Department of Psychiatry, Institute for Juvenile Research, University of Illinois at Chicago, Chicago, IL, USA.
Office of the Vice Provost for Diversity, University of Illinois at Chicago, Chicago, IL, USA.
Am J Community Psychol. 2020 Dec;66(3-4):337-346. doi: 10.1002/ajcp.12458. Epub 2020 Sep 3.
The unique mental health context of children in Latinx immigrant families calls for innovative community-based intervention strategies. We use an ecological public health approach to highlight the importance of community-based organization (CBO) settings, the critical role of community-based paraprofessionals (i.e., non-clinicians, near-peers) and capacity-building, and the expansion of mental health promotion strategies to include realistic, day-to-day supports for Latinx immigrant parents and families. This realigns mental health with the goals and mission of trusted spaces, like CBOs, that can offer more equitable and non-stigmatized access for Latinx immigrant families. We draw upon two strength-based and empowerment-focused interventions that utilize community-based workforces to promote positive parenting skills (Partners Achieving Student Success-PASS; Mehta et al., 2019) and self-advocacy skills (Community Advocacy Project-CAP; Sullivan & Bybee, 1999) to provide the conceptual framework for Family Mental Health Advocacy (FMHA). FMHA aligns mental health promotion with the advocacy mission of CBOs, engages CBO staff with feasible mental health "messages," and empowers immigrant parents as critical change agents in the lives of their children. We acknowledge the challenges associated with implementing mental health promotion strategies and providing workforce support, as well as the importance of local and national policy influences.
拉美裔移民家庭儿童的独特心理健康背景需要创新的基于社区的干预策略。我们采用生态公共卫生方法强调社区组织 (CBO) 环境的重要性、社区准专业人员(即非临床医生、近邻)和能力建设的关键作用,以及扩大心理健康促进策略,将现实的、日常的支持纳入拉美裔移民父母和家庭。这使心理健康与可信赖空间(如 CBO)的目标和使命保持一致,这些空间可以为拉美裔移民家庭提供更公平和非污名化的获取途径。我们借鉴了两项基于优势和赋权的干预措施,利用社区劳动力来促进积极的育儿技能(合作伙伴实现学生成功-PASS;Mehta 等人,2019 年)和自我倡导技能(社区倡导项目-CAP;Sullivan 和 Bybee,1999 年),为家庭心理健康倡导 (FMHA) 提供概念框架。FMHA 将心理健康促进与 CBO 的倡导使命保持一致,使 CBO 工作人员参与可行的心理健康“信息”,并使移民父母成为其子女生活中的关键变革推动者。我们承认实施心理健康促进策略和提供劳动力支持所面临的挑战,以及地方和国家政策影响的重要性。