Villani J, Kuosmanen T, McDonagh M, Barry M M
Health Service Executive, National Office of Mental Health Engagement and Recovery, St Loman's Hospital, Palmerstown, Dublin, Ireland.
Health Promotion Research Centre, School of Health Sciences, University of Galway, Galway, Ireland.
Ir J Psychol Med. 2024 Nov 25:1-9. doi: 10.1017/ipm.2024.51.
This study explores the perspectives of Irish Travellers, an ethnic minority group in Ireland, on the service improvements needed to implement culturally appropriate recovery approaches in mental health services.
A community-based participatory research approach was employed. Seventeen Traveller peer researchers conducted thirteen qualitative participatory workshops and five individual interviews across Ireland. Eighty-seven adult members of the Traveller community (83% female, mean age = 33, 56.3% not in education or employment) were recruited through convenience sampling. Participatory thematic analysis was employed.
Travellers' ideas about improvements in mental healthcare involve practitioners in creating a trusting environment, increasing representation of Travellers within mental healthcare staff and working in partnership with Traveller service users to co-produce strategies that are owned by the community. Study participants emphasised the importance of Traveller cultural awareness, strengthening trauma-informed care, and embedding an ethos of cultural humility within mainstream services. The findings indicate the need for increased collaboration between mental health service providers and non-mental health agencies, and a reorientation of care towards empowering Traveller service users to achieve their social aspirations and building a positive self-identity.
This study demonstrates that implementing a recovery approach for Travellers requires a reorientation of services, in line with Travellers' definition of culturally appropriate mental healthcare. This study calls for an expanded mandate for mental health services beyond individual care and towards intersectoral action in addressing the social determinants of Travellers' mental health. This will help to shape an equitable and inclusive healthcare setting that promotes Travellers' mental health and recovery.
本研究探讨爱尔兰的一个少数民族群体——爱尔兰游民，对在心理健康服务中实施符合文化背景的康复方法所需的服务改进的看法。
采用基于社区的参与式研究方法。17名游民同伴研究人员在爱尔兰各地开展了13次定性参与式工作坊和5次个人访谈。通过便利抽样招募了87名游民社区成年成员（83%为女性，平均年龄 = 33岁，56.3%未接受教育或就业）。采用参与式主题分析法。
游民对改善心理保健的想法包括让从业者营造一个信任的环境，增加游民在心理保健工作人员中的代表性，并与游民服务使用者合作，共同制定社区认可的策略。研究参与者强调了游民文化意识、加强创伤知情护理以及在主流服务中融入文化谦逊精神的重要性。研究结果表明，心理健康服务提供者与非心理健康机构之间需要加强合作，并且需要重新调整护理方向，以增强游民服务使用者实现其社会抱负和建立积极自我认同的能力。
本研究表明，为游民实施康复方法需要根据游民对符合文化背景的心理保健的定义重新调整服务方向。本研究呼吁扩大心理健康服务的任务范围，从个体护理转向跨部门行动，以解决游民心理健康的社会决定因素。这将有助于塑造一个公平和包容的医疗环境，促进游民的心理健康和康复。
