太平洋岛民对心理健康服务的看法和障碍:一种解释性的现象学分析
Elizabeth A Cutrer-Párraga1, G E Kawika Allen1, Erica Ellsworth Miller2
1Department of Counseling Psychology and Special Education, Brigham Young University.
Journal of counseling psychology
|February 20, 2024
概括
太平洋岛民因家庭负担,耻辱和对机构的不信任而面临心理健康护理的重大障碍. 解决这些问题对于改善社区中寻求帮助的心理健康行为至关重要.
科学领域:
- 公共卫生 公共卫生
- 心理健康服务研究 心理健康服务研究
- 社会学 社会学 社会学
背景情况:
- 每年有数百万美国人无法获得所需的心理健康 (MH) 服务.
- 太平洋岛民 (PI) 呈现出HM护理寻求帮助的最低率,尽管需要帮助的需求很高.
- 在PI社区中,自杀率的上升凸显了对文化相关的 MH 支持的迫切需要.
研究的目的:
- 探索太平洋岛民对心理健康支持的看法.
- 确定影响太平洋岛民使用 MH 服务的态度和障碍.
- 了解PI社区内MH寻求帮助的文化背景.
主要方法:
- 解释性现象学分析 (IPA) 焦点小组研究.
- 涉及跨代太平洋岛民在一个西部州.
- 定性数据收集以探索生活经验和感知.
主要成果:
- 人们对 MH 寻求帮助的看法导致了家庭的负担,耻辱和羞耻.
- 复杂的谈判的PI社会习俗和信仰,关于MH护理.
- 对机构资源的不信任是对护理的重大障碍.
- 互动的主题使障碍永久化,阻碍寻求帮助的行为.
结论:
- 文化因素,包括耻辱和家庭义务,为太平洋岛民的MH护理创造了巨大的障碍.
- 对正规机构的不信任进一步阻碍了获得基本心理健康服务的机会.
- 开发文化敏感和社区知情的MH干预措施对于PI人群至关重要.
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