McShane D
Am J Community Psychol. 1987 Feb;15(1):95-116. doi: 10.1007/BF00919760.
Critical issues in the delivery of mental health services to North American Indians/Natives residing in rural areas are discussed by describing Indian populations/communities; briefly summarizing available literature concerning the nature of mental health problems within Indian communities; examining Indian belief systems relevant to participation in mental health service delivery processes; exploring community expectations for structuring participatory interactions which may inhibit utilization of mental health services; and describing transactions between Indian consumers and non-Indian professionals which have become typical over time. The rural context was examined as it interacts with individual and community characteristics to affect Indian mental health. Relations between geography and culture, important in understanding the mental health problems of Indian people, are discussed in regard to expanding community healing resources through empowerment, and viewing "education as transformation" as a key concept in enhancing community healing processes.
通过描述印第安人群体/社区，简要总结有关印第安社区心理健康问题性质的现有文献，审视与参与心理健康服务提供过程相关的印第安信仰体系，探索社区对构建可能抑制心理健康服务利用的参与性互动的期望，以及描述随着时间推移已变得典型的印第安消费者与非印第安专业人员之间的交流，来讨论向居住在农村地区的北美印第安人/原住民提供心理健康服务中的关键问题。研究了农村环境如何与个人及社区特征相互作用以影响印第安人的心理健康。在通过赋权扩大社区康复资源以及将“教育即转变”视为加强社区康复过程的关键概念方面，讨论了地理与文化之间的关系，这对于理解印第安人的心理健康问题很重要。
