Scoping review on mental health standards for Black youth: identifying gaps and promoting equity in community, primary care, and educational settings.

Autor: Martínez-Vega R; Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, 3280 Hospital Drive, Calgary, Canada., Maduforo AN; Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, 3280 Hospital Drive, Calgary, Canada., Renzaho A; School of Medicine, Western Sydney University, David Pilgrim AvenueNSW2560, Campbelltown , Australia., Alaazi DA; School of Health Studies, University of Western Ontario, 1151 Richmond Street, London, ON, Canada., Dordunoo D; School of Nursing, University of Victoria, HSD Building A402A, Victoria, VIC, Canada., Tunde-Byass M; Temerty Faculty of Medicine, University of Toronto, 123 Edward Street, Suite 1200, Toronto, Canada., Unachukwu O; Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, 3280 Hospital Drive, Calgary, Canada., Atilola V; Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, 3280 Hospital Drive, Calgary, Canada., Boatswain-Kyte A; School of Social Work, McGill University, 550 Sherbrooke Ouest, Montreal, Canada., Maina G; College of Nursing, University of Saskatchewan, 173-1061 Central Avenue, PrinceAlbert, Canada., Hamilton-Hinch BA; Dalhousie University, Nova Scotia. School of Health and Human Performance, 5981 University Avenue, Room 4210F, Halifax, Canada., Massaquoi N; Department of Health and Society, University of Toronto, Scarborough, 246 Bloor Street W, Toronto, Canada., Salami A; Alberta Health Services, 604 Main Street S, T4B 3K7, Airdrie, Alberta, Canada., Salami O; Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, 3280 Hospital Drive, Calgary, Canada. oluwabukola.salami@ucalgary.ca.
Jazyk: angličtina
Zdroj: Child and adolescent psychiatry and mental health [Child Adolesc Psychiatry Ment Health] 2024 Sep 09; Vol. 18 (1), pp. 113. Date of Electronic Publication: 2024 Sep 09.
DOI: 10.1186/s13034-024-00800-5
Abstrakt: Background: Youth mental health is a growing concern in research, practice, and policy. Practice standards, guidelines, or strategies provide an invisible infrastructure that fosters equity, quality, and safety, potentially addressing inconsistencies and more effectively attending to the mental wellness of Black youth as a particular population of concern. This scoping review aimed to address the following question: What standards exist for the delivery of mental health services to Black youth in community, primary care, and educational settings? Due to a limited initial search yield on publications about standards for the delivery of mental health services for Black youth population, our goal was then to identify and map mental health standards, recommendations, or guidelines for the delivery of mental health services using the same settings to all youth.
Methods: Searches were conducted in various databases, including PubMed/MEDLINE, PsycINFO, Embase, SocINDEX, CINAHL, Gender Studies Database, Social Services Abstracts, Sociological Abstracts, Scopus, Web of Science, and Google Scholar. Screening was independently conducted by two reviewers, with disagreements resolved by a third. Information extraction was performed by two independent reviewers.
Results: Out of the 2,701 screened publications, 54 were included in this scoping review. Among them, 38.9% were published between 2020 and 2023, with 40.7% originating from the United States of America, 20.4% from the United Kingdom, and 13% from Canada. Concerning the settings, 25.9% of the publications focused on primary care, 24.1% on health care services, 20.4% on educational settings, and 3.7% on the community. Additionally, 25.9% were classified as general because recommendations were applicable to various settings. Attention-deficit/hyperactivity disorder (11.1%) was the most frequently considered specific condition, followed by autism spectrum disorder (9.3%) and depression (9.3%). However, 31.5% of the included references addressed mental health in general. Only three references provided specific recommendations for the Black population.
Conclusions: Recommendations, guidelines, or standards for Black youth mental health services in community, primary care, or educational settings are scarce and limited to North American countries. This scoping review emphasizes the need to consider ethnicity when developing guidelines or standards to improve racial equity and reduce disparities in access to mental health services.
(© 2024. The Author(s).)
Databáze: MEDLINE
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