Procter Nicholas G
School of Nursing and Midwifery, University of South Australia-City East Campus, North Terrace, Adelaide, South Australia, Australia.
Int J Nurs Pract. 2006 Feb;12(1):42-8. doi: 10.1111/j.1440-172X.2006.00548.x.
This paper is the second in a two-part series dedicated to mental health needs of refugees and asylum seekers. Against a background of selective review of literature and context in paper 1, this paper describes practical steps in meeting the mental health needs of refugees and asylum seekers. Nurses see refugees and asylum seekers at the very point of their distress--often outside of or external to immigration detention facilities. Practical strategies are presented for the generation of trust and supportive counselling with implications drawn for nurses working across a range of practice settings, such as in accident and emergency departments, psychiatric clinics, community-health centres and as general practice nurses. Continuity and integration of mental health care is achieved by bridging discrete elements in the asylum seeker journey through legal reviews, news from home and ongoing psychosocial stressors, in the context of different episodes, interventions by different providers or changes in illness status. Also important will be actions that build resilience intrinsically over time, such as the asylum seeker's values, sustained supportive interpersonal relationships and therapeutic care plans.
本文是关于难民和寻求庇护者心理健康需求的系列文章的第二篇。在第一篇文章对文献和背景进行选择性回顾的背景下，本文描述了满足难民和寻求庇护者心理健康需求的实际步骤。护士在难民和寻求庇护者处于痛苦之时见到他们——通常是在移民拘留设施之外或外部。文中提出了建立信任和提供支持性咨询的实用策略，并对在一系列实践环境中工作的护士产生了影响，比如在急诊科、精神科诊所、社区卫生中心以及作为全科护士。通过在不同阶段、不同提供者的干预或病情变化的背景下，跨越寻求庇护者旅程中的离散元素，如法律审查、家乡消息和持续的心理社会压力源，实现心理健康护理的连续性和整合。随着时间的推移，内在地建立复原力的行动也很重要，比如寻求庇护者的价值观、持续的支持性人际关系和治疗护理计划。
