Chemali Zeina, Smati Hannah, Johnson Kelsey, Borba Christina P C, Fricchione Gregory L
1The Chester M. Pierce, MD Division of Global Psychiatry, Massachusetts General Hospital, 151 Merrimac Street, 4th Floor, Boston, MA 02114 USA.
5Department of Psychiatry, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 USA.
Confl Health. 2018 Feb 26;12:8. doi: 10.1186/s13031-018-0144-2. eCollection 2018.
Humanitarian aid workers caring for Syrian refugees face major stressors as they attend to refugees' needs on the field. Without adequate psychosocial support, evidence has shown that fieldworkers experience high burnout and turnover as well as long-term poor mental health. Unfortunately, scarce training in this regard leaves them ill-equipped to care for themselves and practice resilience while handling trauma in the field. This paper highlights our reflection on working with mindfulness programs during humanitarian crises, specifically how our program, Stress Management and Relaxation Response Training (SMART), has helped over time fieldworkers and the community they cared for. We propose that programs targeting the wellbeing of fieldworkers should be prioritized as part of efforts to improve the international aid response although they may require impeccable coordination and generous resources. We encourage donors to fund those projects viewed as special social protection programs building resilience and strengthening within system support. We argue that this will increase the efficacy of the crisis intervention and work towards sustainable peace building.
照顾叙利亚难民的人道主义援助工作者在实地满足难民需求时面临重大压力源。有证据表明,由于缺乏足够的心理社会支持,实地工作者会经历高度的倦怠和人员流动,以及长期的心理健康问题。不幸的是,这方面的培训稀缺,使他们在应对实地创伤时缺乏照顾自己和保持复原力的能力。本文重点阐述了我们在人道主义危机期间开展正念项目的思考,特别是我们的压力管理与放松反应训练(SMART)项目如何随着时间的推移帮助了实地工作者及其所照顾的社区。我们建议,尽管针对实地工作者福祉的项目可能需要无懈可击的协调和大量资源,但作为改善国际援助反应努力的一部分,应优先考虑这些项目。我们鼓励捐助者为那些被视为建立复原力和加强系统内支持的特殊社会保护项目提供资金。我们认为,这将提高危机干预的效果,并朝着可持续和平建设努力。