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“这位医生,我不信任他,我不安全”:无人陪伴的难民青少年对心理健康和服务的看法。

'This doctor, I not trust him, I'm not safe': the perceptions of mental health and services by unaccompanied refugee adolescents.

机构信息

School of Medicine, Biological Sciences and Psychology, The Greenwood Institute, University of Leicester, Leicester, UK.

School of Medicine, Biological Sciences and Psychology, The Greenwood Institute, University of Leicester, Leicester, UK

出版信息

Int J Soc Psychiatry. 2015 Mar;61(2):129-36. doi: 10.1177/0020764014537236. Epub 2014 Jun 3.

Abstract

BACKGROUND

Unaccompanied refugee adolescents are a small but clinically significant group. This group is vulnerable with physical and psychiatric needs which are often not met. There are several barriers to providing care for this group, originating with the refugees but also due to service provision.

AIMS

The aim of this research is to appreciate the views and perceptions that unaccompanied minors hold about mental health and services.

METHOD

Fifteen unaccompanied adolescents engaged with mental health services were interviewed, and thematic analysis was employed to explore relevant issues.

DISCUSSION

Their views reflected a range of opinions on mental health and the treatments they received, but many held negative attitudes toward mental health and had a lack of trust in services. This could be explained by their descriptions of their experiences within their home country of psychiatric care, their experiences of being a refugee/asylum-seeker or cultural differences.

CONCLUSION

We argue it is important to engage this group in the development of policy and practice in child mental health, and in developing services.

摘要

背景

无人陪伴的难民青少年是一个人数较少但具有临床重要意义的群体。这个群体身体和精神需求都很脆弱,但往往得不到满足。由于难民自身的原因,也由于服务提供方面的原因,为这个群体提供护理存在一些障碍。

目的

本研究旨在了解无人陪伴未成年人对心理健康和服务的看法和看法。

方法

对 15 名接受心理健康服务的无人陪伴青少年进行了访谈,并采用主题分析方法探讨了相关问题。

讨论

他们的观点反映了他们对心理健康和所接受治疗的一系列看法,但许多人对心理健康持负面态度,对服务缺乏信任。这可以通过他们对自己在祖国的精神科护理经历、难民/寻求庇护者经历或文化差异的描述来解释。

结论

我们认为,让这一群体参与制定儿童心理健康政策和实践以及服务发展非常重要。

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