澳大利亚原住民和托雷斯海峡岛民心理健康急救培训计划：描述和初步评估。
A mental health first aid training program for Australian Aboriginal and Torres Strait Islander peoples: description and initial evaluation.
机构信息
ORYGEN Youth Health Research Centre, University of Melbourne, Parkville, Victoria, Australia.
出版信息
Int J Ment Health Syst. 2009 Jun 3;3(1):10. doi: 10.1186/1752-4458-3-10.
BACKGROUND
Mental Health First Aid (MHFA) training was developed in Australia to teach members of the public how to give initial help to someone developing a mental health problem or in a mental health crisis situation. However, this type of training requires adaptation for specific cultural groups in the community. This paper describes the adaptation of the program to create an Australian Aboriginal and Torres Strait Islander Mental Health First Aid (AMHFA) course and presents an initial evaluation of its uptake and acceptability.
METHODS
To evaluate the program, two types of data were collected: (1) quantitative data on uptake of the course (number of Instructors trained and courses subsequently run by these Instructors); (2) qualitative data on strengths, weaknesses and recommendations for the future derived from interviews with program staff and focus groups with Instructors and community participants.
RESULTS
199 Aboriginal people were trained as Instructors in a five day Instructor Training Course. With sufficient time following training, the majority of these Instructors subsequently ran 14-hour AMHFA courses for Aboriginal people in their community. Instructors were more likely to run courses if they had prior teaching experience and if there was post-course contact with one of the Trainers of Instructors. Analysis of qualitative data indicated that the Instructor Training Course and the AMHFA course are culturally appropriate, empowering for Aboriginal people, and provided information that was seen as highly relevant and important in assisting Aboriginal people with a mental illness. There were a number of recommendations for improvements.
CONCLUSION
The AMHFA program is culturally appropriate and acceptable to Aboriginal people. Further work is needed to refine the course and to evaluate its impact on help provided to Aboriginal people with mental health problems.
背景
心理健康急救 (MHFA) 培训是在澳大利亚开发的，旨在教授公众如何对出现心理健康问题或处于心理健康危机中的人提供初步帮助。然而，这种类型的培训需要针对社区中的特定文化群体进行调整。本文描述了该计划的调整，以创建澳大利亚原住民和托雷斯海峡岛民心理健康急救 (AMHFA) 课程，并对其采用率和可接受性进行了初步评估。
方法
为了评估该计划，收集了两种类型的数据：（1）关于该课程采用率的定量数据（接受培训的讲师人数以及这些讲师随后开设的课程数）；（2）关于课程优势、劣势和未来建议的定性数据，这些数据源自对项目工作人员的访谈以及对讲师和社区参与者的焦点小组讨论。
结果
199 名原住民接受了为期五天的讲师培训课程的培训，成为讲师。在培训后有足够的时间，大多数讲师随后在他们的社区为原住民开设了 14 小时的 AMHFA 课程。如果讲师有之前的教学经验，并且在培训后与其中一位讲师培训师保持联系，他们更有可能开设课程。对定性数据的分析表明，讲师培训课程和 AMHFA 课程具有文化适宜性，对原住民具有赋权作用，并提供了被认为在帮助原住民处理心理健康问题方面非常相关和重要的信息。有一些改进建议。
结论
AMHFA 计划对原住民来说是文化适宜和可接受的。需要进一步改进课程，并评估其对原住民提供心理健康问题帮助的影响。
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