为原住民或托雷斯海峡岛民青少年提供文化适宜的心理健康急救：专家共识指南的制定。
Providing culturally appropriate mental health first aid to an Aboriginal or Torres Strait Islander adolescent: development of expert consensus guidelines.
机构信息
Mental Health First Aid Australia, Parkville, Victoria, Australia.
出版信息
Int J Ment Health Syst. 2014 Jan 28;8(1):6. doi: 10.1186/1752-4458-8-6.
BACKGROUND
It is estimated that the prevalence of mental illness is higher in Aboriginal and Torres Strait Islander adolescents compared to non-Aboriginal adolescents. Despite this, only a small proportion of Aboriginal youth have contact with mental health services, possibly due to factors such as remoteness, language barriers, affordability and cultural sensitivity issues. This research aimed to develop culturally appropriate guidelines for anyone who is providing first aid to an Australian Aboriginal or Torres Strait Islander adolescent who is experiencing a mental health crisis or developing a mental illness.
METHODS
A panel of Australian Aboriginal people who are experts in Aboriginal youth mental health, participated in a Delphi study investigating how members of the public can be culturally appropriate when helping an Aboriginal or Torres Strait Islander adolescent with mental health problems. The panel varied in size across the three sequential rounds, from 37-41 participants. Panellists were presented with statements about cultural considerations and communication strategies via online questionnaires and were encouraged to suggest additional content. All statements endorsed as either Essential or Important by ≥ 90% of panel members were written into a guideline document. To assess the panel members' satisfaction with the research method, participants were invited to provide their feedback after the final survey.
RESULTS
From a total of 304 statements shown to the panel of experts, 194 statements were endorsed. The methodology was found to be useful and appropriate by the panellists.
CONCLUSION
Aboriginal and Torres Strait Islander Youth mental health experts were able to reach consensus about what the appropriate communication strategies for providing mental health first aid to an Aboriginal and Torres Strait Islander adolescent. These outcomes will help ensure that the community provides the best possible support to Aboriginal adolescents who are developing mental illnesses or are in a mental health crisis.
背景
据估计，与非原住民青少年相比，原住民和托雷斯海峡岛民青少年的精神疾病患病率更高。尽管如此，只有一小部分原住民青年与心理健康服务机构有联系，这可能是由于偏远地区、语言障碍、经济负担能力和文化敏感性等因素造成的。本研究旨在为任何向澳大利亚原住民或托雷斯海峡岛民青少年提供心理健康危机或精神疾病治疗的人制定文化适宜的指南。
方法
一个由澳大利亚原住民心理健康专家组成的小组参与了一项德尔菲研究，调查公众在帮助有心理健康问题的原住民或托雷斯海峡岛民青少年时如何做到文化适宜。该小组在三轮研究中规模不同，参与者人数从 37 人到 41 人不等。小组成员通过在线问卷了解关于文化考虑因素和沟通策略的陈述，并被鼓励提出其他内容。所有被≥90%的小组成员认为是必要或重要的陈述都被写入了指南文件。为了评估小组成员对研究方法的满意度，在最后一次调查后邀请参与者提供反馈。
结果
从总共向专家组展示的 304 条陈述中，有 194 条陈述得到了认可。小组成员认为该方法是有用和适当的。
结论
原住民和托雷斯海峡岛民青年心理健康专家就向原住民和托雷斯海峡岛民青少年提供心理健康急救的适当沟通策略达成了共识。这些结果将有助于确保社区为正在发展精神疾病或处于心理健康危机中的原住民青少年提供最佳支持。
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