Obstacles for rural American Indians seeking alcohol, drug, or mental health treatment
Obstacles for rural American Indians seeking alcohol, drug, or mental health treatment
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DOI：
10.1037/0022-006x.73.5.819
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发表时间：
2005-10-01
影响因子：
5.9
通讯作者：
Beals, J
中科院分区：
文献类型：
--
作者：
Duran, B;Oetzel, J;Beals, J
本研究的目的是确定美国3个保留地居民在3个治疗部门的心理健康和药物滥用治疗中与4类障碍（自力更生、隐私问题、护理质量、沟通和信任）相关的因素。参与者（N = 3,084）披露了他们在过去一年中是否因情绪、药物或酒精问题寻求治疗，如果有，他们是否在从印第安人卫生服务、部落服务和其他公共或私人系统获得护理方面遇到障碍。与这些障碍相关的因素包括消极的社会支持、工具性社会支持、咨询师的效用、家庭医生的效用、治疗部门、治疗类型、焦虑障碍的诊断和部落。
The purpose of this study was to identify factors associated with 4 clusters of obstacles (self-reliance, privacy issues, quality of care, and communication and trust) to mental health and substance abuse treatment in 3 treatment sectors for residents of 3 reservations in the United States. Participants (N = 3,084) disclosed whether they had sought treatment for emotional, drug, or alcohol problems in the past year and, if so, whether they had faced obstacles in obtaining care from Indian Health Services, tribal services, and other public or private systems. Correlates of these obstacles included negative social support, instrumental social support, utility of counselors, utility of family doctors, treatment sector, treatment type, diagnosis of an anxiety disorder, and tribe.