Aggarwal Neil Krishan, Cedeno Kryst, John Dolly, Lewis-Fernandez Roberto
The authors are with the New York State Psychiatric Institute, New York.
Psychiatr Serv. 2017 Aug 1;68(8):856-858. doi: 10.1176/appi.ps.201600407. Epub 2017 Apr 3.
This study reports the extent to which states have adopted the national culturally and linguistically appropriate services (CLAS) standards.
Officials from public mental health agencies in the 50 states, Washington, D.C., and Puerto Rico were contacted between January and June 2016 to obtain information about adoption of CLAS standards in current policies. Each policy was coded through thematic analysis to determine its correspondence with any of the 14 national CLAS standards, which are grouped into three domains.
Officials from 47 states and territories (90%) responded. Eight states (17%) reported adopting all national CLAS standards. Ten (23%) had adopted no CLAS policies, five (12%) had adopted policies under one domain, three (7%) under two domains, and 25 (58%) under all three domains.
Most states do not have policies that meet all CLAS standards, raising questions about how CLAS standards should be adopted.
本研究报告了各州采用国家文化和语言适宜性服务(CLAS)标准的程度。
2016年1月至6月期间,与50个州、华盛顿特区和波多黎各的公共心理健康机构官员取得联系,以获取有关现行政策中采用CLAS标准的信息。通过主题分析对每项政策进行编码,以确定其与14项国家CLAS标准中的任何一项的对应关系,这些标准分为三个领域。
47个州和地区(90%)的官员做出了回应。8个州(17%)报告采用了所有国家CLAS标准。10个州(23%)未采用CLAS政策,5个州(12%)在一个领域采用了政策,3个州(7%)在两个领域采用了政策,25个州(58%)在所有三个领域采用了政策。
大多数州没有符合所有CLAS标准的政策,这引发了关于应如何采用CLAS标准的问题。