Abstract
Resumen
El aumento de la población Latina rural en EEUU representa un reto para la provisión de servicios de salud mental adecuados. Barreras de acceso como el aislamiento geográfico, limitaciones en el transporte público, escasez de proveedores/as de servicios y su limitada competencia cultural son particularmente marcadas. La psicología comunitaria puede hacer contribuciones significativas para resolver este grave problema de salud pública. En este artículo, nos basamos en nuestra experiencia investigativa y de extensión con inmigrantes Latinos y Latinas en áreas rurales de la región centro-occidental de los EEUU para ilustrar percepciones sobre su situación de salud mental y su necesidad de servicios. También hacemos recomendaciones acerca de los cambios necesarios para aumentar la capacidad técnica de provisión de servicios en salud mental que respondan a las necesidades de esta población. Esto incluye el desarrollo de nuevos programas para responder a las prioridades comunitarias, el entrenamiento de promotores de salud o enlaces comunitarios para facilitar el acceso y la navegación en el sistema de salud, y realizar abogacía.
Palabras clave: Inmigrantes Latinos y Latinas, condiciones y servicios de salud mental, región central de los Estados Unidos, psicología comunitaria
Abstract
Rapid Latino and Latina population growth in rural U.S. has challenged the provision of adequate mental health services. In these areas, access barriers—geographic isolation, the lack of public transportation systems, the shortage of health care providers and their limited cultural competence—are particularly serious. Community psychology can make significant contributions to address this major public health issue. In this article, we draw on our research and outreach experience with Latino and Latina immigrants in the rural Midwest to illustrate this population’s perceived mental health status and service needs. We also provide some possible strategies for bridging gaps and make recommendations regarding much needed changes to augment the technical capacity to serve Latinos and Latinas’ mental health needs in rural areas. These include developing new programs around community priorities, training promotores/as or community liaisons to facilitate access to and navigation into the health care system, and engaging in advocacy.
Keywords: Latino and Latina immigrants, mental health status and service needs, U.S. rural Midwest, community psychology
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