Watson Maria-Rosa, Kaltman Stacey, Townsend Tiffany G, Goode Tawara, Campoli Marcela
Primary Care Coalition of Montgomery County, Inc., Silver Spring, MD 20910, USA.
J Health Care Poor Underserved. 2013 May;24(2):671-87. doi: 10.1353/hpu.2013.0079.
The goal of this project was to engage community members and grassroots organizations in a discussion regarding perceived mental health needs and priorities of the population of underserved Latinos in Montgomery County, Maryland. Community-based participatory research was used to establish structures for participation and to design studies that effectively address local mental health needs. Four focus groups with 30 Latino lay health promoters and 20 key informant interviews were conducted to ascertain communal mental health needs and priorities. The main issues that emerged included mental health stigma, consequences of immigration-related stress, violence and alcoholism, and concerns about psychotropic medications. Ideas to address these issues and foster wellness through research were generated during a community-based workshop that included consumers, primary care and mental health clinicians, researchers, and representatives of local organizations and federal agencies. The product of this process was an implementable mental health research agenda, which is presented and discussed.
该项目的目标是让社区成员和基层组织参与一场讨论，内容涉及马里兰州蒙哥马利县未得到充分服务的拉丁裔人群的心理健康需求及优先事项。基于社区的参与性研究被用于建立参与结构，并设计能有效满足当地心理健康需求的研究。开展了四个焦点小组讨论，参与者为30名拉丁裔非专业健康促进者，还进行了20次关键信息人士访谈，以确定社区心理健康需求及优先事项。出现的主要问题包括心理健康污名化、移民相关压力的后果、暴力和酗酒，以及对精神药物的担忧。在一个由消费者、初级保健和心理健康临床医生、研究人员以及当地组织和联邦机构代表参与的社区研讨会上，提出了应对这些问题并通过研究促进健康的想法。这一过程的成果是一个可实施的心理健康研究议程，本文将对其进行介绍和讨论。
