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1.
Research has consistently found acute mental health treatment disparities among Asian Americans. One proposed reason for the underutilization of mental health services by Asian Americans is that available services are not culturally competent. This exploratory study presents qualitative data gathered from interviews with professional counselors who serve Asian American clients. Findings revealed significant barriers to counseling due to cultural stigma and shame, suppression of emotions, and communication gaps between clients and counselors. In response, clinicians frequently made adjustments to therapeutic approaches to accommodate the cultural beliefs and practices of clients and families. Implications for practice and research are discussed. 相似文献
2.
Marilyn A. Winkleby Judith Ned David Ahn Alana Koehler Jeanne D. Kennedy 《Journal of Science Education and Technology》2009,18(6):535-545
Despite decades of precollege science education programs, African Americans, Latinos, and Native Americans remain critically
underrepresented in science and health professions. This report describes college and career outcomes among graduates of the
Stanford Medical Youth Science Program (SMYSP), a 5-week summer residential program for low-income high school students among
whom 97% have been followed for up to 21 years. Approximately 24 students are selected annually, with participation limited
to low-income students who have faced substantial personal hardships. Undergraduate and medical students provide key program
leadership and training. The curriculum is based on science inquiry education and includes hospital internships, anatomy practicums,
research projects, faculty lectures, college admissions/standardized test preparation, and long-term college and career guidance.
A total of 476 high school students participated between 1988 and 2008, with 61% from underrepresented ethnic minority groups.
Overall, 78% of African American, 81% of Latino, and 82% of Native American participants have earned a 4-year college degree
(among those admitted to college, and excluding those currently attending college). In contrast, among 25–34-year old California
adults, 16% of African Americans, 8% of Latinos, and 10% of Native Americans earn a 4-year college degree. Among SMYSP’s 4-year
college graduates, 47% are attending or have completed medical or graduate school, and 43% are working as or training to become
health professionals. SMYSP offers a model that expands inquiry-based science education beyond the classroom, and recognizes
the role of universities as “high school interventionists” to help diversify health professions. 相似文献
3.
Thomas E. Glass 《教育政策杂志》2013,28(2):105-121
The history of education for native American (Indian) children has been significantly affected by the shifting policies of Republican and Democratic administrations in Washington, DC. For more than a hundred years the resources allocated to educate Indian children have increased and diminished according to the political philosophies and whims of the political party in power. The resulting confusion of policy, best described as a quagmire, has been that Indian children have been victims of a federal neglect that has led to near cultural genocide. No authority maintains that Indian children have received the educational support, health services, and vocational training necessary for them to have a chance to become productive and contributing citizens in the general society. Today, American Indians are among the most poorly educated, least vocationally trained, and most unemployed of minority groups. This paper attempts to show the relationship between political philosophies and acts of federal administrations and their impact on education programs for Indians across the nation. The reader will be able to see a pattern of policy development based more on political needs rather than educational needs of Native Americans. 相似文献
4.
Foster Brown 《International journal for the advancement of counseling》1987,10(4):259-268
In working with Vietnamese American refugees the mental health worker needs to be knowledgable of and sensitive to several areas: (1) the cultural history and history of the migration experience of the group; (2) the group's mental health dispositions; (3) cultural and systemic biases affecting counseling; and (4) the role of paraprofessionals.Some of the cultural factors affecting the utilization of mental health services are saving face, stoicism, respect for authority and discrimination which may cause them to seek help only at advanced stages of illness.Mental health counseling in the United States has run into some difficulty in serving the refugees as it has been mainly a white middle class profession that has focused on the individual which can be considered culturally biased when dealing with family centered Vietnamese Americans.For the reasons previously stated, in addition to language difficulties and cultural differences, many agencies employ indigenous paraprofessionals. While it is beneficial there are also problems to be considered.Recommendations for addressing these problems include: (1) the development of a community education and prevention program by actively involving ethnic community leaders in the planning process; (2) supporting ethnic community leaders; (3) training indigenous paraprofessionals about the mental health care system; (4) providing mental health services through medical care facilities; and (5) focusing on family therapy as oppossed to individual therapy.Prepared for presentation at the International Round Table for the Advancement of Counselling, University of Utrecht, The Netherlands, July 15–19, 1985. 相似文献
5.
