重新思考为难民提供的心理保健服务。
Rethinking mental healthcare for refugees.
作者信息
Bunn Mary, Khanna Deepika, Farmer Elizabeth, Esbrook Eleanor, Ellis Heidi, Richard Anne, Weine Stevan
机构信息
University of Illinois Chicago, Department of Psychiatry, United States.
University of Illinois Chicago, College of Medicine, United States.
出版信息
SSM Ment Health. 2023 Dec;3. doi: 10.1016/j.ssmmh.2023.100196. Epub 2023 Feb 13.
After several years of downturn in new resettlement, the United States is projected to admit 125,000 refugees in the current fiscal year. Refugee communities have known risks of developing mental health problems due to high rates of exposure to war and conflict-related trauma and chronic stressors associated with displacement and resettlement. In this commentary, we examine limitations in the current system of mental health care available to newly arriving refugee communities and make recommendations for expanding and redesigning services to better meet the needs of culturally diverse refugee communities. This includes drawing on public health and prevention frameworks to implement a continuum of services including basic services and security, trauma-informed prevention services to meet the needs of individuals, families and communities and specialized clinical care for those that need it. Across all services, we recommend robust engagement and partnership with refugee community leaders to design and deliver programs.
在新安置人数经历数年下滑之后，美国预计在本财政年度接纳12.5万名难民。由于难民群体高度暴露于战争及与冲突相关的创伤，以及与流离失所和重新安置相关的慢性压力源之下，他们存在出现心理健康问题的已知风险。在这篇评论中，我们审视了当前为新抵达的难民群体提供的心理健康护理体系存在的局限性，并就扩大和重新设计服务以更好地满足文化多元的难民群体的需求提出建议。这包括利用公共卫生和预防框架来实施一系列服务，包括基本服务与安全保障、创伤知情预防服务，以满足个人、家庭和社区的需求，以及为有需要者提供的专门临床护理。在所有服务中，我们建议与难民社区领袖进行积极的合作与伙伴关系，以设计和提供项目。
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