Grote Nancy K, Zuckoff Allan, Swartz Holly, Bledsoe Sarah E, Geibel Sharon
School of Social Work, University of Pittsburgh, PA 15260, USA.
Soc Work. 2007 Oct;52(4):295-308. doi: 10.1093/sw/52.4.295.
Women disadvantaged by poverty, as well as racial or ethnic minority status, are more likely to experience depression than the rest of the U.S. population. At the same time, they are less likely to seek or remain in treatment for depression in traditional mental health settings. This article explores a therapeutic, psychosocial engagement strategy developed to address the barriers to treatment engagement and the application of this strategy to a special population--women of color and white women who are depressed and living on low incomes. The conceptual foundations of this intervention-ethnographic and motivational interviewing--as well as its key techniques and structure are reviewed. Finally, a case example description and promising pilot data demonstrate the usefulness of this strategy.
因贫困以及种族或少数民族身份而处于不利地位的女性，比美国其他人群更易患抑郁症。与此同时，她们在传统心理健康环境中寻求或持续接受抑郁症治疗的可能性较小。本文探讨了一种为解决治疗参与障碍而制定的治疗性社会心理参与策略，以及该策略在特殊人群——患有抑郁症且低收入的有色人种女性和白人女性中的应用。本文回顾了这种干预措施（人种志和动机访谈）的概念基础及其关键技术和结构。最后，一个案例描述和有前景的试点数据证明了该策略的有效性。
