Improving Mental Health Literacy and Stigma Among the Hmong.

Mayche Vang-Kue, Cynthera McNeill, Umeika Stephens
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Abstract

Background: One in five adults in the United States suffers from mental illness. Negative social influences in the Hmong community stigmatize those who have mental health challenges and mental health outcomes are impacted by poor mental health literacy. Language barriers, conflicting traditional beliefs, and Western concepts of health contribute to low mental health literacy and willingness to seek professional mental health services among the Hmong.

Aims: The aim of this project was to successfully implement Mental Health First Aid (MHFA) to a group of 30 or more Hmong adult church leaders in a faith-based setting.

Methods: A pretest posttest project design was used. The project implementation process was guided by the Plan-Do-Study-Act (PDSA) model and took place from June 2023 to August 2023. Participants were recruited from three local Detroit Hmong churches. Indicator measures included the Mental Health Literacy Scale (MHLS) and Community Attitudes toward Mental Illness (CAMI) Scale before and immediately after training. One final survey was administered at 6 weeks post MHFA training to measure information retention, stigma, and utilization of MHFA skills.

Results: Results reflect the existing body of literature regarding MHFA and the positive impacts on mental health literacy, confidence level, mental health awareness, and decreasing stigma.

Conclusion: MHFA continues to demonstrate successful implementation across many settings and populations, especially for this project among Hmong adult church leaders. More research is needed to expand on mental health and the Hmong.

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提高苗族人的心理健康素养和耻辱感。
背景:在美国,每五个成年人中就有一人患有精神疾病。在苗族社区中,负面的社会影响使那些有心理健康问题的人蒙受耻辱,而心理健康知识的贫乏则影响了心理健康的结果。语言障碍、相互冲突的传统信仰以及西方的健康观念导致苗族人的心理健康素养和寻求专业心理健康服务的意愿较低。目的:该项目的目的是在一个以信仰为基础的环境中,成功地向一组 30 多名苗族成年教会领袖实施心理健康急救(MHFA):方法:采用前测后测的项目设计。项目实施过程以 "计划-实施-研究-行动"(PDSA)模式为指导,时间为 2023 年 6 月至 2023 年 8 月。参与者从底特律当地的三个苗族教堂招募。指标测量包括培训前后的心理健康素养量表(MHLS)和社区对精神疾病的态度量表(CAMI)。最后一项调查是在 MHFA 培训结束后 6 周进行的,目的是测量信息保留率、耻辱感以及 MHFA 技能的使用情况:结果:这些结果反映了有关 MHFA 的现有文献,以及 MHFA 对心理健康素养、自信水平、心理健康意识和减少耻辱感的积极影响:结论:在许多环境和人群中,尤其是在这个针对苗族成年教会领袖的项目中,MHFA 继续显示出成功的实施效果。需要进行更多的研究,以扩展心理健康和苗族的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.30
自引率
0.00%
发文量
65
期刊介绍: The Journal of the American Psychiatric Nurses Association (JAPNA) is a peer-reviewed bi-monthly journal publishing up-to-date information to promote psychiatric nursing, improve mental health care for culturally diverse individuals, families, groups, and communities, as well as shape health care policy for the delivery of mental health services. JAPNA publishes both clinical and research articles relevant to psychiatric nursing. This journal is a member of the Committee on Publication Ethics (COPE).
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