de Freitas Girardi Júlia, Miconi Diana, Lyke Claire, Rousseau Cécile
Laboratoire Cliniques Pathologique et Interculturelle (LCPI), Université de Toulouse II-Jean Jaurès, France.
Division of Social and Transcultural Psychiatry, McGill University, Canada.
Clin Child Psychol Psychiatry. 2020 Apr;25(2):483-493. doi: 10.1177/1359104519891760. Epub 2019 Dec 8.
Considering the growing number of asylum-seeking children worldwide, research on interventions which may buffer the effects of early resettlement conditions on asylum-seeking children's adjustment is warranted. In Canada, creative expressive workshops for asylum-seeking children and adolescents were implemented as a Psychological First Aid (PFA) intervention in temporary shelters. The present exploratory study aims to describe the implementation of these workshops to assess whether the intervention met core elements of PFA and explore its potential in supporting the diverse needs of asylum-seeking youth in temporary shelters, adopting a process-evaluation research approach.
The intervention was evaluated via a qualitative thematic analysis of extensive field and supervision notes and focus groups with facilitators.
Preliminary results suggest that the intervention contributed to fostering emotional safety and a sense of normalcy in children and supported the creation of connections among both children and parents. Children's expression of past and present experiences during the workshops was seen as a way to promote self-efficacy in children and was reported as a potential way to provide some comfort and hope in a time of high instability. However, the high needs of children and the lack of resources in the temporary shelters represented significant challenges and barriers.
PFA using creative expression may be a promising youth mental health prevention intervention in temporary shelters.
鉴于全球寻求庇护儿童的数量不断增加，有必要开展研究，探寻能够缓冲早期重新安置条件对寻求庇护儿童适应影响的干预措施。在加拿大，针对寻求庇护的儿童和青少年开展了创意表达工作坊，并将其作为临时庇护所中的心理急救（PFA）干预措施。本探索性研究旨在描述这些工作坊的实施情况，评估该干预措施是否符合心理急救的核心要素，并采用过程评估研究方法，探索其在满足临时庇护所中寻求庇护青年多样化需求方面的潜力。
通过对大量实地记录、督导记录以及与 facilitators 的焦点小组讨论进行定性主题分析，对该干预措施进行评估。
初步结果表明，该干预措施有助于营造儿童的情感安全感和正常感，并支持儿童与家长之间建立联系。儿童在工作坊中表达过去和现在的经历被视为提升儿童自我效能感的一种方式，并且据报道，这是在高度不稳定时期提供一些安慰和希望的潜在途径。然而，儿童的高需求以及临时庇护所资源的匮乏构成了重大挑战和障碍。
在临时庇护所中，采用创意表达的心理急救可能是一种有前景的青少年心理健康预防干预措施。