6.
McCay V 《American annals of the deaf》2010,155(3):311-321
Being Deaf and in prison is a horror. The main fear of prison inmates, whether Deaf or hearing, is that they will be raped, killed, or subjected to other forms of violence. Such fears are based in reality. The recent overcrowding of jails and prisons has increased these problems significantly. A major reason for this situation is the blatant violation of the Americans With Disabilities Act by most jails and prisons in the United States. This includes the failure to provide interpreting services for necessary activities and facilities such as religious services, educational programs, vocational training, faith-based prisons, and mental health treatment for addiction. The author discusses other problems faced by inmates who are Deaf and offers suggestions for correcting injustices faced by those who are Deaf in American jails and prisons. 相似文献
7.
政府的本质属性和精神卫生服务产品的特殊性,决定了政府应承担精神卫生服务体系建设的主要责任。然而,因我国政府在精神卫生服务体系建设的责任边界不明,导致现行精神卫生服务体系难以应对21世纪我国精神卫生问题面临的严峻挑战。依据市场体制发展规律和政府治理之道,转型期的我国政府在精神卫生服务体系建设中应承担的主要责任包括:提高精神卫生的知晓率,健全精神卫生人权法规,制定精神卫生人才培养规划与政策,把精神卫生医治与康复纳入社会保障体系,根据地域、人口密度与发病率等的关系和现代组织设计理论重构精神卫生服务网络与合理配置精神卫生资源等。 相似文献
8.
School-based interventions involving teacher training programmes have been shown to benefit teachers’ ability to identify and manage child mental health problems in developed countries. However, very few studies have been conducted in low-income countries with limited specialist services. The aim of the study was to evaluate the impact of the training programme on teachers’ knowledge and awareness. A total of 114 primary school teachers from five schools in Karachi participated in a two-day (10–12 hours) workshop to provide them with an understanding of common child mental health problems and train them in basic skills. Their pre- and post-training knowledge was evaluated through a rating scale and open-ended questions. Single tailed t-test, involving paired differences, was applied for participants’ scores. Pre-/post-training differences were statistically significant. The training sessions were associated with an improvement in teachers’ knowledge and awareness of various signs and symptoms of common child mental health problems. The greatest improvement was noted in response to strategies of managing difficult behaviours, as 61% of respondents were able to formulate appropriate behavioural management techniques after the training. In low-income developing countries like Pakistan, teachers should be trained in early-intervention programmes for the identification and school-based management of less complex emotional and behavioural problems. Such interventions can maximise the use of sparse mental health resources. 相似文献
9.
The authors present and empirically test a multivariate model of the use of mental health counseling services. Use of such services by 1st‐year college students is directly a result of need for these services and willingness to use them. Beliefs about mental health services and demographic characteristics are not directly related to use, but indirectly affect use by influencing willingness to use. Implications for college counseling programs are discussed. 相似文献
10.
The children's book, The Indian in the Cupboard, by British author Lynne Reid Banks, provides a case study which contrasts American Indian and non-Indian perspectives about stereotypes of Native Americans in children's literature, as reflected in the review literature. Exploration of the reasons why the book is becoming a classic in children's literature reinforce the need for teachers, librarians, and parents to find a role in: encouraging practitioners to understand what constitutes stereotypes of American Indians; educating potential teachers and librarians about cultural diversity; including works reflecting the voices of Native Americans in library collections for children; using caution when relying on book reviews; helping children learn critical thinking skills that enable them to recognize stereotyping; and providing and hearing the voices of Native Americans explaining why portrayals of Indian characters are often fantasized literary constructions. 相似文献
11.
