Sabbioni Daniela, Feehan Steven, Nicholls Craig, Soong Wei, Rigoli Daniela, Follett Denise, Carastathis Geoff, Gomes Alison, Griffiths Jennifer, Curtis Kerry, Smith Warwick, Waters Flavie
North Metro Health Service Mental Health, Perth, Western Australia, Australia.
YouthLink, Perth, Western Australia, Australia.
Early Interv Psychiatry. 2018 Oct;12(5):987-994. doi: 10.1111/eip.12563. Epub 2018 Mar 24.
Aboriginal young people are more likely to experience mental health issues and to access mental health services than other young Australians, yet there are few culturally informed mental health programs and services available. This study describes and documents the effectiveness of the culturally sensitive model within YouthLink, a state-wide mental health service program in Western Australia for young people aged 13 to 24 years of age.
A mixed-method design including a descriptive approach reporting on the YouthLink framework and an empirical research design where 40 Aboriginal clients completed client feedback monitoring measures between 2014 and 2016.
The YouthLink culturally informed conceptual framework adheres to best practice principles relevant to work with Indigenous people, family and communities. Aboriginal young people indicated improvement across the treatment period as shown by within-group differences between the first and last session scores on feedback measures. Therapeutic alliance (together with lower baseline acuity and female gender) also contributed significantly to positive treatment outcomes.
Through a strong role of Aboriginal practitioners, relationships with Aboriginal communities, and greater service flexibility that embraces cultural meaning and knowledge, YouthLink has sought to enhance its response to the needs of Aboriginal youth.
与其他澳大利亚年轻人相比，原住民年轻人更有可能出现心理健康问题并寻求心理健康服务，但目前几乎没有针对文化背景的心理健康项目和服务。本研究描述并记录了YouthLink项目中具有文化敏感性的模式的有效性，YouthLink是西澳大利亚州一项面向13至24岁年轻人的全州心理健康服务项目。
采用混合方法设计，包括对YouthLink框架进行描述性报告的方法，以及一项实证研究设计，其中40名原住民客户在2014年至2016年期间完成了客户反馈监测措施。
YouthLink具有文化背景的概念框架遵循了与原住民、家庭和社区合作相关的最佳实践原则。原住民年轻人在治疗期间表现出改善，反馈措施中第一次和最后一次会话得分的组内差异表明了这一点。治疗联盟（以及较低的基线严重程度和女性性别）也对积极的治疗结果有显著贡献。
通过原住民从业者的重要作用、与原住民社区的关系以及更大程度地接受文化意义和知识的服务灵活性，YouthLink试图增强其对原住民青年需求的响应。
