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有过创伤经历的年轻黑人男性多层次心理健康干预的社区需求和建议。

Community needs and recommendations for multilevel mental health interventions among young Black men with previous trauma exposure.

机构信息

Center of Alcohol and Substance Use Studies, Graduate School of Applied and Professional Psychology, Rutgers University-New Brunswick.

Department of Psychology, The New School for Social Research.

出版信息

J Consult Clin Psychol. 2022 Oct;90(10):760-769. doi: 10.1037/ccp0000741.

Abstract

OBJECTIVE

To report on multilevel strategies for addressing community mental health disparities among young Black/African American men, who are at increased risk for trauma exposure yet have a lower likelihood of receiving mental health care compared to other young adults.

METHOD

This was a secondary data analysis from a larger mixed-methods study that was conducted in two phases, using an exploratory sequential design. Participants in Phase 1 were 55 Black men aged 18-30 years old (M = 22.55, SD = 3.9), who had experienced one or more lifetime traumatic events. Relevant for the present study, participants completed focus groups that elicited community needs and recommended strategies for promoting community mental health. The social-ecological model (including individual, interpersonal, organizational, community, and public policy levels) was used to guide interpretation of these qualitative findings.

RESULTS

Focus groups recommended intervention strategies from individual/interpersonal levels (e.g., educational resources, fostering social support) to organizational and community approaches (e.g., resource fairs; tools for schools, churches, and broader community settings) and policy changes (e.g., increased funding to improve access).

CONCLUSIONS

Qualitative findings have potential to provide the foundation for culturally relevant interventions to improve access to mental health care and engagement in services. It is imperative that researchers partner with communities to address these disparities. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

摘要

目的

报告针对年轻黑人/非裔美国男性社区心理健康差距的多层次策略,这些男性面临更高的创伤暴露风险,但与其他年轻成年人相比,接受心理健康护理的可能性更低。

方法

这是一项更大的混合方法研究的二次数据分析,该研究分两个阶段进行,采用探索性序贯设计。第 1 阶段的参与者是 55 名年龄在 18-30 岁之间(M = 22.55,SD = 3.9)的经历过一次或多次创伤事件的黑人男性。与本研究相关的是,参与者完成了焦点小组,这些小组引出了社区的需求,并为促进社区心理健康提出了策略。社会生态模型(包括个人、人际、组织、社区和公共政策层面)用于指导对这些定性发现的解释。

结果

焦点小组建议从个人/人际关系层面(例如,教育资源、培养社会支持)到组织和社区方法(例如,资源展览会;为学校、教堂和更广泛的社区环境提供工具)以及政策变化(例如,增加资金以改善获取途径)采取干预策略。

结论

定性研究结果有可能为改善心理健康护理的获取途径和服务参与提供文化相关干预措施的基础。研究人员必须与社区合作,解决这些差距。(PsycInfo 数据库记录(c)2022 APA,保留所有权利)。

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