McKell Callum, Hankir Ahmed, Abu-Zayed Ishtaiwi, Al-Issa Raeda, Awad Amjad
School of Medicine, The University of Leeds, Leeds, LS2 9JT, UK,
Psychiatr Danub. 2017 Sep;29(Suppl 3):157-163.
The Baqa'a refugee camp is the largest in Jordan, home to some 104,000 Palestine refugees. Barriers to accessing and consuming mental health services in Arab-refugees are well documented in the literature however few studies have been conducted hitherto to identify barriers for Palestine refugees with psychological problems residing in refugee camps in Jordan.
To identify the barriers to accessing and consuming mental health services for Palestine refugees with psychological problems residing in Baqa'a refugee camp in Jordan and to formulate policy recommendations to overcome those barriers.
16 qualitative, semi-structured interviews were conducted with healthcare professionals working at health centres for Palestine refugees in Jordan, 14 of which were in health centres at Baqa'a refugee camp and the remaining two at the Field Office of the United Nations Relief and Works Agency (UNRWA) in Amman, Jordan. All the interviews were recorded and transcribed and thematic analyses conducted. Ethical approval was granted by the University of Leeds and UNRWA.
16/16 (100%) respondents reported that resource and financial deficits were the most common barriers that contributed towards the treatment gap. Sex (15/16, (94%)), stigma and religion (12/16, (75%)) and culture (10/16, (63%)) were other major barriers identified.
Our findings help to elucidate the contributory factors towards the treatment gap between Palestine refugees with psychological problems residing in Baqa'a refugee camp in Jordan and mental health services therein. Policy recommendations based on our results are formulated and are discussed in this research paper.
巴卡阿难民营是约旦最大的难民营，约有104,000名巴勒斯坦难民居住于此。文献中充分记载了阿拉伯难民在获取和使用心理健康服务方面存在的障碍，然而，迄今为止，很少有研究去确定居住在约旦难民营中有心理问题的巴勒斯坦难民所面临的障碍。
确定居住在约旦巴卡阿难民营中有心理问题的巴勒斯坦难民在获取和使用心理健康服务方面的障碍，并制定政策建议以克服这些障碍。
对在约旦为巴勒斯坦难民服务的健康中心工作的医护人员进行了16次定性的半结构式访谈，其中14次访谈在巴卡阿难民营的健康中心进行，其余两次在约旦安曼的联合国近东巴勒斯坦难民救济和工程处（近东救济工程处）外地办事处进行。所有访谈均进行了录音、转录并开展了主题分析。研究获得了利兹大学和近东救济工程处的伦理批准。
16/16（100%）的受访者表示，资源和资金短缺是导致治疗差距的最常见障碍。性别（15/16，94%）、耻辱感和宗教（12/16，75%）以及文化（10/16，63%）是其他确定的主要障碍。
我们的研究结果有助于阐明居住在约旦巴卡阿难民营中有心理问题的巴勒斯坦难民与当地心理健康服务之间治疗差距的促成因素。基于我们的研究结果制定了政策建议，并在本研究论文中进行了讨论。
