinos S
中科院分区:
其他
文献类型:
--
作者:
Dinos S

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有证据表明,一些少数群体在心理健康问题的流行率和获得心理保健方面存在差异。精神卫生服务的主要反应福尔斯分为两个相关的类别:(a)现有的循证干预措施(EBI)的文化适应和/或(B)精神卫生专业人员的文化能力。这篇社论着眼于文化适应的EBI的证据,并认为,虽然这种干预措施可以是有效的,他们也有疏远他们所针对的群体的成员的风险。建议的重点是确定与来自少数种族和/或拥有其他可能对心理健康问题产生影响的污名化身份有关的问题,这些问题可能因假设一种总体的主导文化身份而被心理健康服务机构忽视。
Evidence suggests disparities in the prevalence of mental health problems and access to mental healthcare for a number of minority groups. The main response from mental health services falls into two related categories: (a) cultural adaptations of existing evidence-based interventions (EBIs) and/or (b) cultural competence of mental health professionals. This editorial looks at the evidence on culturally adapted EBIs and argues that although such interventions can be effective, they also carry the risk of alienating members of the groups they are aimed at. Recommendations focus on identifying issues that pertain to being from a racial minority and/or possessing other stigmatised identities that can have an impact on mental health problems, which may be overlooked by mental health services by assuming an overarching predominant cultural identity.