从多层次到跨层次的干预:为创造可持续的社会变革,改善心理健康的关键下一步
Jessica R Goodkind1, Julia Meredith Hess2, Cirila Estela Vasquez Guzman1
1Department of Sociology, University of New Mexico.
The American journal of orthopsychiatry
|May 23, 2024
概括
本研究引入了一个跨层次的模型,通过解决社会不平等问题来解决心理健康差异. 它强调结构性变化和社区参与,以实现可持续的多层次福祉.
科学领域:
- 公共卫生 公共卫生
- 健康的社会决定因素
- 社区心理学 社区心理学
背景情况:
- 心理健康差异与社会不平等有关.
- 目前的干预措施往往在不同层次上单独解决健康的决定因素.
- 需要采用综合方法来促进心理健康.
研究的目的:
- 提出和说明心理健康干预的跨层次概念模型.
- 为了促进健康决定因素的多个交叉层次的同时变化.
- 作为心理健康干预的核心组成部分,解决社会不平等问题.
主要方法:
- 开发一个跨层次的概念模型与四个指导原则.
- 强调结构性变化和社区参与.
- 通过为期23年的社区干预伙伴关系 (难民和移民福利项目) 的插图.
主要成果:
- 跨层次模式促进了个人,社区和结构层面的变化.
- 该干预措施对个人的心理健康产生了明显的影响.
- 在多个交叉层次上观察到可持续的变化.
结论:
- 跨层次的方法是有效的解决心理健康差异.
- 将结构性变革与社区参与相结合,可以促进整体福祉.
- 评价社区的专业知识和拆除权力动态对于有效的干预至关重要.
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