作为心理健康顾问的初级保健提供者：来自城市少数族裔青少年的观点。

Primary Care Providers as Mental Health Counselors: Views from Urban, Minority Adolescents.

作者信息

Lim Sylvia W, Silver Ellen Johnson, Leo John, Kusulas Matthew, Alderman Elizabeth M, Racine Andrew D

出版信息

J Health Care Poor Underserved. 2016;27(3):1053-63. doi: 10.1353/hpu.2016.0129.

DOI:10.1353/hpu.2016.0129

PMID:27524751

Abstract

OBJECTIVE

To examine urban, minority adolescents' preferences for receiving guidance for mental health (MH) issues from primary care providers (PCPs) or from mental health providers (MHPs).

METHODS

Adolescents (13-21 years) from three community clinics and one school-based health center (SBHC) in the Bronx, N.Y. completed anonymous surveys. Characteristics of adolescents who preferred the PCP vs. MHP and adolescents' attitudes about the PCP vs. the MHP were compared.

RESULTS

Adolescents (N=135), mean age 16 years, majority Hispanic participated. Although 85% strongly agreed or agreed that their PCP was knowledgeable about MH, 57% preferred to talk to a MHP. Those who preferred the MHP were younger, attend a SBHC, and trust information on MH from a MHP. Those who preferred the PCP were more likely to report feeling comfortable talking to their PCP about MH.

CONCLUSIONS

Although the majority preferred a MHP, PCPs appeared to be an acceptable alternative for MH care.

摘要

目的

研究城市少数族裔青少年在接受心理健康（MH）问题指导时，更倾向于选择初级保健提供者（PCP）还是心理健康提供者（MHP）。

方法

纽约市布朗克斯区的三家社区诊所和一家校内健康中心（SBHC）的青少年（13 - 21岁）完成了匿名调查。比较了倾向于PCP与倾向于MHP的青少年的特征，以及青少年对PCP和MHP的态度。

结果

共有135名青少年参与，平均年龄16岁，大多数为西班牙裔。尽管85%的青少年强烈同意或同意他们的PCP具备心理健康知识，但57%的青少年更愿意与MHP交谈。倾向于MHP的青少年更年轻，就读于SBHC，并且信任来自MHP的心理健康信息。倾向于PCP的青少年更有可能报告说与PCP谈论心理健康时感觉自在。