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难民精神健康能力建设:跨文化创伤知情关怀培训的实施与评估。

Capacity Building for Refugee Mental Health in Resettlement: Implementation and Evaluation of Cross-Cultural Trauma-Informed Care Training.

机构信息

School of Social Work, Virginia Commonwealth University, 1000 Floyd Ave., 3rd Floor, Richmond, VA, 23284, USA.

出版信息

J Immigr Minor Health. 2020 Oct;22(5):923-934. doi: 10.1007/s10903-020-00992-w.

Abstract

Refugee mental health needs are heightened during resettlement but are often neglected due to challenges in service provision, including lack of opportunities for building capacity and partnership among providers. We developed and implemented culturally-responsive refugee mental health training, called Cross-Cultural Trauma-Informed Care (CC-TIC) training. We evaluated CC-TIC, using a free listing and semi-structured retrospective pre- and post-training evaluation with five localities in two states in the U.S. The results showed significant improvement in providers' knowledge of trauma impacts, cultural expressions of trauma/stress-related symptoms, and culturally-responsive trauma-informed care. Trauma-informed care specific to refugee resettlement was regarded as the most helpful topic and community partnership building as the most requested area for future training. This study emphasizes that culturally-responsive trauma-informed approaches can help bridge gaps between mental health care and resettlement services and promote exchanges of knowledge and expertise to build collaborative care and community partnership.

摘要

难民的心理健康需求在重新安置期间会增加,但由于服务提供方面的挑战,这些需求往往被忽视,包括提供者之间建立能力和伙伴关系的机会不足。我们开发并实施了一种文化响应性的难民心理健康培训,称为跨文化创伤知情护理(CC-TIC)培训。我们使用美国两个州的五个地区的自由列表和半结构化回顾性培训前和培训后评估来评估 CC-TIC。结果表明,提供者对创伤影响、创伤/压力相关症状的文化表现以及文化响应性创伤知情护理的知识有了显著提高。难民重新安置方面的创伤知情护理被认为是最有帮助的主题,社区伙伴关系建设是未来培训最需要的领域。这项研究强调,文化响应性的创伤知情方法可以帮助弥合心理健康护理和重新安置服务之间的差距,并促进知识和专业知识的交流,以建立协作式护理和社区伙伴关系。

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Neurological Emergencies in Refugees.难民中的神经系统急症
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