Martínez-Vega Ruth, Maduforo Aloysius Nwabugo, Renzaho Andre, Alaazi Dominic A, Dordunoo Dzifa, Tunde-Byass Modupe, Unachukwu Olutoyosi, Atilola Victoria, Boatswain-Kyte Alicia, Maina Geoffrey, Hamilton-Hinch Barbara-Ann, Massaquoi Notisha, Salami Azeez, Salami Oluwabukola
Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, 3280 Hospital Drive, Calgary, Canada.
School of Medicine, Western Sydney University, David Pilgrim AvenueNSW2560, Campbelltown , Australia.
Child Adolesc Psychiatry Ment Health. 2024 Sep 9;18(1):113. doi: 10.1186/s13034-024-00800-5.
Youth mental health is a growing concern in research, practice, and policy. Practice standards, guidelines, or strategies provide an invisible infrastructure that fosters equity, quality, and safety, potentially addressing inconsistencies and more effectively attending to the mental wellness of Black youth as a particular population of concern. This scoping review aimed to address the following question: What standards exist for the delivery of mental health services to Black youth in community, primary care, and educational settings? Due to a limited initial search yield on publications about standards for the delivery of mental health services for Black youth population, our goal was then to identify and map mental health standards, recommendations, or guidelines for the delivery of mental health services using the same settings to all youth.
Searches were conducted in various databases, including PubMed/MEDLINE, PsycINFO, Embase, SocINDEX, CINAHL, Gender Studies Database, Social Services Abstracts, Sociological Abstracts, Scopus, Web of Science, and Google Scholar. Screening was independently conducted by two reviewers, with disagreements resolved by a third. Information extraction was performed by two independent reviewers.
Out of the 2,701 screened publications, 54 were included in this scoping review. Among them, 38.9% were published between 2020 and 2023, with 40.7% originating from the United States of America, 20.4% from the United Kingdom, and 13% from Canada. Concerning the settings, 25.9% of the publications focused on primary care, 24.1% on health care services, 20.4% on educational settings, and 3.7% on the community. Additionally, 25.9% were classified as general because recommendations were applicable to various settings. Attention-deficit/hyperactivity disorder (11.1%) was the most frequently considered specific condition, followed by autism spectrum disorder (9.3%) and depression (9.3%). However, 31.5% of the included references addressed mental health in general. Only three references provided specific recommendations for the Black population.
Recommendations, guidelines, or standards for Black youth mental health services in community, primary care, or educational settings are scarce and limited to North American countries. This scoping review emphasizes the need to consider ethnicity when developing guidelines or standards to improve racial equity and reduce disparities in access to mental health services.
青少年心理健康在研究、实践和政策领域日益受到关注。实践标准、指南或策略提供了一种无形的基础设施，促进公平、质量和安全，有可能解决不一致的问题，并更有效地关注作为特别受关注人群的黑人青少年的心理健康。本范围综述旨在回答以下问题：在社区、初级保健和教育环境中，为黑人青少年提供心理健康服务的标准有哪些？由于初步检索关于为黑人青少年提供心理健康服务标准的出版物时收获有限，我们的目标随后变为识别并梳理针对所有青少年在相同环境下提供心理健康服务的心理健康标准、建议或指南。
在多个数据库中进行检索，包括PubMed/MEDLINE、PsycINFO、Embase、SocINDEX（社会索引）、CINAHL（护理学与健康领域数据库）、性别研究数据库、社会服务摘要、社会学摘要、Scopus、科学引文索引和谷歌学术。筛选工作由两位评审员独立进行，分歧由第三位评审员解决。信息提取由两位独立评审员完成。
在筛选的2701篇出版物中，有54篇被纳入本范围综述。其中，38.9%的文献发表于2020年至2023年之间，40.7%源自美国，20.4%源自英国，13%源自加拿大。关于环境方面，25.9%的出版物聚焦于初级保健，24.1%关注医疗保健服务，20.4%关注教育环境，3.7%关注社区。此外，25.9%被归类为一般性文献，因为其建议适用于各种环境。注意力缺陷多动障碍（11.1%）是最常被考虑的特定病症，其次是自闭症谱系障碍（9.3%）和抑郁症（9.3%）。然而，31.5%的纳入参考文献总体上涉及心理健康。只有三篇参考文献为黑人人群提供了具体建议。
在社区、初级保健或教育环境中针对黑人青少年心理健康服务的建议、指南或标准稀缺，且仅限于北美国家。本范围综述强调在制定指南或标准时需要考虑种族因素，以改善种族公平并减少心理健康服务获取方面的差距。
