ABSTRACT

Objective

Traditional studies of treatment moderators have focused largely on psychological factors such as clinical severity. Racial and economic inequity exert large effects on youth mental health, on treatment efficacy, and on the likelihood of receiving treatment altogether. Yet, these factors are studied less often by clinical psychological scientists.

Method

We conducted a narrative review of literature on racial and economic inequities and their impact on youth mental health.

Results

First, systemic problems such as racism and poverty increase the risk of developing complex health issues and decrease the likelihood of benefiting from treatment. Second, attitudinal barriers, such as mistrust associated with treatments provided by researchers and government agencies, decrease the likelihood that minoritized groups will engage with or benefit from evidence-based treatments. Third, minoritized and underserved communities are especially unlikely to receive evidence-based treatment.

Conclusion

Clinical psychological science has unique insights that can help address systemic inequities that can decrease treatment efficacy for youth mental health treatment. Psychological scientists can help eliminate disparities in accessing evidence-based treatment and help end violent policies in underserved minoritized communities by at the very least (1) building and supporting scalable community-based treatments as well as (2) publicly advocating for an end to violent policies that impose negative social costs.

中文翻译：

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种族主义和贫困是治疗青年心理健康问题的障碍

摘要

客观的

治疗调节剂的传统研究主要集中在心理因素，如临床严重程度。种族和经济不平等对青年心理健康、治疗效果以及接受治疗的可能性产生重大影响。然而，临床心理学家对这些因素的研究较少。

方法

我们对有关种族和经济不平等及其对青年心理健康影响的文献进行了叙述性审查。

结果

首先，种族主义和贫困等系统性问题会增加出现复杂健康问题的风险，并降低从治疗中受益的可能性。其次，态度障碍，例如与研究人员和政府机构提供的治疗相关的不信任，降低了少数群体参与或受益于循证治疗的可能性。第三，少数群体和服务不足的社区特别不可能接受循证治疗。

结论

临床心理科学具有独特的见解，可以帮助解决可能降低青年心理健康治疗效果的系统性不平等问题。心理科学家可以通过至少 (1) 建立和支持可扩展的基于社区的治疗以及 (2) 公开倡导结束暴力，来帮助消除在获得循证治疗方面的差异，并帮助结束服务不足的少数族裔社区的暴力政策施加负社会成本的政策。