Boston College, Chestnut Hill, MA 02467, USA.
J Clin Psychol. 2013 Feb;69(2):182-90. doi: 10.1002/jclp.21957. Epub 2012 Dec 20.
Despite the high and increasing prevalence of poverty in the United States, psychologists and allied professionals have done little to develop mental health interventions that are tailored to the specific sociocultural experiences of low-income families. In this article, we describe the sociocultural stressors that accompany the material deprivations of poverty, and the mental health difficulties to which they often give rise. Next, we outline the psychosocial and class-related issues surrounding low-income adults' access to and use of mental health services and suggest a conceptual framework to guide the modification of mental health practice to better accommodate poor peoples' complex needs. This framework describes opportunities for practice modification at three levels of intervention, beginning at the individual level of traditional individual psychotherapy and subsequently targeting increasingly broad contextual elements of poverty.
尽管美国的贫困率居高不下且不断上升，但心理学家和相关专业人员在针对低收入家庭的特定社会文化经验制定心理健康干预措施方面做得很少。在本文中，我们描述了伴随贫困物质匮乏而来的社会文化压力源，以及它们常常引发的心理健康问题。接下来，我们概述了低收入成年人获得和使用心理健康服务所涉及的社会心理和阶级相关问题，并提出了一个概念框架，以指导修改心理健康实践，更好地满足贫困人口的复杂需求。该框架描述了在三个干预层面上进行实践修改的机会，从传统个体心理治疗的个体层面开始，随后针对贫困的日益广泛的背景因素。
