动员社区卫生工作者解决弱势群体的心理健康差距：一项系统综述
Mobilizing Community Health Workers to Address Mental Health Disparities for Underserved Populations: A Systematic Review.
作者信息
Barnett Miya L, Gonzalez Araceli, Miranda Jeanne, Chavira Denise A, Lau Anna S
机构信息
Department of Counseling, Clinical, & School Psychology, University of California, Gervitz Graduate School of Education, Santa Barbara, CA, 93106-9490, USA.
Department of Psychology, California State University, Long Beach, CA, USA.
出版信息
Adm Policy Ment Health. 2018 Mar;45(2):195-211. doi: 10.1007/s10488-017-0815-0.
Abstract
This systematic review evaluates efforts to date to involve community health workers (CHWs) in delivering evidence-based mental health interventions to underserved communities in the United States and in low- and middle-income countries. Forty-three articles (39 trials) were reviewed to characterize the background characteristics of CHW, their role in intervention delivery, the types of interventions they delivered, and the implementation supports they received. The majority of trials found that CHW-delivered interventions led to symptom reduction. Training CHWs to support the delivery of evidence-based practices may help to address mental health disparities. Areas for future research as well as clinical and policy implications are discussed.
摘要
本系统评价评估了迄今为止让社区卫生工作者（CHW）参与向美国及低收入和中等收入国家的弱势群体社区提供循证心理健康干预措施的工作。我们对43篇文章（39项试验）进行了综述，以描述社区卫生工作者的背景特征、他们在干预措施实施中的作用、他们所提供的干预措施类型以及他们获得的实施支持。大多数试验发现，由社区卫生工作者提供的干预措施可减轻症状。培训社区卫生工作者以支持循证实践的实施可能有助于解决心理健康差异问题。本文还讨论了未来研究的领域以及临床和政策方面的影响。
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