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["似乎没人准备好倾听我所目睹的一切:智利为难民和寻求庇护者提供的心理健康护理"]

["No one seems ready to hear what I've seen:" Mental health care for refugees and asylum seekers in Chile].

作者信息

Carreño Alejandra, Blukacz Alice, Cabieses Baltica, Jazanovich Diego

机构信息

Doctora en Antropología. Investigadora y docente, Programa de Estudios Sociales en Salud, Facultad de Medicina, Clínica Alemana, Universidad del Desarrollo, Santiago, Chile.

Magíster en Migración Internacional y Políticas Públicas. Investigadora y docente, Programa de Estudios Sociales en Salud, Facultad de Medicina, Clínica Alemana, Universidad del Desarrollo, Santiago, Chile.

出版信息

Salud Colect. 2020 Dec 24;16:e3035. doi: 10.18294/sc.2020.3035.

DOI:10.18294/sc.2020.3035
PMID:33374087
Abstract

This article analyzes the results of a descriptive, qualitative study carried out in 2018 on the mental healthcare needs of Latin American refugees and asylum seekers in Chile, through the perspectives of refugees and asylum applicants (n=8), healthcare professionals responsible for delivery of care (n=4), and members of civil society organisations involved in this area (n=2). Our findings indicate that despite Chile's commitment to international treaties in this regard, little has been achieved in safeguarding the right to access to mental health care, understood as part of the universal right to health care access. This article documents barriers to mental health care access for migrants applying for asylum and refugee status. Post-migration stress factors may also increase the risk of emotional disorders within this group of people. Mental healthcare providers and teams are often not equipped with the tools to deal with the psychological consequences arising from the situations of violence and persecution associated with forced migration. Our study discusses the need to strengthen the link between mental health care - as a fundamental human right - and the right to international protection.

摘要

本文分析了2018年开展的一项描述性定性研究的结果,该研究从难民和庇护申请者(n = 8)、负责提供护理的医疗保健专业人员(n = 4)以及参与该领域的民间社会组织成员(n = 2)的角度,探讨了智利拉丁美洲难民和寻求庇护者的心理保健需求。我们的研究结果表明,尽管智利在这方面对国际条约作出了承诺,但在保障获得心理健康护理的权利方面进展甚微,而获得心理健康护理的权利被视为普遍获得医疗保健权利的一部分。本文记录了申请庇护和难民身份的移民在获得心理健康护理方面的障碍。移民后的压力因素也可能增加这一群体出现情绪障碍的风险。心理健康护理提供者和团队往往没有配备应对与被迫迁移相关的暴力和迫害情况所产生的心理后果的工具。我们的研究讨论了加强作为一项基本人权的心理健康护理与国际保护权之间联系的必要性。

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Front Public Health. 2025 Aug 14;13:1582628. doi: 10.3389/fpubh.2025.1582628. eCollection 2025.
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Manifestation, causes and approach to mental distress among the population of migrant and refugee women in Ecuador and Panama: a qualitative study with key informants.厄瓜多尔和巴拿马移民及难民女性群体中精神困扰的表现、成因及应对方法:一项对关键信息提供者的定性研究
Int J Equity Health. 2025 Apr 3;24(1):92. doi: 10.1186/s12939-025-02455-w.
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Intersections between gender approaches, migration and health in Latin America and the Caribbean: a discussion based on a scoping review.
拉丁美洲和加勒比地区性别视角、移民与健康的交叉点:基于范围综述的讨论
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Victimization, polyvictimization, and depression symptoms among immigrants and native children and youth in Chile.智利移民及本地儿童和青少年中的受害经历、多重受害经历及抑郁症状
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