Department of Psychiatry, Harvard Medical School, MA, USA.
Child Adolesc Psychiatr Clin N Am. 2010 Oct;19(4):759-74. doi: 10.1016/j.chc.2010.07.001.
Disparities remain in mental health status and care for racial and ethnic minority youth, despite national attention to disparity reduction. This article offers a comprehensive picture of the status of pediatric disparities, by addressing the major areas affecting minority youth mental health, including: prevention of problems, need for services, access to care, mental health treatment types, and treatment outcomes. The authors address relevant factors in the family, community and socioeconomic context, and describe various local and national programs that aim to tackle the obstacles and fill the gaps in high-quality care for racial/ethnic minority youth. The article concludes by offering recommendations for improvement that acknowledge the importance of understanding preferences and attitudes toward treatment, ensuring that screening and diagnosis is appropriate to minority youth, and ensuring that evidence-based programs are available at multiple levels to best service children and succeed in addressing their needs.
尽管国家关注减少差异，但少数族裔青年的心理健康状况和护理仍存在差异。本文通过解决影响少数族裔青年心理健康的主要领域，全面介绍儿科差异的现状，包括：预防问题、服务需求、获得护理、心理健康治疗类型和治疗结果。作者探讨了家庭、社区和社会经济背景中的相关因素，并描述了各种旨在解决高质量护理障碍和填补少数民族青年空白的地方和国家方案。文章最后提出了改进建议，承认了解治疗偏好和态度的重要性，确保对少数族裔青年进行适当的筛查和诊断，并确保在多个层面提供基于证据的方案，以最好地为儿童服务并成功满足他们的需求。
