一种社区定义的方法来解决柬埔寨移民和难民之间的创伤
Parichart Sabado1, Kimthai Kuoch2, Susana Sngiem3
1California State University, Long Beach, CA, USA.
Health promotion practice
|July 24, 2023
概括
社区健康计划 (CWP) 有效地减少了加利福尼亚州柬埔寨成年人的创伤症状. 这种以社区为基础的干预措施对解决心理健康差异和创伤的持久影响充满希望.
科学领域:
- 公共卫生 公共卫生
- 心理健康差异的差异
- 创伤研究 创伤研究
背景情况:
- 亚裔美国人和太平洋岛民是一个多样化,快速增长的人口,经常聚集在一起,掩盖了显著的健康差异.
- 柬埔寨社区,特别是难民,在红色高棉种族灭绝几十年后,面临着持续的与创伤有关的精神疾病,包括创伤后应激障碍 (PTSD) 和严重抑郁症.
- 现有的心理健康服务可能无法充分满足难民群体的独特需求和文化背景.
研究的目的:
- 评估社区健康计划 (CWP) 在加利福尼亚州长和圣安娜的柬埔寨成年人中减少创伤症状的有效性.
- 评估社区定义的方法对该人口内的心理健康差异的影响.
- 为创伤幸存者提供文化定制干预措施的证据.
主要方法:
- 一个不完整的阶梯等候名单设计与两个研究臂被用于程序评估.
- 这项为期6个月的社区健康计划 (CWP) 包括社区外展,教育研讨会,基于优势的案例管理和社会/精神活动.
- 使用线性混合模型分析来检查创伤症状的变化.
主要成果:
- 参与CWP的参与者报告说,参与该计划后,创伤症状显著减少.
- 对参与者来说,随着时间的推移,观察到创伤症状下降的一般趋势.
- 这些发现强调了基于社区的,文化敏感的干预措施对心理健康结果的积极影响.
结论:
- 社区健康计划 (CWP) 是减少创伤症状和解决柬埔寨社区心理健康差异的有效模式.
- 文化定制,社区定义的方法对于减轻创伤的长期个人和代际影响至关重要.
- 迫切需要像CWP这样的可扩展计划,以支持越来越多的难民和流离失所者经历创伤.
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