Center for Multicultural Mental Health Research, Cambridge Health Alliance and Harvard Medical School, 120 Beacon Street, Somerville, MA 02143, USA.
Adm Policy Ment Health. 2010 Mar;37(1-2):48-60. doi: 10.1007/s10488-010-0283-2.
Evidence suggests that the current mental health system is failing in the provision of quality mental health care for diverse children and families. This paper discusses one critical domain missing to improve care: serious attention given to diversity, culture, and context. It discusses what we mean by understanding culture and context at the individual, family, organizational, and societal level. Focusing on key predictors of children's adjustment in natural contexts would increase attention to building community and family capacities that strengthen children's mental health. To conclude, we suggest changes in organizational culture to build natural supports to enhance children's mental health.
有证据表明,当前的心理健康系统在为不同的儿童和家庭提供优质的心理健康护理方面存在不足。本文讨论了一个改善护理的关键缺失领域:认真关注多样性、文化和背景。本文讨论了在个人、家庭、组织和社会层面理解文化和背景的含义。关注自然环境中儿童适应的关键预测因素,将增加对建立社区和家庭能力的关注,从而增强儿童的心理健康。最后,我们建议改变组织文化,建立自然支持,以促进儿童的心理健康。