Betancourt Theresa S, Williams Timothy
Department of Population and International Health. François-Xavier Bagnoud Center for Health and Human Rights, Harvard School of Public Health, 651 Huntington Avenue, 7th floor, Boston, MA 02115 USA,
Intervention (Amstelveen). 2008;6(1):39-56. doi: 10.1097/WTF.0b013e3282f761ff.
This paper reviews what is currently known from research about the effectiveness of interventions to address mental health problems in children and adolescents affected by armed conflict. The focus will be on interventions delivered in conflict affected countries either during active humanitarian emergencies or during the post conflict period. The paper will discuss two main paradigms of intervention dominating the field: psychosocial approaches and clinical/psychiatric approaches. The paper reviews some of the basic literature, theories and issues involved in assessment, programme planning, monitoring and evaluation of both approaches. In order to explore these issues in depth, the paper will draw from the author's field experiences with research in the Russian Federation and in northern Uganda. The paper also presents a brief review of a handful of other published evaluations of mental health interventions for war affected children. We will close with a discussion of what future research is needed to build an evidence base regarding mental health interventions for children affected by armed conflict as well as the ethical and feasibility issues associated with carrying out this work.
本文回顾了目前从研究中了解到的关于干预措施对受武装冲突影响的儿童和青少年心理健康问题有效性的情况。重点将放在受冲突影响国家在人道主义紧急情况期间或冲突后阶段实施的干预措施上。本文将讨论主导该领域的两种主要干预范式:心理社会方法和临床/精神病学方法。本文回顾了这两种方法在评估、项目规划、监测和评价中涉及的一些基础文献、理论和问题。为了深入探讨这些问题,本文将借鉴作者在俄罗斯联邦和乌干达北部的实地研究经验。本文还简要回顾了其他一些已发表的针对受战争影响儿童心理健康干预措施的评估。我们将以讨论未来需要开展哪些研究来建立关于受武装冲突影响儿童心理健康干预措施的证据基础,以及开展这项工作所涉及的伦理和可行性问题作为结尾。