目的:评估文化,社会和情感健康计划,旨在减少准备从监狱释放的土著妇女的心理困扰并增强其社会和情感健康。
方法:混合方法;定性研究(对最重大变化的故事进行适应性反身主题分析)和心理困扰评估。
方法:Boronia妇女预释放中心的土著和托雷斯海峡岛民妇女,珀斯,西澳大利亚,2021年5月和7月。
方法:文化,社会和情绪健康计划(每周两天,共六周)。该计划包括介绍,工作坊,活动,小组讨论,以及旨在增强社交和情感健康的自我反思。
方法:从对参与者的最重要变化的故事的反身主题分析中确定的主题和子主题;平均心理困扰的变化,根据项目前后的5项Kessler量表(K-5)进行评估。
结果:16名受邀妇女中有14名完成了该计划;10名参加了评估。他们报告说改善了社会和情感健康,反映为与文化的联系增强,家庭,和社区。项目结束后,平均心理困扰较低(平均K-5得分,11.3;95%置信区间[CI],9.0-13.6)比计划前(9.0;95%CI,6.5-11.5;P=0.047)。
结论:参与该计划的女性报告了个人成长,包括对自我的接受,对文化的接受和自豪,通过与文化和亲属关系的联系,反映出增强的社会和情感福祉。我们的初步调查结果表明,该计划可以提高原住民和托雷斯海峡岛民与司法系统接触的韧性。
OBJECTIVE: To assess the effectiveness of the Cultural, Social and Emotional Wellbeing Program for reducing psychological distress and enhancing the social and emotional wellbeing of Aboriginal women preparing for release from prison.
METHODS: Mixed methods; qualitative
study (adapted reflexive thematic analysis of stories of most significant change) and assessment of psychological distress.
METHODS: Aboriginal and Torres Strait Islander women at the Boronia Pre-release Centre for Women, Perth, Western Australia, May and July 2021.
METHODS: Cultural, Social and Emotional Wellbeing Program (two days per week for six weeks). The Program involves presentations, workshops, activities, group discussions, and self-reflections designed to enhance social and emotional wellbeing.
METHODS: Themes and subthemes identified from reflexive thematic analysis of participants\' stories of most significant change; change in mean psychological distress, as assessed with the 5-item Kessler Scale (K-5) before and after the Program.
RESULTS: Fourteen of 16 invited women completed the Program; ten participated in its evaluation. They reported improved social and emotional wellbeing, reflected as enhanced connections to culture, family, and community. Mean psychological distress was lower after the Program (mean K-5 score, 11.3; 95% confidence interval [CI], 9.0-13.6) than before the Program (9.0; 95% CI, 6.5-11.5; P = 0.047).
CONCLUSIONS: The women who participated in the Program reported personal growth, including acceptance of self and acceptance and pride in culture, reflecting enhanced social and emotional wellbeing through connections to culture and kinship. Our preliminary findings suggest that the Program could improve the resilience of Aboriginal and Torres Strait Islander in contact with the justice system.