Takeuchi D T, Sue S, Yeh M
Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles 90024, USA.
Am J Public Health. 1995 May;85(5):638-43. doi: 10.2105/ajph.85.5.638.
The present study compared the return rate, length of treatment, and treatment outcome of ethnic minority adults who received services from ethnicity-specific or mainstream programs.
The sample consisted of 1516 African Americans, 1888 Asian Americans, and 1306 Mexican Americans who used 1 of 36 predominantly White (mainstream) or 18 ethnicity-specific mental health centers in Los Angeles County over a 6-year period. Predictor variables included type of program (ethnicity specific vs mainstream), disorder, ethnic match (whether or not clients had a therapist of the same ethnicity), gender, age, and Medi-Cal eligibility. The criterion variables were return after one session, total number of sessions, and treatment outcome.
The study indicated that ethnic clients who attended ethnicity-specific programs had a higher return rate and stayed in the treatment longer than those using mainstream services. The data analyses were less clear cut when treatment outcome was examined.
The findings support the notion that ethnicity-specific programs seem to increase the continued use of mental health services among ethnic minority groups.
本研究比较了接受特定族裔或主流项目服务的少数族裔成年人的回访率、治疗时长和治疗效果。
样本包括1516名非裔美国人、1888名亚裔美国人以及1306名墨西哥裔美国人，他们在六年时间里使用了洛杉矶县36家主要为白人服务的（主流）或18家特定族裔心理健康中心中的一家。预测变量包括项目类型（特定族裔与主流）、疾病、族裔匹配情况（客户是否有同种族的治疗师）、性别、年龄以及是否符合加州医疗补助资格。标准变量为一次治疗后的回访情况、治疗总次数以及治疗效果。
研究表明，参加特定族裔项目的族裔客户回访率更高，且比使用主流服务的客户治疗时间更长。在检查治疗效果时，数据分析结果不太明确。
研究结果支持以下观点，即特定族裔项目似乎能增加少数族裔群体对心理健康服务的持续使用。
