基于社区的查和分类,将原住民儿童和青年与当地支持联系起来:一项跨部门研究
Nancy L Young1, Marnie M Anderson2, Mary Jo Wabano2
1Faculty of Medicine (Young), CHEO Research Institute, Ottawa, Ont.; ECHO Research Centre at Laurentian University (Young, Anderson, Usuba, Hawthorne, Denommee), Sudbury, Ont.; Naandwechige-Gamig Wikwemikong Health Centre (Wabano, Trudeau, Jacko, Mishibinijima), Wiikwemkoong Unceded Territory, Ont.; Ottawa Hospital Research Institute (Mallick, Momoli, Thavorn), Ottawa, Ont.; Hospital for Sick Children Research Institute (Szatmari), Toronto, Ont.; Whitefish River First Nation (McGregor), Ont.; First Peoples Wellness Circle (Restoule), Nipissing First Nation, Ont.; Université de Moncton (Roy-Charland), Moncton, NB; Occupational Science and Occupational Therapy (Barbic), Faculty of Medicine, The University of British Columbia, Vancouver, BC; Faculty of Medicine (Cudmore), University of Ottawa, Ottawa, Ont.; Ontario Institute for Studies in Education (Peltier), University of Toronto, Toronto, Ont.; Centre for Rural and Northern Health Research (Mian), Laurentian University, Sudbury, Ont.; Centre for Rural and Northern Health Research (Mushquash), Lakehead University, Thunder Bay, Ont.; Centre for Addiction and Mental Health (Linklater), Toronto, Ont.; Black Dog Institute (Boydell), Randwick, NSW, Australia; Wikwemikong Health Centre (Kaboni, Neganegijig), Nadmadwin Mental Health Clinic, Wiikwemkoong Unceded Territory, Ont.; Wikwemikong Health Centre (Djeletovic, Wassengeso, Recollet, Roy), Wiikwemkoong Unceded Territory, Ont.; Northern Ontario School of Medicine University (Mushquash, Cudmore), Thunder Bay/Sudbury, Ont. nyoung@cheo.on.ca.
一个健康应用程序确定了儿童的支持需求,将35名第一民族儿童与当地服务联系起来. 这种社区查优化了土著青年获得护理的机会.
科学领域:
- 土著健康土著健康
- 儿童和青少年心理健康
- 数字健康干预措施 数字健康干预措施
背景情况:
- 加拿大的第一民族儿童面临着严重的健康不平等.
- 早期识别健康需求对于及时干预至关重要.
- 现有的医疗保健服务可能无法充分满足土著青年的需求.
研究的目的:
- 评估自报告健康应用程序是否可以比传统方法更早地识别儿童的支持需求.
- 评估基于社区的查工具对土著儿童福祉的有效性.
主要方法:
- 从农村第一民族社区招募了227名儿童 (8-18岁).
- 孩子们完成了Aaniish Naa Gegii:儿童健康和福祉措施 (ACHWM).
- 在健康,新确定的需求和典型的治疗组之间比较情绪象限分数 (EQS).
主要成果:
- ACHWM确定了35名儿童的需求,并将他们与当地心理健康服务联系起来.
- 与健康同龄人 (HP) 相比,新发现需求 (NIN) 和典型治疗 (TT) 组的儿童具有相似的,较低的EQS.
- 惠普组EQS (80.1) 显著高于NIN (67.2) 和TT (66.2) 组 (p < 0.001).
结论:
- ACHWM的查有效地确定了需要支持的儿童,并促进了当地服务的获取.
- 新确定的和已经接受治疗的群体之间的环境质量标准的相似性强调了社区查的价值.
- 需要进一步的研究来检查这种选过程的纵向影响.
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