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美国阿拉伯移民的心理健康护理可及性:公共领域模型的应用

Mental Health Care Access Among Arab Immigrants in the United States: Application of Public Arena Model.

作者信息

Shaimaa Elrefaay, Bialous Stella

机构信息

School of Nursing, UCSF, 2 Koret Way Rm 411Y, San Francisco, CA, 94143, USA.

School of Nursing, Tanta University, ElGeish Street, Gharbiya, 31257, Egypt.

出版信息

Community Ment Health J. 2024 Feb;60(2):376-384. doi: 10.1007/s10597-023-01182-2. Epub 2023 Oct 26.

Abstract

Arab immigrants constitute a sizable portion of the US population, and their adjustment and relocation challenges might escalate mental health issues. Nevertheless, mental health care accessibility among such populations is not recognized as policy issue. Hence, it is crucial to explore the political tools that might be employed to improve immigrants' access to mental health treatment. The Public Arenas Model (Hilgartner and Bosk, American Journal of Sociology 94:53-78, 1988) provides better understanding of how access to mental health care is defined in the public sphere, why mental health inaccessibility among Arabs has not received attention, and how stakeholders worked to raise the public's attention to such issue (Smith, Policy, Politics & Nursing Practice 10:134-142, 2009). Ultimately, several policy options are proposed to address Arab immigrants' access to mental health care issue, including increasing mental health service providers' language proficiency and cultural competency, integration of behavioral health and primary care services for immigrant populations, and considering novel modes of mental health delivery.

摘要

阿拉伯移民在美国人口中占相当大的比例,他们在适应和重新安置过程中面临的挑战可能会加剧心理健康问题。然而,这类人群获得心理健康护理的问题并未被视为政策问题。因此,探索可能用于改善移民获得心理健康治疗机会的政治工具至关重要。公共领域模型(希尔加特纳和博斯克,《美国社会学杂志》94:53 - 78,1988年)有助于更好地理解在公共领域中如何界定获得心理健康护理的机会,为何阿拉伯人难以获得心理健康护理的问题未受到关注,以及利益相关者如何努力提高公众对该问题的关注(史密斯,《政策、政治与护理实践》10:134 - 142,2009年)。最终,提出了若干政策选项来解决阿拉伯移民获得心理健康护理的问题,包括提高心理健康服务提供者的语言能力和文化素养,将行为健康与移民群体的初级保健服务相结合,以及考虑新型心理健康服务提供模式。

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