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Las comunidades inmigrantes, racializadas y etnoculturalmente diversas y las órdenes de tratamiento comunitario: una
Hira Ahmad1, Alasdair Forrest2, Martin Rotenberg3,4
1University of Aberdeen, UK.
The International journal of social psychiatry
|August 31, 2025
Resumen
Las personas de diversas comunidades con enfermedades mentales graves enfrentan más coacción. Esta revisión examina el complejo vínculo entre la etnia, la inmigración y las órdenes de tratamiento comunitario obligatorio, encontrando resultados mixtos y una necesidad de más investigación.
Área de la Ciencia:
- Investigación en servicios de salud mental
- Sociología de la salud
- Política de salud pública
Sus antecedentes:
- Las personas con enfermedades mentales graves de las comunidades inmigrantes y racializadas experimentan tasas desproporcionadamente más altas de coerción dentro de los sistemas de salud mental.
- Esta disparidad pone de relieve las desigualdades sistémicas en la prestación de servicios de salud mental y los derechos de los pacientes.
Objetivo del estudio:
- Revisar y sintetizar sistemáticamente la literatura existente sobre la asociación entre las poblaciones inmigrantes, racializadas y etnoculturalmente diversas y la utilización de las órdenes de trato comunitario (CTO).
- Explorar las intervenciones relacionadas con el tratamiento comunitario obligatorio y su aplicación dentro de estos grupos demográficos específicos.
Principales métodos:
- Se realizó una búsqueda exhaustiva en cinco bases de datos electrónicas para identificar los estudios pertinentes.
- Los criterios de inclusión se centraron en estudios que examinaban directamente el vínculo entre las diversas comunidades y las CTO, o estudios que presentaban datos pertinentes sobre esta asociación.
Principales resultados:
- De los 43 estudios incluidos, 9 abordaron directamente la asociación etnia-CTO, mientras que 34 proporcionaron datos relevantes.
- La mayoría de los estudios se originaron en Australia, Nueva Zelanda, América del Norte y el Reino Unido, y la mayoría emplearon diseños cuantitativos.
- Los hallazgos con respecto a la asociación directa entre la etnia y los CTO fueron mixtos, variando según el diseño del estudio, la población y la jurisdicción.
Conclusiones:
- La relación entre la etnia, el estatus migratorio y las órdenes de trato comunitario es compleja y produce resultados inconsistentes en diferentes regiones.
- La literatura actual se centra principalmente en las poblaciones indígenas de Australia y Nueva Zelanda.
- Existe una necesidad crítica de ampliar la investigación cualitativa y cuantitativa, particularmente en lo que respecta a los grupos étnicos subrepresentados y las áreas geográficas más allá de Australia y Nueva Zelanda.
Palabras clave:
Su origen étnicoorden de tratamiento comunitarioinmigrantegrupos racializadosrevisión del alcanceMás Videos Relacionados
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