Konidaris Mayio, Petrakis Melissa
Social Work, Victoria University, Melbourne 3011, Australia.
Social Work, Monash University, Melbourne 3162, Australia.
Healthcare (Basel). 2025 Jun 4;13(11):1342. doi: 10.3390/healthcare13111342.
Ongoing access and equity concerns for culturally diverse populations in mental health warrant a shift from cultural competence to cultural humility training. This review aimed to systematically assess the breadth of conceptual and training literature in peer-reviewed publications drawn from PsycINFO, CINAHL plus, Google Scholar and Scopus, from 2007-2018, utilizing as the key search term and its relevance to service provision.
This method utilized a five-stage scoping review framework.
Results were that a total of 246 publications were extracted. Following employing an abstract review method and removing duplicates, this resulted in a full-text review of 56 publications. The emerging themes included the following: culturally informed conceptual frameworks; culturally diverse training approaches; racial inequalities in mental health services; culturally informed national and international perspectives; race and international transcultural mental health.
Conclusions were that including cultural humility principles in service provision and training enables greater self-awareness towards racial bias and negative cultural stereotypes at both practice and organizational levels, ultimately aimed at enhancing mental health service provision by mitigating the structural barriers encountered by service users.
心理健康领域中，针对文化多元群体持续存在的可及性和公平性问题，有必要从文化能力培训转向文化谦逊培训。本综述旨在系统评估2007年至2018年期间从PsycINFO、CINAHL plus、谷歌学术和Scopus中选取的同行评审出版物中概念性和培训文献的广度，以“文化谦逊”作为关键搜索词及其与服务提供的相关性。
本方法采用了五阶段的范围综述框架。
共提取了246篇出版物。采用摘要评审方法并去除重复项后，对56篇出版物进行了全文评审。出现的主题包括：文化知情的概念框架；文化多元的培训方法；心理健康服务中的种族不平等；文化知情的国家和国际视角；种族与国际跨文化心理健康。
结论是，在服务提供和培训中纳入文化谦逊原则，能够在实践和组织层面提高对种族偏见和负面文化刻板印象的自我意识，最终目标是通过减轻服务使用者遇到的结构性障碍来加强心理健康服务提供。
