Department of Psychology, University of Michigan, Ann Arbor, Michigan, USA.
Department of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, USA.
J Community Psychol. 2023 Sep;51(7):2618-2634. doi: 10.1002/jcop.23035. Epub 2023 Mar 28.
This study explores behavioral health services for American Indians and Alaska Natives (AIANs) at six Urban Indian Health Programs (UIHPs). Interviews and focus groups with clinicians and staff inquired about behavioral health treatment available, service needs, client population, and financial and staffing challenges. Resulting site profiles were created based on focused coding and integrative memoing of site visit field notes and respondent transcripts. These six UIHPs evidenced diversity across multiple facets of service delivery even as they were united in their missions to provide accessible and effective behavioral health treatment to urban AIAN clients. Primary challenges to service provision included heterogenous client populations, low insurance coverage, limited provider knowledge, lack of resources, and incorporation of traditional healing. Collaborative research with UIHPs harbors the potential to recognize challenges, identify solutions, and share best practices across this crucial network of health care sites for improving urban AIAN well-being.
本研究探讨了六家城市印第安人健康计划（UIHP）为美国印第安人和阿拉斯加原住民（AIAN）提供的行为健康服务。对临床医生和工作人员的访谈和焦点小组询问了可用的行为健康治疗、服务需求、客户群体以及财务和人员配备方面的挑战。根据对现场访问现场记录和受访者记录的重点编码和综合备忘录，创建了各个地点的简介。这六个 UIHP 在服务提供的多个方面都表现出多样性，尽管它们的使命是为城市 AIAN 客户提供可及且有效的行为健康治疗。服务提供的主要挑战包括客户群体异质性、保险覆盖率低、提供者知识有限、资源匮乏以及传统治疗的融入。与 UIHP 开展合作研究有可能在这个关键的医疗保健网站网络中识别挑战、确定解决方案并分享最佳实践，以改善城市 AIAN 的健康状况。
