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利用多方面的社区干预措施减少澳大利亚马其顿社区对精神疾病的污名化。

Using a multifaceted community intervention to reduce stigma about mental illness in an Australian Macedonian community.

机构信息

University of New South Wales, Sydney, Australia.

出版信息

Health Promot J Austr. 2009 Dec;20(3):227-33. doi: 10.1071/he09227.

Abstract

ISSUES ADDRESSED

Mental health services are under-utilised by the Macedonian community in south-east Sydney. This project investigated attitudes and beliefs towards mental illness in this community and used the findings to inform a multifaceted community intervention to reduce stigma and improve mental health literacy.

METHODS

The study was conducted in two phases. In Phase 1, 100 people from the Macedonian community - 24 clients of the mental health service, 23 carers and 53 community members - participated in a telephone interview about mental illness. These results were used in Phase 2 to deliver targeted education programs to key individuals and groups within the community.

RESULTS

In Phase 1, participants cited negative views about mental illness, negative attitudes and discrimination towards people with mental illness, and concerns about confidentiality as the main reasons for failing to seek care early. In Phase 2, more than 90% of those who provided written feedback indicated that the community and workplace education sessions had given them a better understanding of mental illness and its impact.

CONCLUSIONS

Considerable progress was made towards the long-term aims of raising awareness, positively changing attitudes and behaviours and encouraging the utilisation of mental health services in the target community.

摘要

问题陈述

在悉尼东南部,马其顿社区对心理健康服务的利用率较低。本项目旨在调查该社区对精神疾病的态度和信念,并利用调查结果开展多方面的社区干预,以减少污名化,提高精神健康素养。

研究方法

本研究分为两个阶段进行。在第一阶段,来自马其顿社区的 100 人(包括 24 名心理健康服务的客户、23 名照顾者和 53 名社区成员)参与了电话访谈,内容涉及精神疾病。第一阶段的结果用于第二阶段,为社区内的关键个人和群体提供有针对性的教育计划。

结果

在第一阶段,参与者列举了对精神疾病的负面看法、对精神疾病患者的负面态度和歧视,以及对保密性的担忧,这些是他们未能及早寻求治疗的主要原因。在第二阶段,超过 90%提供书面反馈的人表示,社区和工作场所的教育课程使他们更好地了解了精神疾病及其影响。

结论

在提高目标社区对精神健康的认识、积极改变态度和行为以及鼓励利用心理健康服务方面,取得了相当大的进展,朝着长期目标迈进。

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