Prog Community Health Partnersh. 2023;17(3):503-513.
Mental health care is a top clinical concern for modern Puerto Rico, especially given a dramatically changing economic landscape paired with recurrent natural disasters. Youth are particularly at-risk due to long-term impacts of toxic stress and adverse childhood experiences on health and development.
Here we present a novel clinician-community-educator-scientist partnership to address Puerto Rican youth mental well-being and wellness. We deployed pilot health workshops within the Boys & Girls Clubs of Puerto Rico to build youth mental health conceptual understanding and competencies in stress recognition and management. The work in progress herein evaluates acceptability and feasibility of our curricular model.
Dialogue with community stakeholders guided curricular design of workshops for youth ages 6 to 13 and older. Prior to implementation, educators and volunteers attended a 1-day training on educational strategies. Workshop success was evaluated using qualitative approaches (i.e., narrative feedback, educator and volunteer reflections, youth Talking Drawings) to assess youth engagement, youth conceptual health understanding, and educator/volunteer impressions of feasibility and impact.
Initial findings indicate high acceptability and feasibility of our curricular model. Youth engagement and enthusiasm were noted in educator feedback and continue to be sustained post-workshop. Preliminary analysis shows accompanying increases in youth conceptual mental health understanding, particularly for 6- to 12-year-olds in recognition of stress and healthy coping mechanisms. Reciprocal gains were observed for volunteers.
Activities have evolved into a formal partnership called Semilla, which features expanded analysis of mental well-being and wellness outcomes. Our collaborative model continues to engage Puerto Rican youth in the science of their well-being.
心理健康护理是波多黎各现代医疗的重点关注领域,尤其是考虑到经济格局的急剧变化,以及反复发生的自然灾害。由于长期的毒性压力和不良童年经历对健康和发展的影响,青年群体尤其处于危险之中。
本研究提出了一种新的临床医生-社区-教育者-科学家合作模式,以解决波多黎各青年的心理健康和福祉问题。我们在波多黎各男孩女孩俱乐部内开展了试点健康研讨会,以提高青年对精神健康概念的理解,并增强他们识别和管理压力的能力。本文介绍了我们课程模式的可接受性和可行性的进展情况。
与社区利益相关者的对话指导了针对 6 至 13 岁及以上青年的研讨会课程设计。在实施之前,教育工作者和志愿者参加了为期 1 天的教育策略培训。使用定性方法(即叙事反馈、教育者和志愿者的反思、青年的谈话绘画)评估研讨会的成功,以评估青年的参与度、青年对健康概念的理解、以及教育者/志愿者对可行性和影响的看法。
初步研究结果表明,我们的课程模式具有较高的可接受性和可行性。教育者的反馈中指出了青年的参与度和积极性,并且在研讨会结束后仍持续存在。初步分析表明,青年对心理健康概念的理解也有所提高,特别是 6 至 12 岁的儿童对压力和健康应对机制的认识。志愿者也观察到了相互的收获。
这些活动已发展成为一个名为“种子”的正式合作伙伴关系,该关系对心理健康和福祉结果进行了扩展分析。我们的合作模式继续让波多黎各青年参与到他们自身健康的科学研究中。