Gutknecht Sarah, Kaiser Franziska, Leiding Delia Vanessa, Schneider Frank, Habel Ute, Schulte Holthausen Barbara
Klinik für Psychiatrie, Psychotherapie und Psychosomatik, RWTH Aachen University.
Universitätsklinikum Düsseldorf.
Fortschr Neurol Psychiatr. 2020 Feb;88(2):82-88. doi: 10.1055/a-1090-7375. Epub 2020 Feb 26.
This article presents the results of a pilot project to support mentally affected refugees by trained peer helpers. The evaluation aims to assess the necessity, usefulness and effectiveness of the project.
External agents as well as those involved in this project were interviewed with the help of validated and self-designed instruments and the results subjected to statistical analysis. The sample consisted of 197 refugees living in camps, 18 peer helpers participating in the project, as well as 16 social workers and administrators of twelve refugee shelters.
More than half of the refugee sample reported having psychological problems. Peer-help, which consisted primarily of individual consultations, was rated positively by the refugees. 58.5 % severely affected refugees were reassigned to standard health care. Trained peer helpers rated peer training, coordination and supervision as good. The psychological burden of peer helpers did not change during the project. Social workers and administrators of the refugee shelters evaluated the peer-helper project as helpful.
The pilot project appears to be necessary and useful. Mentally affected refugees benefit from the low-level help offer with trained peers providing valuable, native-speaker assistance. Good training, coordination and supervision as framework conditions allow the successful use of peer helpers to support mentally affected refugees effectively.
本文介绍了一个试点项目的结果，该项目由经过培训的同伴协助者为受精神影响的难民提供支持。评估旨在评估该项目的必要性、实用性和有效性。
借助经过验证和自行设计的工具，对外部人员以及参与该项目的人员进行了访谈，并对结果进行了统计分析。样本包括197名住在难民营的难民、18名参与该项目的同伴协助者，以及16名来自12个难民收容所的社会工作者和管理人员。
超过一半的难民样本报告有心理问题。主要由个别咨询组成的同伴协助得到了难民的积极评价。58.5%受严重影响的难民被重新安排接受标准医疗服务。经过培训的同伴协助者对同伴培训、协调和监督评价良好。在项目期间，同伴协助者的心理负担没有变化。难民收容所的社会工作者和管理人员认为同伴协助者项目很有帮助。
该试点项目似乎是必要且有用的。受精神影响的难民受益于由经过培训的同伴提供的低层次帮助，这些同伴能提供宝贵的、说母语的协助。良好的培训、协调和监督作为框架条件，使得能够成功利用同伴协助者有效地支持受精神影响的难民。
