Garoff Ferdinand, Kangaslampi Samuli, Peltonen Kirsi
Faculty of Social Sciences/Psychology, University of Tampere, Tampere, Finland.
Faculty of Medicine/Psychology, University of Helsinki, Helsinki, Finland.
Scand J Psychol. 2019 Feb;60(1):7-15. doi: 10.1111/sjop.12497. Epub 2018 Nov 19.
Unaccompanied refugee minors (UMs) are at significant risk to experience severe mental health symptoms (Derluyn, Broekaert & Schuyten). Trauma-focused treatments have been found to be effective for traumatized refugees (Slobodin & de Jong). However, trauma-focused mental health services are seldom available, and treatment fails when UMs lack trust in service providers (Majumder, O'Reilly, Karim & Vostanis). In order to address this gap, a 10-session group based mental health intervention for UMs was developed and then pilot tested in 3 accommodation units for UMs in Finland. The implementation and effectiveness of the intervention was studied by qualitative and quantitative methods. The process was completed by 18 UMs. Symptom measures showed no statistically significant changes on the mental health variables studied. However, staff members and UMs reported increased trust and communication, and participating staff members felt empowered to facilitate groups independently. The group model promoted social interaction and built trust in the accommodation units. Further studies are required to UMs.
无人陪伴的未成年难民面临着出现严重心理健康症状的重大风险（德吕恩、布勒卡特和舒伊滕）。以创伤为重点的治疗方法已被证明对受创伤的难民有效（斯洛博丁和德容）。然而，以创伤为重点的心理健康服务很少可得，而且当无人陪伴的未成年难民对服务提供者缺乏信任时，治疗就会失败（马宗德、奥赖利、卡里姆和沃斯塔尼斯）。为了填补这一空白，针对无人陪伴的未成年难民开发了一种为期10节的基于小组的心理健康干预措施，然后在芬兰的3个无人陪伴的未成年难民住宿单元进行了试点测试。通过定性和定量方法研究了该干预措施的实施情况和效果。该过程由18名无人陪伴的未成年难民完成。症状测量结果显示，在所研究的心理健康变量上没有统计学上的显著变化。然而，工作人员和无人陪伴的未成年难民报告说信任和沟通有所增加，参与的工作人员感到有能力独立推动小组活动。小组模式促进了社交互动，并在住宿单元中建立了信任。需要对无人陪伴的未成年难民进行进一步研究。
