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为患有焦虑和抑郁的黑人和拉丁裔青少年提供心理健康护理:一项定性研究。

Access to mental health care for Black and Latino teens with anxiety and depression: a qualitative study.

作者信息

Daskalska Lora, Nelson David, Smith Jacquelyn, Young Staci

机构信息

Institute for Health & Humanity, Medical College of Wisconsin, 8701 W Watertown Plank Rd, Milwaukee, WI, USA.

Department of Family and Community Medicine, Medical College of Wisconsin, 8701 W Watertown Plank Rd, Milwaukee, WI, USA.

出版信息

Discov Ment Health. 2025 Apr 24;5(1):61. doi: 10.1007/s44192-025-00190-w.

Abstract

BACKGROUND

Anxiety and depression are common mental disorders among children and their prevalence has increased in recent years. Unfortunately, some children do not have access to mental health care. Black and Latino children have been reported to be more likely to have unmet mental health care needs than other racial or ethnic groups. This study sought to identify the influential factors in accessing mental health care for Black and Latino teens with anxiety or depression in Milwaukee, Wisconsin, and identify recommendations to improve access for this group.

METHODS

Ten qualitative, key informant interviews were conducted between February 2022 and January 2023 and analyzed using thematic analysis as the research approach.

RESULTS

Study findings were categorized into six themes:(1) Mental health during the COVID-19 pandemic, (2) First points of contact, (3) Preferences for mental health professional characteristics, (4) Adequate care: Culturally-appropriate, trauma-informed, and family-centered, (5) Community awareness of mental health and resources available, (6) Availability of mental health services.

CONCLUSIONS

Recommendations for public health policy and practice to increase access for these groups are discussed.

摘要

背景

焦虑和抑郁是儿童中常见的精神障碍,近年来其患病率有所上升。不幸的是,一些儿童无法获得心理健康护理。据报道,黑人儿童和拉丁裔儿童比其他种族或族裔群体更有可能存在未满足的心理健康护理需求。本研究旨在确定威斯康星州密尔沃基市患有焦虑或抑郁的黑人及拉丁裔青少年获得心理健康护理的影响因素,并确定改善该群体获得护理机会的建议。

方法

在2022年2月至2023年1月期间进行了10次定性的关键信息访谈,并采用主题分析作为研究方法进行分析。

结果

研究结果分为六个主题:(1)新冠疫情期间的心理健康,(2)首次接触点,(3)对心理健康专业人员特征的偏好,(4)充分的护理:文化适宜、创伤知情和以家庭为中心,(5)社区对心理健康和可用资源的认识,(6)心理健康服务的可及性。

结论

讨论了增加这些群体获得护理机会的公共卫生政策和实践建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e020/12022193/e125aec30e46/44192_2025_190_Fig1_HTML.jpg

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