Institute for Juvenile Research, Department of Psychiatry, University of Illinois at Chicago, 60608, USA.
Am J Community Psychol. 2012 Jun;49(3-4):441-53. doi: 10.1007/s10464-011-9474-6.
American Indian (AI) youth experience significant mental health disparities. The majority of AI youth live in urban areas, yet urban AI youth are underserved and unstudied. This manuscript describes a qualitative study of community mental health needs in an urban population of AI youth, conducted as part of the planning process for a system of care (SOC). Participants included 107 urban AI youth and families that participated in one of 16 focus groups assessing mental health needs and services. Forty-one percent of participants were youth or young adults. Data were coded and analyzed using qualitative software and then further analyzed and interpreted in partnership with a community research workgroup. Results indicated various community characteristics, mental health and wellness needs, and service system needs relevant to developing a system of care in this community. Key community, cultural, and social processes also emerged, reinforcing the importance of broader system changes to promote a sustainable SOC. These systems/policy changes are reviewed in the context of previous literature proposing necessary systems change to support behavioral health care in AI communities as well as to ensure that SOC implementation is consistent with core values and philosophy across all communities.
美国印第安青年（AI）在心理健康方面存在明显差距。大多数 AI 青年生活在城市地区，但城市 AI 青年的服务不足且未得到充分研究。本文描述了一项针对城市 AI 青年群体社区心理健康需求的定性研究，该研究是作为关怀体系（SOC）规划过程的一部分进行的。参与者包括 107 名城市 AI 青年及其家庭，他们参加了 16 个焦点小组之一，评估心理健康需求和服务。41%的参与者是青年或年轻成年人。使用定性软件对数据进行编码和分析，然后与社区研究工作组合作进一步分析和解释。结果表明，与在该社区开发关怀体系相关的各种社区特征、心理健康和健康需求以及服务体系需求。还出现了关键的社区、文化和社会进程，这进一步强调了进行更广泛的系统变革以促进可持续关怀体系的重要性。在提出需要进行系统变革以支持 AI 社区的行为保健以及确保 SOC 实施与所有社区的核心价值观和理念保持一致的先前文献的背景下，审查了这些系统/政策变革。
