能力建设对社区的影响,以发展创伤弹性社区
Todd P Gilmer1, Kimberly Center2, Natalie J Romero3
1Herbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, La Jolla, CA, USA. tgilmer@health.ucsd.edu.
Administration and policy in mental health
|February 17, 2025
概括
这项倡议通过解决健康的社会决定因素和减少差异,建立了对创伤有弹性的社区. 合作伙伴关系促进了赋权,使寻求帮助的心理健康正常化,并加强了社区联系.
科学领域:
- 公共卫生 公共卫生
- 社区心理学 社区心理学
- 健康 公平 卫生 公平
背景情况:
- 健康和健康差异的社会决定因素显著影响社区的性.
- 创伤事件可能会破坏社区的稳定,需要有针对性的干预措施.
- 能力建设伙伴关系是应对复杂公共卫生挑战的战略.
研究的目的:
- 评估一项倡议促进创伤弹性社区的影响.
- 评估能力建设伙伴关系在缓解健康社会决定因素方面的有效性.
- 了解如何减少健康差异可以增强社区的适应和恢复.
主要方法:
- 采用了一个融合的顺序混合方法设计 (qual 21019→ 21019QUAN 21019→ 21019qual).
- 收集数据来自机构领导 (N=10),伙伴关系成员 (N=136) 和社区成员 (N=42).
- 在2018年1月至2023年7月期间,记录了超过3万项能力建设活动和101370个与服务的联系.
主要成果:
- 伙伴关系开展了广泛的社区外展,培训和服务联系活动.
- 关键影响包括建立强大和有弹性的社区,使寻求帮助正常化,加强联系.
- 平均而言,82%的伙伴关系成员报告了中等到大的积极变化.
结论:
- 社区能力建设伙伴关系在促进创伤性和解决健康差异方面是有效的.
- 该倡议成功地使寻求帮助的心理健康正常化,并减少了耻辱感.
- 与社区组织签订合同可能是卫生系统推进健康公平的可行策略.
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