Myers Neely, Meeker Robert, Odeng Valerie
Department of Anthropology, Southern Methodist University, Dallas, TX, USA.
Department of Psychiatry, University of Texas - Southwestern Medical School, Dallas, TX, USA.
Community Ment Health J. 2025 Jan;61(1):138-146. doi: 10.1007/s10597-024-01335-x. Epub 2024 Aug 20.
Early support for young people experiencing psychosis is key to preventing negative outcomes. First and second-generation Black immigrants to predominantly white countries are at higher risk for psychosis (Bourque et al. in Psychol Med 41(5):897-910, 2011) and novel interventions are needed to help support immigrants youths and families. African immigrant pastors are culturally valued and poised to help congregants with psychosis and their families, but we know little about the supports pastors offer and what kinds of tools they might need to address the needs of their congregants. This qualitative study explores semi-structured interviews with 16 primarily nondenominational, Christian, African immigrant pastors to elucidate how they served young adult congregants experiencing symptoms of psychosis and their families. Using grounded theory analytic methods, five key themes emerged: (1) building supportive relationships; (2) identifying the source; (3) healing the problem; (4) families as partners in care; and, (5) referring congregants to and collaborating with mental health professionals. These findings describe an initial set of care practices as a starting point for understanding the current and future role of African immigrant pastors as partners in providing mental health care.
为经历精神病的年轻人提供早期支持是预防负面结果的关键。主要移民到白人占主导国家的第一代和第二代黑人移民患精神病的风险更高（布尔克等人，《心理医学》，2011年第41卷第5期，第897 - 910页），因此需要新的干预措施来帮助支持移民青年及其家庭。非洲移民牧师在文化上受到重视，有能力帮助患有精神病的教友及其家庭，但我们对牧师提供的支持以及他们可能需要哪些工具来满足教友的需求了解甚少。这项定性研究通过对16位主要为非宗派、基督教、非洲移民牧师进行半结构化访谈，以阐明他们如何为出现精神病症状的年轻成年教友及其家庭提供服务。运用扎根理论分析方法，出现了五个关键主题：（1）建立支持性的关系；（2）确定根源；（3）解决问题；（4）家庭作为护理伙伴；以及（5）将教友转介给心理健康专业人员并与其合作。这些发现描述了一套初步的护理实践，作为理解非洲移民牧师作为心理健康护理伙伴当前和未来作用的起点。
