Flaskerud J H
Community Ment Health J. 1986 Summer;22(2):127-41. doi: 10.1007/BF00754551.
This study examined the relationship between a culture-compatible approach to mental health service and utilization as measured by dropout and total number of outpatient visits. The sample (N = 300) was 23.5% Mexican, 22.8% White, 18.1% Black, 17.1% Vietnamese, 16.8% Pilipino, and 1.7% other ethnic group. A culture-compatible approach was found to be effective in increasing utilization. Three culture-compatibility components were the best predictors of dropout status: language match of therapists and clients, ethnic/racial match of therapists and clients, and agency location in the ethnic/racial community. Pharmacotherapy, education, previous treatment and a diagnosis of psychosis were significantly related to remaining in therapy.
本研究考察了一种与文化相适应的心理健康服务方法与以退出治疗率和门诊就诊总次数衡量的服务利用率之间的关系。样本（N = 300）中，23.5%为墨西哥人，22.8%为白人，18.1%为黑人，17.1%为越南人，16.8%为菲律宾人，1.7%为其他种族群体。研究发现，一种与文化相适应的方法在提高利用率方面是有效的。三个与文化相适应的因素是退出治疗状态的最佳预测指标：治疗师与来访者的语言匹配、治疗师与来访者的种族匹配以及机构在种族社区中的位置。药物治疗、教育、先前的治疗以及精神病诊断与继续接受治疗显著相关。
