Racism and Poverty are Barriers to the Treatment of Youth Mental Health Concerns
Racism and Poverty are Barriers to the Treatment of Youth Mental Health Concerns
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DOI：
10.1080/15374416.2021.1941058
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发表时间：
2021-07-31
影响因子：
4.2
通讯作者：
Nock, Matthew K.
中科院分区：
文献类型：
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作者：
Castro-Ramirez, Franckie;Al-Suwaidi, Maha;Nock, Matthew K.
目的传统的治疗调节剂研究主要集中在临床严重程度等心理因素上。种族和经济不平等对青年的心理健康、治疗效果和接受治疗的可能性都有很大影响。然而，临床心理学科学家较少对这些因素进行研究。方法对有关种族和经济不平等及其对青少年心理健康影响的文献进行叙述性回顾。结果首先，种族主义和贫困等系统性问题增加了出现复杂健康问题的风险，降低了从治疗中受益的可能性。其次，态度障碍，例如与研究人员和政府机构提供的治疗相关的不信任，降低了小规模群体参与或受益于循证治疗的可能性。第三，小型化和服务不足的社区特别不可能得到循证治疗。结论临床心理科学具有独特的见解，可以帮助解决可能降低青少年心理健康治疗疗效的系统性不平等问题。心理科学家可以帮助消除在获得循证治疗方面的差距，并至少通过(1)建立和支持可扩展的基于社区的治疗以及(2)公开倡导结束造成负面社会成本的暴力政策，帮助结束服务不足的小规模社区的暴力政策。
Objective Traditional studies of treatment moderators have focused largely on psychological factors such as clinical severity. Racial and economic inequity exert large effects on youth mental health, on treatment efficacy, and on the likelihood of receiving treatment altogether. Yet, these factors are studied less often by clinical psychological scientists. Method We conducted a narrative review of literature on racial and economic inequities and their impact on youth mental health. Results First, systemic problems such as racism and poverty increase the risk of developing complex health issues and decrease the likelihood of benefiting from treatment. Second, attitudinal barriers, such as mistrust associated with treatments provided by researchers and government agencies, decrease the likelihood that minoritized groups will engage with or benefit from evidence-based treatments. Third, minoritized and underserved communities are especially unlikely to receive evidence-based treatment. Conclusion Clinical psychological science has unique insights that can help address systemic inequities that can decrease treatment efficacy for youth mental health treatment. Psychological scientists can help eliminate disparities in accessing evidence-based treatment and help end violent policies in underserved minoritized communities by at the very least (1) building and supporting scalable community-based treatments as well as (2) publicly advocating for an end to violent policies that impose negative social costs.