Barlow A, Walkup J T
Center for American Indian and Alaskan Native Health, Johns Hopkins School of Public Health, Baltimore, Maryland, USA.
Child Adolesc Psychiatr Clin N Am. 1998 Jul;7(3):555-77, ix.
Important cultural, linguistic, traditional, and spiritual differences among Native American reservations are likely to go unrecognized to the detriment of children in need of mental health intervention. The authors discuss the impact of these factors on the expressions of psychiatric distress of Native American children, their care-seeking behaviors, and the acceptability of the forms taken by mental health systems that serve them. They suggest new, innovative models of care that can be developed within the context of contemporary Native American culture. Although the roles envisioned for child psychiatrists include the provision of direct clinical service, the authors posit that a model in which child psychiatrists provide consultation and supervision to native outreach and other mental health workers is a more acceptable and potentially more effective use of scarce resources.
美国原住民保留地之间重要的文化、语言、传统和精神差异很可能未被认识到，这对需要心理健康干预的儿童不利。作者讨论了这些因素对美国原住民儿童精神痛苦表达、他们的就医行为以及为他们服务的心理健康系统所采取形式的可接受性的影响。他们提出了可以在当代美国原住民文化背景下发展的新的创新护理模式。尽管设想儿童精神科医生的角色包括提供直接临床服务，但作者认为，儿童精神科医生为本土外展工作者和其他心理健康工作者提供咨询和监督的模式是对稀缺资源更可接受且可能更有效的利用方式。
