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首页> 外文期刊>Journal of Youth and Adolescence >Examining Perceptions About Mental Health Care and Help-Seeking Among Rural African American Families of Adolescents
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Examining Perceptions About Mental Health Care and Help-Seeking Among Rural African American Families of Adolescents

机译：检查有关农村非裔美国青少年家庭中心理保健和寻求帮助的观念

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Rural African American children living in poverty have a higher prevalence rate of mental health disorders than their urban counterparts. While access to mental health services is lacking in resource scarce rural communities, African American rural residents may also be the most likely to confront significant barriers to care and help-seeking. Studies of mental health help-seeking behavior among rural families are rare, even rarer are studies of African Americans living in these areas. To address this gap, the current study examined perceptions about help-seeking for adolescents with mental health problems among rural African American families. Data were obtained from African American mothers in rural Georgia to assess their perceptions of the mental health service system, help-seeking processes, and service experiences. A mixed-method approach was implemented, integrating a quantitative survey (n = 163) with qualitative interviews (subsample n = 21). Most of the mothers expressed confidence in mental health care providers’ to help. Preferred sources of support, however, were family, church, and schools. Community stigma towards children with mental health problems and their families was a frequently endorsed perceived barrier to help-seeking. Although cultural mistrust was one of the two most frequently endorsed barriers in the survey, it did not emerge as a universal barrier to help-seeking for the mothers in this sample. Implications for research, policy, and practice include addressing family concerns about stigma, preferences for informal support and non-specialty services in addressing adolescents’ mental health problems, and building community resources to enable all youth to participate in community life.
机译：生活在贫困中的非裔美国农村儿童的心理健康障碍患病率高于城市儿童。尽管在资源匮乏的农村社区中缺乏获得心理保健服务的机会，但非洲裔美国农村居民也可能最有可能面临护理和寻求帮助的重大障碍。对农村家庭中心理健康寻求帮助行为的研究很少，甚至对居住在这些地区的非洲裔美国人的研究也越来越少。为了解决这一差距，本研究调查了对非裔美国农村家庭中有心理健康问题的青少年寻求帮助的看法。数据来自佐治亚州农村的非裔美国人母亲，以评估他们对心理健康服务系统，求助过程和服务经验的看法。实施了一种混合方法，将定量调查（n = 163）与定性访谈（子样本n = 21）结合在一起。大多数母亲对精神保健提供者的帮助表示信心。但是，首选的支持来源是家庭，教堂和学校。对患有精神健康问题的儿童及其家庭的社区污名是人们普遍认为的寻求帮助的障碍。尽管文化上的不信任是该调查中最常被认可的两个障碍之一，但在本样本中，文化上的不信任并没有成为寻求母亲的普遍障碍。研究，政策和实践的意义包括解决家庭对污名的担忧，在解决青少年的心理健康问题上偏爱非正式支持和非专业服务，以及建设社区资源以使所有青年都能参与社区生活。

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