Consistent with the priority goals of the 2002 Future of School Psychology Conference, the National Association of School Psychologists' Blueprint for Training and Practice III advocates for school psychologists becoming “leading mental health experts in schools.” In this regard, the present article reviews the prevalence and incidence of children's mental health problems in the schools, followed by a historical overview of the nature of school‐based mental health services. We discuss education and training issues and related ethical and professional practice issues that focus on the ethics codes of the National Association of School Psychologists and the American Psychological Association that are associated with the delivery of mental health services by school psychologists. Recommendations are offered for graduate‐level coursework and field experiences in the delivery of school‐based mental health services, as well as future directions for research in this area. © 2011 Wiley Periodicals, Inc. 相似文献
12.
Beth L. Green Anna M. Malsch Brianne Hood Kothari Jessica Busse Eileen Brennan 《Early Childhood Education Journal》2012,40(2):123-132
This article describes the development, implementation, and outcomes of a pilot intervention designed to enhance preschool
programs’ ability to support children’s social-emotional development. Working with two Head Start programs, the intervention
included (1) restructuring existing early childhood mental health consultation services; (2) engaging programs in a mental
health-specific strategic planning; (3) providing training to program staff in early childhood mental health best practices;
and (4) implementing staff wellness activities to promote a healthy organizational culture. Research Findings: Results from
quantitative staff surveys found significant improvement over time in terms of reduced staff stress, increased levels of understanding
of best practices in early childhood mental health, and more evidence of a shared understanding of how best to meet children’s
mental health needs. Results were strongest for management and teaching staff, compared to other staff types. Practice Implications:
Head Start and preschool programs may benefit from institutionalizing strategies to ensure that continued attention is paid
to their program’s mental health services through ongoing strategic planning, supporting staff wellness, and by effective
use of mental health consultants. Mental health consultants may be most valuable when they focus on capacity-building activities
such as staff coaching and training, and working with management teams to ensure a collective “mental health perspective”. 相似文献
13.
美国研究型大学在人才培养中十分关注学生的心理健康,为其提供了较为完善的心理健康服务。心理健康服务主要有以下5个特点:服务机构设立于医疗机构中;具有多学科专业背景的服务团队;服务涉及面广、针对性强、形式多样;将服务与教育及校园人文环境的构建融合起来;服务安排方便且容易获得。这些特点给我国大学以启示,使我们对学生心理健康服务进行重新认识和定位,从多学科和学历方面充实服务队伍;同时尽力将服务细化,增加服务的便利性;扩大心理健康服务的参与面,构建和谐温暖的校园人文环境。 相似文献
14.
EILEEN T. NICKERSON OLIVA ESPIN MARY ANN GAWELEK 《Counselor Education & Supervision》1982,21(4):194-199
This article describes a unique master's level specialization for counselors of women and highlights the rationale for instituting this specialized training program, the training format, the program curriculum, and the evaluation methods employed. Also included is a discussion of the systemic implication of such training as it affects those being trained, the training institution itself, and the delivery of mental health services. 相似文献
15.
Laura A. Nabors Mark D. Weist Nancy A. Tashman C. Patrick Myers 《Psychology in the schools》1999,36(6):485-493
Clinicians affiliated with expanded school mental health (ESMH) programs provide a range of mental health services for youth in schools. ESMH services offer unique opportunities for collaboration between school psychologists and mental health clinicians from the community to increase the quality of care for youth receiving mental health services. The number of ESMH programs is increasing; therefore, developing quality assurance (QA) activities for these programs is important to document accountability and provide evidence for effectiveness. In this paper, suggestions for phases and objectives for QA programs in ESMH programs and examples of suggested activities are presented. Assessment of the program structure as well as treatment process and outcome are critical phases. Important QA activities include examining staff training activities, assessment of stakeholder perceptions of services, conducting satisfaction surveys, examining therapy process, and investigating treatment outcomes. Results of QA evaluations should inform policy.QA programs need to be developed and the impact of QA activities in enhancing the quality of care provided by clinicians in schools should be evaluated. © 1999 John Wiley & Sons, Inc. 相似文献
16.
