University of Pittsburgh, 4200 Fifth Ave, Pittsburgh, PA, 15260, USA.
Division of Refugee Health, Department of Health and Human Service, Office of Refugee Resettlement, Administration for Children and Families, 330 C Street, SW, Washington, DC, 20201, USA.
J Immigr Minor Health. 2020 Oct;22(5):957-964. doi: 10.1007/s10903-020-00986-8.
Poor mental health remains a significant source of morbidity and mortality in the Bhutanese refugee community. Mental Health First Aid (MHFA) is a promising intervention that has been used in other immigrant communities to prepare individuals to recognize and respond to mental health warning signs. This was a non-randomized program evaluation. Using pre- and post-training questionnaires developed for prior evaluations of MHFA, we examined the effectiveness of training offered with and without culturally-appropriate orientation to mental health terminology and concepts (N = 458). Pre- to post-training improvement in ability to recognize schizophrenia, ability to respond to schizophrenia and depression, and the overall mental health literacy was greater for Bhutanese refugees who attended orientation relative to other participants (P < 0.05). In scaling up MHFA training for other immigrant communities, we recommend developing and systematically evaluating culturally-appropriate orientation materials that introduce mental health vocabulary and contextualize mental health concepts.
在不丹难民群体中，心理健康状况欠佳仍然是一个重大的发病和致死原因。心理健康急救 (MHF) 是一种很有前途的干预措施，已被用于其他移民群体，旨在培训个人识别和应对心理健康警示信号。这是一项非随机的方案评估。我们使用先前 MHF 评估中开发的培训前后问卷，研究了提供有和没有针对心理健康术语和概念的文化适宜定位的培训的效果（N=458）。与其他参与者相比，参加定位的不丹难民在识别精神分裂症、应对精神分裂症和抑郁症的能力以及整体心理健康素养方面的培训前到培训后的改善更大（P<0.05）。在为其他移民群体扩大 MHF 培训规模时，我们建议开发和系统地评估引入心理健康词汇和使心理健康概念背景化的文化适宜定位材料。
