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解决肯塔基州西部农村县青少年获得心理健康护理方面的地理不平等和障碍问题。

Addressing Geographical Inequities and Barriers in Access to Mental Health Care among Youth in a Rural Western Kentucky County.

机构信息

Department of Public Health, Health Administration, and Health Sciences, Tennessee State University, Nashville, TN, USA.

出版信息

Community Ment Health J. 2024 Oct;60(7):1380-1384. doi: 10.1007/s10597-024-01294-3. Epub 2024 Jun 3.

DOI:10.1007/s10597-024-01294-3
PMID:38829469
Abstract

A Community Health Assessment (CHA) was conducted among community members in a rural Western Kentucky county in 2022-2023 identified mental health as one of the top health issues in the county. The purpose of a CHA is to identify key health needs and issues through data and develop strategies for action. One of the objectives was to identify barriers to accessing mental health care, especially among youth. Secondary data analyses were performed from survey results conducted by the local health department and local public schools. Quantitative data were analyzed using SPSS software. Qualitative data were analyzed using a two-cycle coding process. Access to mental healthcare is an area of great need in this rural Western Kentucky county. Recommendations include working with healthcare providers, especially specialists, to accept Medicaid and it is recommended to cross-train other professionals to address mental health needs in this region.

摘要

2022-2023 年,在肯塔基州西部的一个农村社区,对社区成员进行了社区健康评估,确定心理健康是该县的首要健康问题之一。社区健康评估的目的是通过数据识别关键的健康需求和问题,并制定行动策略。目的之一是确定获得心理健康保健的障碍,特别是在年轻人中。对当地卫生部门和当地公立学校进行的调查结果进行了二次数据分析。使用 SPSS 软件分析定量数据。使用两轮编码过程分析定性数据。在这个肯塔基州西部的农村县,对精神卫生保健的需求很大。建议包括与医疗保健提供者合作,特别是专家,以接受医疗补助,并建议对其他专业人员进行交叉培训,以满足该地区的精神卫生需求。

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本文引用的文献

1
Adolescent Depression and Anxiety Treatment in Rural Schools: A Systematic Review.农村学校青少年抑郁与焦虑症治疗:一项系统综述
Rural Ment Health. 2022 Jan;46(1):13-27. doi: 10.1037/rmh0000183. Epub 2021 May 13.
2
Mental Health Surveillance Among Children - United States, 2013-2019.儿童心理健康监测 - 美国,2013-2019 年。
MMWR Suppl. 2022 Feb 25;71(2):1-42. doi: 10.15585/mmwr.su7102a1.
3
Global Prevalence of Depressive and Anxiety Symptoms in Children and Adolescents During COVID-19: A Meta-analysis.新冠疫情期间儿童和青少年抑郁和焦虑症状的全球患病率:一项荟萃分析。
JAMA Pediatr. 2021 Nov 1;175(11):1142-1150. doi: 10.1001/jamapediatrics.2021.2482.
4
The social determinants of health: it's time to consider the causes of the causes.健康的社会决定因素:是时候考虑原因的原因了。
Public Health Rep. 2014 Jan-Feb;129 Suppl 2(Suppl 2):19-31. doi: 10.1177/00333549141291S206.