改善婴儿心理健康 家庭访问培训 加强文化响应能力和增加公平性
Chioma Torres1, Tova Walsh2, Vivian L Tamkin3
1Development & Behavioral Pediatrics, Department of Pediatrics, Michigan State University College of Human Medicine, 4660 S. Hagadorn Rd Suite 405, East Lansing, MI, 48823, USA. okeaforc@msu.edu.
婴儿心理健康家庭访问 (IMH-HV) 提供者需要加强培训,以了解他们的种族身份如何影响客户关系. 提高文化谦卑和自我意识可以减少障碍,并改善多元家庭的保留.
科学领域:
- 孕产妇和儿童的健康
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 婴儿心理健康家庭访问 (IMH-HV) 是家庭的关键干预措施.
- 之前的研究表明治疗联盟 (TA) 和提供者种族影响节目保留.
- 多样化的客户群需要文化敏感的参与策略.
研究的目的:
- 改善IMH-HV提供者培训,以便与多元家庭有效接触.
- 识别在跨越种族/种族差异建立治疗联盟的障碍和促进者.
- 为IMH-HV计划提供质量改进计划的信息.
主要方法:
- 使用焦点小组和与18名提供商和7名客户的个人访谈进行定性研究.
- 参与者自行选择种族身份组 (白人,黑人,未指明).
- 由一个种族多样化,跨学科的团队进行的主题分析.
主要成果:
- 提供者种族和客户种族可能会造成障碍,可能会"其他"家庭.
- 提供者可能低估了自己的种族身份对实践和关系的影响.
- 耐心,忍受不适,让客户建立信任是有效参与的关键.
结论:
- 有效的IMH-HV与多元化的家庭需要高提供者自我理解和文化谦卑.
- 专注于客户观点和提供者身份突出性的增强培训可以减少TA障碍.
- 解决这些因素可以改善节目保留和减轻健康差异.
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