Campbell Emma Jean, Turpin Merrill June
Division of Occupational Therapy, School of Health & Rehabilitation Sciences, The University of Queensland, Brisbane, Qld. 4072, Australia.
Aust Occup Ther J. 2010 Dec;57(6):425-30. doi: 10.1111/j.1440-1630.2010.00882.x. Epub 2010 Oct 19.
BACKGROUND/AIM: Refugees experience higher levels of emotional, psychological and physical distress than the general migrant population during settlement in a new country. Safety in the home can be a major concern and is an issue of which occupational therapists should be aware. Occupational therapists working with refugees in many contexts feel unprepared and overwhelmed. As refugee settlement workers attend to home safety of refugees during the settlement process, this study aimed to develop an in-depth understanding of their perceptions of this issue. Such information can contribute to occupational therapists' knowledge and practice when working with refugees.
An exploratory qualitative case study approach used 16 semi-structured interviews and observation of a settlement worker assisting newly arrived refugees. Participants were settlement service staff (an occupational therapist, case coordinators and cultural support workers).
Three themes are reported: considerations for safety in the homes of refugees; factors influencing home safety for refugees; and sensitivity to culture. Participants described tailoring home safety-related services to each individual based on factors that influence home safety and sensitivity to culture.
Awareness of home safety issues can increase cultural competence and inform practice and policy.
背景/目的：在新国家定居期间，难民比一般移民群体经历更高程度的情绪、心理和身体困扰。家庭安全可能是一个主要担忧，也是职业治疗师应该关注的问题。在许多情况下与难民合作的职业治疗师感到准备不足且不堪重负。由于难民安置工作者在安置过程中关注难民的家庭安全，本研究旨在深入了解他们对这个问题的看法。这些信息有助于职业治疗师在为难民提供服务时的知识储备和实践操作。
采用探索性定性案例研究方法，进行了16次半结构化访谈，并观察了一名协助新抵达难民的安置工作者。参与者为难民安置服务人员（一名职业治疗师、个案协调员和文化支持工作者）。
报告了三个主题：难民家庭安全的考量因素；影响难民家庭安全的因素；对文化的敏感性。参与者描述了根据影响家庭安全的因素和对文化的敏感性，为每个个体量身定制与家庭安全相关的服务。
对家庭安全问题的认识可以提高文化能力，并为实践和政策提供参考。
