种族主义,早期精神病和机构接触:对土著经验的定性研究
Jenni Manuel1,2, Suzanne Pitama1, Mau Te Rangimarie Clark
1Department of Māori Indigenous Health Innovation (MIHI), University of Otago Christchurch, Christchurch, New Zealand.
概括
种族主义对土著人民的早期精神病结果产生重大影响. 通过土著的经验来理解这些种族不平等,对于在精神卫生保健中制定有针对性的反种族主义策略至关重要.
科学领域:
- 心理健康研究 心理健康研究
- 卫生社会学 卫生社会学
- 原住民健康研究研究.
背景情况:
- 有证据表明,原住民和少数民族的早期精神病发病率和结果存在重大不平等.
- 人种主义被认为是导致这些差距的一个关键因素.
- 需要更深入地了解种族主义如何在早期精神病服务中运作,特别是从土著的角度来看.
研究的目的:
- 从土著的角度探索和理解种族主义对早期精神病经历和结果的影响的具体方式.
- 确定社会文化因素,机构政策和系统问题如何与心理健康护理中的种族主义相交.
- 为在早期精神病服务中制定有效的反种族主义干预措施提供信息.
主要方法:
- 使用批判性种族理论原则进行定性研究.
- 通过4个家庭重点小组和13个与23名土著参与者 (9名青年,10名家庭成员,4名心理健康专业人员) 的个人访谈收集数据.
- 数据分析涉及种族主义描述的演结构编码,其次是诱导描述和模式编码.
主要成果:
- 种族主义是一个社会文化现象,与制度政策和文化相互作用.
- 确定的主要主题包括基于种族刻板印象的选择性反应,与种族有关的风险评估偏见,以及心理健康工作人员中的机构种族主义.
- 报告中的影响包括对社会需求的不作为,强迫的增加,以及资源不足的土著心理健康工作人员.
结论:
- 组织文化可以在心理健康系统中对土著和少数群体个人产生不同的影响.
- 反种族主义的努力应该针对社会响应,风险评估话语和心理健康工作人员资源的公平分配.
- 集中原住民的经验对于解决早期精神病护理中的系统性种族主义至关重要.
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