澳大利亚新南威尔士州两个地区原住民年轻人在心理健康服务中的文化安全体验

IF 1.2 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Jasper Garay
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引用次数: 0

摘要

本文根据 16-25 岁原住民年轻人的经历和观点,对澳大利亚新南威尔士州两个地区主流心理健康服务的文化安全进行了评估。研究人员对新南威尔士州两个地区的 13 名原住民年轻人进行了 Yarning 半结构式深度访谈。所有研究成员都进行了主题分析,以确定数据中的主题以及主题之间的概念联系。在几次分析会议上,对从个人分析和编码中确定的主题进行了三角测量,最终确定了关键主题和结论。原住民年轻人发现,原住民社区控制的健康服务机构提供了文化上安全的社会和情感福祉服务支持,而主流心理健康服务机构却没有。原住民年轻人提出,机构改革,如增加文化能力项目的参与度,雇佣更多的原住民员工,实施有文化意义的服务,都会提高主流精神健康服务的文化安全。主流精神健康服务中的文化安全应该得到加强,以确保原住民年轻人主观的社会和情感幸福支持需求得到理解、解决和支持。如果原住民年轻人不相信主流心理健康服务和系统在提供支持时会优先考虑文化安全,那么主流心理健康系统就有可能无法减少新南威尔士州原住民年轻人在心理健康以及社会和情感福祉方面不公正的差距。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Aboriginal young people’s experiences of Cultural Safety in mental health services in two regions of New South Wales, Australia
This article assesses the Cultural Safety of mainstream mental health services in two regions of New South Wales, Australia, based on the experiences and perspectives of Aboriginal young people aged 16 – 25. Yarning semi-structured in-depth interviews were conducted with thirteen Aboriginal young people in two regions of New South Wales. Thematic analysis was undertaken by all research members to identify themes from the data and conceptual connections between them. Identified themes from individual analysis and coding were triangulated during several analysis meetings to finalize key themes and findings. Aboriginal young people identified that Aboriginal Community Controlled Health Services offered culturally safe Social and Emotional Wellbeing service supports, whereas mainstream mental health services did not. Aboriginal young people proposed that institutional reforms such as increasing engagement with cultural competency programs, employing more Aboriginal staff, and implementing culturally meaningful services, would increase Cultural Safety in mainstream mental health services. Cultural Safety within mainstream mental health services should be enhanced to ensure the subjective Social and Emotional Wellbeing support needs of Aboriginal young people are understood, addressed, and supported. Without Aboriginal young people having confidence that mainstream mental health services and systems are prioritising Cultural Safety when providing supports, mainstream mental health systems risk failing to reduce mental health and Social and Emotional Wellbeing disparities unjustly experienced by Aboriginal young people in New South Wales.
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来源期刊
International Journal of Indigenous Health
International Journal of Indigenous Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
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