Mental health disparities, mechanisms, and intervention strategies: perspective from Hawai'i
| Autor: | Jeanelle J. Sugimoto-Matsuda, Shaylin Chock, Amanda S Kelly, Awapuhi K Lee, Anthony P. S. Guerrero |
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| Rok vydání: | 2019 |
| Předmět: |
Gerontology
Mental Health Services Adolescent media_common.quotation_subject Psychological intervention Indigenous Hawaii Health Services Accessibility 03 medical and health sciences 0302 clinical medicine Intervention (counseling) Criminal Law parasitic diseases Health care Humans Poverty media_common Cultural humility business.industry Health Status Disparities Mental health 030227 psychiatry Psychiatry and Mental health Mental Health Adolescent Health Services Health Resources business Psychology 030217 neurology & neurosurgery Diversity (politics) |
| Zdroj: | Current opinion in psychiatry. 32(6) |
| ISSN: | 1473-6578 |
| Popis: | Purpose of review Although there is a growing body of literature describing the scope and impact of mental health disparities, there is relatively less literature focused on youth and on interventions that are grounded in the cultures of youth most significantly affected by disparities. From the perspective of Hawai'i, one of the world's most diverse communities where disparities nonetheless exist, the authors review the varieties of diversity encountered in psychiatry and healthcare, specific youth mental health disparities, and examples of locally tailored solutions. Recent findings Mental health disparities are born from the differential exposures to poverty, trauma, discrimination, and barriers to accessing care, especially mental healthcare, which is nationally in short supply. They exist even in supposedly high-resource settings and significantly impact indigenous populations, including in terms of risk for incarceration and risk for suicidal behavior. Summary Addressing disparities involves insuring access to preventive and treatment-focused mental healthcare and applying cultural humility in clinical and community settings. The authors add to the reviewed literature by highlighting interventions that are population-based, culturally grounded, and focused on indigenous youth. |
| Databáze: | OpenAIRE |
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