在全球南方的儿童心理健康服务转型框架
Michelle O'Reilly1, Panos Vostanis1
1University of Leicester, UK.
Clinical child psychology and psychiatry
|August 19, 2025
概括
全球南方的儿童心理健康服务可以通过文化敏感的框架进行转型. 这种方法利用社区参与和现有的非正式系统来解决资源有限的环境中未得到满足的需求.
科学领域:
- 全球心理健康全球心理健康
- 儿童和青少年精神病学 儿童和青少年精神病学
- 公共卫生干预措施 公共卫生干预措施
背景情况:
- 全球南方国家面临着重大社会经济和资源挑战,影响儿童心理健康.
- 在集体主义社会中,现有的非正式支持系统提供了保护机制和干预机会.
- 这些地区儿童的心理健康需求正在增加,但由于资源限制和文化复杂性,这些需求在很大程度上没有得到满足.
研究的目的:
- 提出一个经验基础的框架,用于在资源繁重的集体主义社会中转变儿童心理健康服务.
- 概述心理社会干预的文化敏感适应.
- 通过详细描述新框架的设计,培训,实施和评估,为服务转型提供信息.
主要方法:
- 利用了来自南非和巴基斯坦的项目数据,这些项目涉及弱势城市人口.
- 在10个心理社会干预中,参与了504名最终用户 (青年,家长,专业人士).
- 对来自76个焦点小组参与者的数据进行了二次主题分析,以评估框架的过程.
主要成果:
- 确定了四个关键层:知识生成,翻译和转移;社区参与和动员;服务整合;和系统变化.
- 根据框架发现,开发了一个临时的变化理论.
- 突出原则包括耻辱的预防,联合制作,上下文化,与支持系统的整合,知识级联和实践经验的参与.
结论:
- 拟议的框架为全球南方儿童心理健康服务转型提供了一个可行的模型.
- 社区参与,文化适应和与现有系统的整合对于有效的干预至关重要.
- 该框架强调了一种整体方法,包括减少耻辱和青少年和有实践经验的家长的宝贵贡献.
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