Kieft Barbara, Jordans Mark J D, de Jong Joop T V M, Kamperman Astrid M
GGZ Dijk en Duin, Department of Prevention, Westzijde 120, 1506 EJ Zaandam, The Netherlands.
Transcult Psychiatry. 2008 Mar;45(1):105-20. doi: 10.1177/1363461507088000.
This article presents the application of a psychosocial care approach, which has been developed for and in a non-western context, within an asylum seekers' setting in the Netherlands. The project aimed to increase access to basic psychosocial care to a target population that experiences difficulties in entering mental healthcare services, by a group of trained peer asylum seekers and refugees. The development of an informal paraprofessional support system makes better use of existing resources, provides secondary benefits for the participants and helps to overcome the treatment gap between perceived needs and the formal mental healthcare system. The article describes the key components of such an approach, the Dutch context, the project implementation and finishes with a discussion on outcomes, strengths and weaknesses, risks and recommendations. In summary, we found this community approach to be applicable and relevant within an asylum seekers' centre, as it incorporates an additional easy-access level of psychosocial care and social agency, which seemed to empower participants and help prevent psychosocial problems from becoming more severe.
本文介绍了一种心理社会关怀方法的应用，该方法是在非西方背景下开发并应用于荷兰的一个寻求庇护者安置点。该项目旨在让一群经过培训的同伴寻求庇护者和难民，为难以获得心理医疗服务的目标人群增加基本心理社会关怀的可及性。一个非正式的辅助专业支持系统的建立，能更好地利用现有资源，为参与者带来额外益处，并有助于弥合感知需求与正规心理医疗系统之间的治疗差距。本文描述了这种方法的关键组成部分、荷兰的背景、项目实施情况，并最后讨论了结果、优势与不足、风险及建议。总之，我们发现这种社区方法在寻求庇护者中心是适用且相关的，因为它纳入了一个额外的易于获得的心理社会关怀和社会支持层面，这似乎增强了参与者的能力，并有助于防止心理社会问题变得更加严重。
