毛利人对社区治疗命令的看法:一个主题分析
Arahia Kirikiri1, Greg Young2, Ben Beaglehole3
1Mental Health and Addictions Services, Hastings Hospital, Hastings, New Zealand.
The Australian and New Zealand journal of psychiatry
|September 30, 2024
概括
毛利人认为强制性社区治疗命令具有限制性和耻辱性,但承认它们要求提供必要的支持. 了解这些观点对于改善新西兰的心理健康护理至关重要.
科学领域:
- 心理健康法 心理健康法
- 土著健康土著健康
- 卫生社会学 卫生社会学
背景情况:
- 1992年"心理健康 (强制性评估和治疗) 法"在新西兰奥特亚罗亚已经使用了30多年.
- 毛利人经历了强制性社区治疗命令的更高率.
- 有限的研究存在于毛利人的观点,关于这些订单的好处和危害.
研究的目的:
- 探索受到强制性社区治疗命令的毛利人的经历和看法.
- 从毛利人的角度来看,识别关键主题并了解与这些命令相关的好处和危害.
主要方法:
- 一个使用专题分析的定性研究.
- 在新西兰霍克湾采访了一个有目的的毛利参与者的样本.
主要成果:
- 五个不同的主题出现了:被认为是限制性和污名化的订单.
- 参与者表示,他们对订单的结构知之甚少,认为这是绕过知情同意的方式.
- 相反,命令被视为授权和获得必要支持的机制,尽管有些人认为其强制性地位无关紧要.
结论:
- 社区治疗命令在很大程度上被毛利人视为负面,尽管他们承认他们提供的支持增加了.
- 这些发现突显了对可能绕过同意的命令和自主性和护理之间的权衡的新鲜担忧.
- 强调文化理解和明确的同意过程对于公平的心理健康政策和实践至关重要,特别是从土著的角度来看.
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