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加强危机热线的公平性:了解加拿大响应者的背景、做法和学习需求。

Enhancing Equity on Crisis Lines: Understanding the Background, Practices and Learning Needs of Responders in Canada.

作者信息

Donkin Victoria, Clarkin Chantalle, Gambin Amanda, Sanches Marcos, VanderSluis Karen, Crawford Allison

机构信息

Centre for Addiction and Mental Health, 60 White Squirrel Way, Office 233, Toronto, ON, Canada.

9-8-8: Suicide Crisis Helpline, Toronto, ON, Canada.

出版信息

Community Ment Health J. 2025 Jan 9. doi: 10.1007/s10597-024-01424-x.

DOI:10.1007/s10597-024-01424-x
PMID:39789246
Abstract

Understanding the current state of equity, diversity, and inclusion (EDI) within the crisis line sector is essential to enhancing accessibility and acceptability of crisis line services for all. Through an intersectional lens, we examined 9-8-8 crisis line workers' personal and work demographics, training, resources, perceived competencies in supporting diverse populations. We conducted an electronic survey of crisis line responders and leadership in Canada. Data was analyzed using descriptive statistics, Fisher's test, and Mann-Whitney U/Kruskal-Wallis H tests. Open ended responses were analyzed using content analysis. 323 surveys were completed. Analysis revealed statistically significant associations between respondent demographics, training satisfaction, access to resources, and perceived competency in supporting diverse communities. Conclusion: The findings indicate the need for new approaches to recruitment and training in the crisis line sector to enhance the inclusivity of crisis services for all individuals seeking mental health support.

摘要

了解危机热线部门内公平、多样性和包容性(EDI)的现状对于提高危机热线服务对所有人的可及性和可接受性至关重要。通过交叉性视角,我们研究了988危机热线工作者的个人和工作人口统计学特征、培训、资源以及在支持不同人群方面的感知能力。我们对加拿大的危机热线响应者和领导层进行了电子调查。使用描述性统计、费舍尔检验以及曼-惠特尼U/克鲁斯卡尔-沃利斯H检验对数据进行了分析。采用内容分析法对开放式回答进行了分析。共完成了323份调查问卷。分析揭示了受访者人口统计学特征、培训满意度、资源获取情况以及在支持不同社区方面的感知能力之间存在统计学上的显著关联。结论:研究结果表明,危机热线部门需要采用新的招聘和培训方法,以提高危机服务对所有寻求心理健康支持的人的包容性。

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本文引用的文献

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"Something Has to Be Done to Make Women Feel Safe": Women Veterans' Recommendations for Strengthening the Veterans Crisis Line for Women Veterans.“必须采取措施让女性感到安全”:女性退伍军人加强女性退伍军人危机热线的建议。
Womens Health Issues. 2024 Mar-Apr;34(2):180-185. doi: 10.1016/j.whi.2023.12.002. Epub 2024 Jan 9.
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Crisis Lines: Current Status and Recommendations for Research and Policy.危机热线:现状及研究与政策建议。
Psychiatr Serv. 2023 May 1;74(5):505-512. doi: 10.1176/appi.ps.20220294. Epub 2022 Dec 7.
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Just ethnic matching? Racial and ethnic minority students and culturally appropriate mental health provision at British universities.
仅仅是族裔匹配吗?英国大学中的少数族裔学生和文化适宜的心理健康服务。
Int J Qual Stud Health Well-being. 2022 Dec;17(1):2117444. doi: 10.1080/17482631.2022.2117444.
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Promoting Antiracist Mental Health Crisis Responses.倡导反种族主义心理健康危机应对措施。
AMA J Ethics. 2022 Aug 1;24(8):E788-794. doi: 10.1001/amajethics.2022.788.
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Achieving health equity in US suicides: a narrative review and commentary.实现美国自杀事件中的健康公平:叙事综述与评论。
BMC Public Health. 2022 Jul 15;22(1):1360. doi: 10.1186/s12889-022-13596-w.
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Community expectations and anticipated outcomes for crisis support services-Lifeline Australia.社区对危机支持服务——澳大利亚生命线组织的期望及预期成果。
Health Soc Care Community. 2022 Sep;30(5):1775-1788. doi: 10.1111/hsc.13557. Epub 2021 Aug 30.
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Trans and Gender-Diverse peoples' experiences of crisis helpline services.跨性别和性别多样化人群对危机热线服务的体验。
Health Soc Care Community. 2021 May;29(3):672-684. doi: 10.1111/hsc.13333. Epub 2021 Mar 11.
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