Susan and Alan Solomont School of Nursing, University of Massachusetts, Lowell 113 Wilder Street, Suite 200, Lowell, MA, 01854-3058, USA.
Department of Nursing, University of New Hampshire, Hewitt Hall, 4 Library Way, Durham, NH, 03824, USA.
Community Ment Health J. 2023 Oct;59(7):1251-1260. doi: 10.1007/s10597-023-01107-z. Epub 2023 Mar 14.
The aim was to identify which factors facilitate providing integrated behavioral health care for Iraqi refugees in nationally recognized community health center in Northern USA. The social-ecological model (SEM) framework guided this qualitative case study exploring the experience of 11 professional staff. Data were collected from June through August 2021 through individual interviews. Eight themes emerged based on the SEM levels: Intrapersonal-gender-driven engagement; interpersonal-the need for discretion and trusting relationship; community-collaboration with community resources and integrator from the community; organizational-holistic care, and long-term care; and policy-insufficient educational preparation. The results highlight components for clinical practice and policymakers regarding a population that is a big consumer of mental health care. Future research should explore other vulnerable populations, the effect of social groups, and the incorporation of community resources as part of the integrated care team.
目的在于确定哪些因素有助于为美国北部得到国家认可的社区卫生中心的伊拉克难民提供综合性的行为健康护理。社会生态模型（SEM）框架指导了这项定性案例研究，探索了 11 名专业人员的经验。数据于 2021 年 6 月至 8 月通过个人访谈收集。基于 SEM 层面，出现了八个主题：个人-性别驱动的参与；人际-需要谨慎和信任关系；社区-与社区资源和社区整合者合作；组织-整体护理和长期护理；政策-教育准备不足。结果突出了针对精神卫生保健的主要消费者这一人群的临床实践和政策制定者的相关内容。未来的研究应该探索其他弱势群体、社会团体的影响以及将社区资源纳入综合护理团队的情况。
