What works to support better access to mental health services (from primary care to inpatients) for minority groups to reduce inequalities? A rapid evidence summary.

Judit Katalin Csontos, Deborah Edwards, Elizabeth Gillen, Juliet Hounsome, Meg Kiseleva, Mala K Mann, Abubakar Sha'aban, Ruth Lewis, Alison Cooper, Adrian Edwards
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Abstract

Abstract: It is estimated that one in four people will experience poor mental health throughout their lifetimes. However, ethnic minority groups, refugees and asylum seekers experience more barriers accessing mental health services and have poorer mental health outcomes than those from non-ethnic minority groups. Evidence suggests that interventions that improve access and engagement with mental health services may help reduce disparities affecting ethnic minority groups, refugees and asylum seekers. Thus, the aim of this rapid evidence summary was to explore the literature on what works to support better access to mental health services for ethnic minority groups, refugees and asylum seekers to reduce inequalities. The review included interventions that were developed or assessed to improve equity in access, engagement, utilisation, or provision of mental health services. Research Implications and Evidence Gaps: There is limited review evidence regarding the effectiveness of interventions to improve access to mental healthcare across ethnic minority groups. Review evidence regarding interventions to support refugees and asylum seekers access to primary healthcare or specialised clinics (for example pregnancy and postpartum) is available, but the findings related to mental health care cannot be extracted.
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怎样才能支持少数群体更好地获得心理健康服务(从初级保健到住院病人)以减少不平等?快速证据摘要。
摘要:据估计,每四个人中就有一个人一生中会经历心理健康状况不佳的时期。然而,与非少数族裔群体相比,少数族裔群体、难民和寻求庇护者在获得心理健康服务方面遇到的障碍更多,心理健康结果也更差。有证据表明,改善心理健康服务的获取和参与的干预措施可能有助于减少影响少数族裔群体、难民和寻求庇护者的差异。因此,本快速证据摘要的目的是探讨哪些有效的文献可以支持少数族裔群体、难民和寻求庇护者更好地获得心理健康服务,从而减少不平等现象。研究意义与证据缺口:关于改善少数族裔群体获得心理健康服务的干预措施的有效性,目前只有有限的综述证据。有关支持难民和寻求庇护者获得初级医疗保健或专科门诊(如孕期和产后)的干预措施的综述证据已有,但无法提取与心理保健相关的研究结果。
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