Behavioral health services in Urban American Indian Health Programs: Results from six site visits

IF 2 3区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY

Journal of community psychology Pub Date : 2023-03-28 DOI:10.1002/jcop.23035

Andrew Pomerville, Rachel E. Wilbur, Tony V Pham, Cheryl A. King, Joseph P. Gone

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引用次数: 1

Abstract

This study explores behavioral health services for American Indians and Alaska Natives (AIANs) at six Urban Indian Health Programs (UIHPs). Interviews and focus groups with clinicians and staff inquired about behavioral health treatment available, service needs, client population, and financial and staffing challenges. Resulting site profiles were created based on focused coding and integrative memoing of site visit field notes and respondent transcripts. These six UIHPs evidenced diversity across multiple facets of service delivery even as they were united in their missions to provide accessible and effective behavioral health treatment to urban AIAN clients. Primary challenges to service provision included heterogenous client populations, low insurance coverage, limited provider knowledge, lack of resources, and incorporation of traditional healing. Collaborative research with UIHPs harbors the potential to recognize challenges, identify solutions, and share best practices across this crucial network of health care sites for improving urban AIAN well-being.

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城市美洲印第安人健康计划中的行为健康服务:六次实地考察的结果

本研究探讨了六个城市印第安人健康项目(UIHPs)为美洲印第安人和阿拉斯加原住民(AIANs)提供的行为健康服务。与临床医生和工作人员的访谈和焦点小组询问了可用的行为健康治疗、服务需求、客户群体以及财务和人员配备方面的挑战。由此产生的站点概况是基于重点编码和对站点访问现场笔记和受访者成绩单的综合记忆而创建的。这六家综合健康服务机构证明了在服务提供的多个方面的多样性，尽管它们的使命是团结一致，为城市AIAN客户提供可获得和有效的行为健康治疗。服务提供的主要挑战包括客户群体异质性、保险覆盖率低、提供者知识有限、资源缺乏以及传统治疗的结合。与卫生保健服务机构的合作研究有可能在这一至关重要的卫生保健站点网络中认识挑战、确定解决方案并分享最佳实践，以改善城市AIAN的福祉。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of community psychology Multiple-

CiteScore

4.20

自引率

8.70%

发文量

195

期刊介绍： The Journal of Community Psychology is a peer-reviewed journal devoted to research, evaluation, assessment and intervention, and review articles that deal with human behavior in community settings. Articles of interest include descriptions and evaluations of service programs and projects, studies of youth, parenting, and family development, methodology and design for work in the community, the interaction of groups in the larger community, and criminals and corrections.