Department of Psychology, Utah State University.
Am J Orthopsychiatry. 2023;93(3):256-268. doi: 10.1037/ort0000676. Epub 2023 Apr 13.
With growing diversity within the U.S. population and notable barriers to accessing behavioral health care, marginalized youth are placed at risk for developing psychosocial and mental health problems. Promoting evidence-based interventions (EBIs) through school-based mental health services may improve accessibility and quality of care for marginalized youth facing mental health disparities. Culturally sensitive interventions (CSIs) may further improve engagement with and effectiveness of EBIs with marginalized youth. In this article, we provide guidelines for advancing CSIs when implementing and adapting EBIs with marginalized youth in schools. First, we emphasize inclusive strategies for advancing CSIs with marginalized youth in schools, focusing on antiracist adaptations to interventions and using a community-based participatory research approach when implementing EBIs. Following, we discuss techniques for tailoring CSIs to more effectively support marginalized youth and their families with school-based prevention and treatment. Specifically, we recommend using the Adapting Strategies for Promoting Implementation Reach and Equity framework as a guide to promote equitable implementation as well as key strategies for engaging marginalized youth and their families with school-based EBIs. Ultimately, we offer these guidelines to address disparities and inform more equitable practice in youth mental health care-and to motivate future studies advancing culturally responsive services with marginalized youth in schools. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
随着美国人口的多样性不断增加，以及获得行为健康护理的明显障碍，边缘化的青年面临着发展心理社会和心理健康问题的风险。通过学校心理健康服务推广基于证据的干预措施（EBIs），可能会提高面临心理健康差距的边缘化青年的可及性和护理质量。文化敏感干预措施（CSIs）可能会进一步提高边缘化青年对 EBI 的参与度和有效性。在本文中，我们提供了在学校中为边缘化青年实施和调整 EBI 时推进 CSI 的指导方针。首先，我们强调了在学校中为边缘化青年推进 CSI 的包容性策略，重点是对干预措施进行反种族主义的调整，并在实施 EBI 时采用基于社区的参与式研究方法。接下来，我们讨论了调整 CSI 以更有效地支持边缘化青年及其家庭进行基于学校的预防和治疗的技术。具体来说，我们建议使用促进实施范围和公平性的适应策略框架作为指导，以促进公平实施，以及与边缘化青年及其家庭一起参与基于学校的 EBI 的关键策略。最终，我们提供这些指导方针是为了解决差距问题，并为青年心理健康护理提供更公平的实践信息，激励未来与学校中边缘化青年一起开展文化响应服务的研究。（PsycInfo 数据库记录（c）2023 APA，保留所有权利）。