Although various studies have investigated factors associated with mental health service utilization, few studies have examined factors associated with referral for mental health services among maltreated children. The objective of this study was to examine the association between suicidal thoughts and self-harming behavior and referral for mental health services among children involved in the Child Welfare System in Ontario, Canada. Data for this study were obtained from the Ontario Incidence Study of Reported Child Abuse and Neglect 2013. An estimate 57,798 child maltreatment investigations was analyzed using binary logistic regression with referral for mental health service as the outcome variable. Of the 57,798 cases, 4709 (8.1%), were referred for mental health services. More than seven out of ten maltreated children who engaged in self-harming behavior and two out of three maltreated children who expressed suicidal thoughts were not referred for mental health services. In the multivariate logistic regression model, children who expressed suicidal thoughts had 2.39 times higher odds of being referred for mental health services compared to children with no suicidal thoughts (AOR = 2.39, 99% C.I. 2.05–2.77) and children who engaged in self-harming behavior had 1.44 times higher odds of being referred for mental health services compared to children who did not engage in self-harming behavior (AOR = 1.44, 99% C.I. 1.24–1.67), both after controlling for child demographic characteristics, maltreatment characteristics, and child functioning concerns. Given that referral is the initial step towards mental health service utilization, it is important that child welfare workers receive the necessary training so as to carefully assess and refer children in care who expressed suicidal thoughts or engaged in self-harming behavior for appropriate mental health services. The paper discusses the results and their implications for child welfare policy and practice. 相似文献
17.
美国印第安人有着自己灿烂的文化,却在欧洲外来移民的强势冲击下渐渐迷失自己。在白人世界主流文化下的生存困境促使印第安人重新审视自己的文化,因此踏上了一条找寻本土身份的"归家路"。该文通过解读美国本土裔作家露易丝·厄德里奇的代表作《爱药》阐述了土地,过去,社区代表的"家"对于印第安人的意义,并分析了《爱药》中三代印第安人艰难的"归家路"。 相似文献
18.
Arthur L. Whaley John Dubose 《International journal for the advancement of counseling》2018,40(3):279-297
Multidimensional scaling analyses (MDS) was used to uncover the phenomenology or implicit cognitions underlying presenting problems for which African American male and female students reported seeking college counseling services, in comparison to their European American counterparts. Normative, idiographic, and idiothetic approaches to the measurement of explicit versus implicit dimensions of students’ reports of eight psychological issues (seven disorders and medication use) for which they sought counseling in two timeframes (historical and current) were conducted by ethnicity/race and gender. It was hypothesized that idiographic and idiothetic approaches, which involved profile analyses using nonmetric MDS, would be more likely to reveal intersectionality between ethnicity/race and gender than the normative approach. Results supported the hypothesis of the greater sensitivity of the two individual difference models. Nonmetric MDS analyses revealed significant differences across profiles, with African American males underutilizing mental health services but displaying significant psychological distress; and African American females receiving significantly more pharmacotherapy for depression. Implications for college mental health services for African Americans are discussed. 相似文献
19.
The current research assessed Alaskan health and mental health care professionals’ perceptions regarding Alaska's elderly health care services as well as professional educational and training needs. Fifty‐four percent of community professionals sampled indicated that preexisting services in their community were not adequate to meet the needs of the elderly population. In addition, 55% indicated that the knowledge level of community professionals regarding the elderly and the aging process was insufficient and 51% believed they were not well educated in meeting the needs of Alaskan native elders. An overall 91.8% indicted that they were in need of further training in the field of aging and geriatrics. They noted in particular the lack of knowledge and training opportunities in mental health and Alzheimer's disease. The significance of these findings is discussed in terms of the broader social implications associated with meeting gerontological and geriatric education and training needs, as well as the specific education and training problems of Alaskan health care professionals in keeping up with the recent trend of “aging in the last frontier.” 相似文献
20.
The low achievement of Native American students, as measured by standardized tests, results from a number of factors, including the lack of cultural relevance of curriculum materials used in their instruction. Using a pretest–posttest control group design, Native American students in Bureau of Indian Affairs schools in Grades 4–8 who were taught science using culturally relevant materials achieved significantly higher and displayed a significantly more positive attitude toward Native Americans and science than comparable students who were taught science without the culturally relevant materials. It is suggested that when educators of Native Americans teach science, they should use materials that incorporate frequent reference to Native Americans and science. 相似文献