儿童和青少年获得心理健康支持的治疗结果的种族差异
H Ruphrect-Smith1, S Davies2, J Jacob1,3
1Clinical, Educational, and Health Psychology, University College London, London, UK.
European child & adolescent psychiatry
|May 28, 2023
概括
来自少数民族背景的儿童和年轻人心理健康治疗结果较差. 个性化支持和解决耻辱感是改善儿童和年轻人治疗结果的关键.
科学领域:
- 儿童和青少年心理健康
- 医疗保健服务研究 医疗服务研究
- 医疗保健中的种族差异
背景情况:
- 来自少数民族背景的儿童和年轻人 (CYP) 在心理健康服务中面临结构性不平等.
- 了解种族对治疗结果的影响对于公平护理至关重要.
研究的目的:
- 在心理健康环境中调查种族与CYP可测量的治疗结果之间的关联.
- 探索CYP关于结束心理健康支持和影响积极体验的因素的观点.
主要方法:
- 混合方法研究,结合多层多项回归分析和半结构面试的主题分析.
- 对人口和临床变量进行控制的回归分析.
- 主题分析重点关注来自少数民族背景的15名CYP的经验.
主要成果:
- 来自亚洲和混合种族背景的CYP与白人英国CYP相比,报告可测量的心理健康改善的可能性较低.
- 作为关键结果,CYP重视个性化的支持,合适的治疗师和赋权.
- 经历了耻辱和不平等的经历可能会导致一些族群的结果更差.
结论:
- 种族与CYP精神卫生服务中的差异性治疗结果有关.
- 解决结构性不平等,耻辱和定制支持对于改善对少数民族群体的照顾至关重要.
- 未来的研究应该专注于共同设计文化敏感的干预措施和支持系统.
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