Sen Piyal
Consultant Forensic Psychiatrist, Complex Needs Service, St Andrew's, Essex, UK; Visiting Lecturer, Department of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK, email
BJPsych Int. 2016 May 1;13(2):30-32. doi: 10.1192/s2056474000001069. eCollection 2016 May.
Global events like wars and natural disasters have led to the refugee population reaching numbers not seen since the Second World War. Attitudes to asylum have hardened, with the potential to compromise the mental health needs of asylum seekers and refugees. The challenges in providing mental healthcare for asylum seekers and refugees include working with the uncertainties of immigration status and cultural differences. Ways to meet the challenges include cultural competency training, availability of interpreters and cultural brokers as well as appropriately adapting modes of therapy. Service delivery should support adjustment to life in a foreign country. Never has the need been greater for psychiatrists to play a leadership role in the area.
诸如战争和自然灾害等全球性事件导致难民数量达到了自第二次世界大战以来的最高水平。对庇护的态度变得强硬,这有可能危及寻求庇护者和难民的心理健康需求。为难民和寻求庇护者提供心理保健面临的挑战包括应对移民身份的不确定性和文化差异。应对这些挑战的方法包括文化能力培训、提供口译员和文化中介,以及适当调整治疗方式。服务提供应支持融入异国生活。精神科医生在这一领域发挥领导作用的需求从未如此迫切。