在初级保健机构的黑人患者中,心理健康与社会需求之间的关联
Keri F Kirk1, Serenity Budd2, Ashley Splain1,3
1Medstar Georgetown University Hospital/ Georgetown University Medical Center, Washington, DC, USA.
Journal of primary care & community health
|May 17, 2025
概括
综合行为健康 (IBH) 服务显著减少了初级保健中黑人患者的心理健康症状. 与IBH护理一起跟踪健康的社会决定因素 (SDOH) 可能会进一步提高这一群体的治疗结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 主要护理医学 医疗保健
- 心理健康服务 心理健康服务
背景情况:
- 在初级保健中,综合行为健康 (IBH) 为黑人患者提供了可访问和具有成本效益的心理健康 (MH) 支持.
- IBH计划可以利用通常在初级保健中收集的健康社会决定因素 (SDOH) 数据,以告知MH和初级保健提供者.
- 了解IBH对不同患者群体的影响对于优化护理提供至关重要.
研究的目的:
- 检查IBH护理对黑人成年患者群体心理健康和社会需求结果的影响.
- 评估SDOH查在IBH环境中对黑人患者的有用性.
- 确定影响黑人IBH治疗有效性的因素.
主要方法:
- 这是一项回顾性研究,分析了119名接受IBH服务的黑人成人患者的数据.
- 心理健康结果使用患者健康问卷9 (PHQ9) 和通用焦虑障碍7 (GAD7) 尺度进行测量.
- 在IBH干预之前和之后的MH分数的比较,与SDOH查影响的分析.
主要成果:
- 在使用IBH服务的患者中,GAD7得分 (变化 = -1.8,P < .001) 和PHQ9得分 (变化 = -2.3,P < .001) 显著降低.
- 研究样本包括83%的女性患者,平均年龄在第一次访问时为41岁.
- 根据患者是否接受SDOH查,没有发现初始高GAD7/PHQ9得分的显著差异.
结论:
- 在初级保健机构内,IBH服务在减少黑人患者心理健康症状方面表现出有效性.
- 需要进一步的文化包容性研究,以最大限度地提高IBH对黑人患者的治疗潜力.
- 在IBH中整合SDOH评估可能会提供有价值的见解,但需要进一步调查其对减轻症状的直接影响.
相关概念视频
Community Based Intervention
27
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
27
Methods of Documentation VI: Case Management Model
548
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
548
Specialized Care Centers and Settings-I
905
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
905
Stress and Mental Health
65
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
65
Psychological and Sociocultural Causes of Schizophrenia
40
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
40
Self-Help Support Groups
23
Self-help support groups are voluntary, community-based organizations that provide a platform for individuals with shared concerns to exchange support, insights, and practical strategies for coping with life challenges. Typically led by group members or paraprofessionals, these groups form a cornerstone of mental health care, especially in reaching populations that are underserved by traditional healthcare systems.
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
23


