{"title":"Confronting mental health stigma in Haitian Americans suffering from mental health challenges.","authors":"Marie M Moreau, Rene A Love, Dany Fanfan","doi":"10.1097/JXX.0000000000000992","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Haitian Americans have been disproportionately exposed to risk factors known to play a significant role in the development of mental illness. Yet despite the documented effectiveness of mental health treatment, a high proportion of Haitian Americans with mental health disorders have not received care.</p><p><strong>Local problem: </strong>Internalized stigma of mental illness (ISMI) was reported as one of the primary reasons Haitian Americans do not seek help for mental illnesses, resulting in poor long-term outcomes for individuals and families in this community. This quality improvement project characterized ISMI among Haitian Americans, examined associated demographic factors, and tested the impact of a culturally relevant ISMI educational video intervention on willingness to seek mental health treatment.</p><p><strong>Methods: </strong>Haitian Americans who self-reported mental illness ( N = 20) were recruited from a South Florida clinic. Descriptive statistics, correlations, and thematic analyses were completed to analyze the data.</p><p><strong>Interventions: </strong>Participants completed the nine-item ISMI scale, watched an educational video about ISMI, completed a post-intervention survey, and engaged in conversations about mental health and ISMI.</p><p><strong>Results: </strong>Sixty-five percent of participants reported mild levels of ISMI. Sex was significantly correlated with ISMI ( r = -0.458, p = .042); male participants experienced higher levels of ISMI. The educational video improved participants' knowledge of ISMI, and 85% indicated increased willingness to seek treatment.</p><p><strong>Conclusions: </strong>When caring for Haitian Americans with mental illnesses, nurse practitioners should initiate conversations about ISMI, consider gender differences in mental illness beliefs and attitudes, and provide culturally responsive psychoeducational interventions to promote more mental health treatment utilization.</p>","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the American Association of Nurse Practitioners","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/JXX.0000000000000992","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Haitian Americans have been disproportionately exposed to risk factors known to play a significant role in the development of mental illness. Yet despite the documented effectiveness of mental health treatment, a high proportion of Haitian Americans with mental health disorders have not received care.
Local problem: Internalized stigma of mental illness (ISMI) was reported as one of the primary reasons Haitian Americans do not seek help for mental illnesses, resulting in poor long-term outcomes for individuals and families in this community. This quality improvement project characterized ISMI among Haitian Americans, examined associated demographic factors, and tested the impact of a culturally relevant ISMI educational video intervention on willingness to seek mental health treatment.
Methods: Haitian Americans who self-reported mental illness ( N = 20) were recruited from a South Florida clinic. Descriptive statistics, correlations, and thematic analyses were completed to analyze the data.
Interventions: Participants completed the nine-item ISMI scale, watched an educational video about ISMI, completed a post-intervention survey, and engaged in conversations about mental health and ISMI.
Results: Sixty-five percent of participants reported mild levels of ISMI. Sex was significantly correlated with ISMI ( r = -0.458, p = .042); male participants experienced higher levels of ISMI. The educational video improved participants' knowledge of ISMI, and 85% indicated increased willingness to seek treatment.
Conclusions: When caring for Haitian Americans with mental illnesses, nurse practitioners should initiate conversations about ISMI, consider gender differences in mental illness beliefs and attitudes, and provide culturally responsive psychoeducational interventions to promote more mental health treatment utilization.
背景:美国海地人不成比例地暴露在风险因素中,而这些因素在精神疾病的发展中起着重要作用。当地问题:据报道,美国海地人对精神疾病的内在化耻辱感(ISMI)是他们不寻求精神疾病帮助的主要原因之一,导致该社区的个人和家庭长期治疗效果不佳。本质量改进项目描述了美国海地人中的 ISMI 特征,研究了相关的人口因素,并测试了与文化相关的 ISMI 教育视频干预对寻求心理健康治疗意愿的影响。方法:从南佛罗里达州的一家诊所招募了自我报告患有精神疾病的美国海地人(N = 20)。对数据进行了描述性统计、相关性分析和主题分析:干预措施:参与者填写由九个项目组成的 ISMI 量表,观看有关 ISMI 的教育视频,完成干预后调查,并参与有关心理健康和 ISMI 的对话:结果:65%的参与者报告了轻度的 ISMI。性别与 ISMI 有明显的相关性(r = -0.458,p = .042);男性参与者的 ISMI 水平更高。教育视频提高了参与者对 ISMI 的认识,85% 的参与者表示更愿意寻求治疗:结论:在护理患有精神疾病的美籍海地人时,执业护士应主动与他们进行有关 ISMI 的对话,考虑他们在精神疾病信念和态度方面的性别差异,并提供符合文化特点的心理教育干预措施,以促进他们更多地利用心理健康治疗。
期刊介绍:
The Journal of the American Association of Nurse Practitioners (JAANP) is a monthly peer-reviewed professional journal that serves as the official publication of the American Association of Nurse Practitioners.
Published since 1989, the JAANP provides a strong clinical focus with articles related to primary, secondary, and tertiary care, nurse practitioner education, health policy, ethics and ethical issues, and health care delivery. The journal publishes original research, integrative/comprehensive reviews, case studies, a variety of topics in clinical practice, and theory-based articles related to patient and professional education. Although the majority of nurse practitioners function in primary care, there is an increasing focus on the provision of care across all types of systems from acute to long-term care settings.