Benoit Maryse, Rondeau Louise, Aubin Elizabeth
Département de psychologie, Université de Sherbrooke ; Institut universitaire de première ligne en santé et services sociaux (IUPLSSS).
École de travail social, Université de Sherbrooke.
Sante Ment Que. 2020 Fall;45(2):147-168.
Objectives This paper has a clinical perspective and presents an innovative intervention that could be offered in different institutions and practice environments. The object here is a group intervention addressed specifically to immigrant and refugee women having experienced different forms of violence. The consequences of being exposed to intentional and dehumanizing violence, paired with the challenges associated with migration and forced exile, can fragilize the individuals and challenge their capacity to adapt. Even though psychological and psychosocial support in the years following their arrival could be beneficial, immigrants and refugees rarely use institutional services, and experts point out that the services are not tailored to them. In that respect stems the importance of promoting the development of more meaningful interventions for immigrants and refugees, in accordance with the principle of equity and equality of chances to have access to appropriate services, but also to better equip the specialists by giving them access to safe and culturally sensitive interventions. Following that perspective, a group intervention for immigrants and refugees having experienced violence was created in 2010 with the collaboration of researchers from l'IUPLSSS and social workers from CIUSSS de l'Estrie-Chus. Method Firstly, this article aims to present this group intervention. Innovative features of the proposed program will be highlighted, followed by an overview of the clinical and empirical supports that recommend the use of groups and art to intervene with immigrants and refugees. A more detailed description of the intervention will follow, describing the objectives of the intervention as well as the intervention framework, including some necessary components to assure the therapeutic reach of the groups and the establishment of a safe space. Secondly, the article presents a brief summary of the preliminary results of a current study aiming to evaluate the impacts of the intervention. During this study, qualitative and quantitative data was collected from 3 groups (n = 17) and analyzed with content analysis and non-parametric analyses to measure the changes between pre and post intervention. Results The results of the qualitative and quantitative analyses show that women report positive changes at the end of the group, namely in regard to post-traumatic stress symptoms and different dimensions of their well-being. Conclusion To conclude, the advantages and limits of this intervention will be discussed, but also its relevance for the practice environments. Even if it isn't the only answer for the intervention in a post-violence context, it consists of a good option for providing adapted services to the reality and needs of immigrants and refugees.
目标 本文从临床角度出发,介绍一种可在不同机构和实践环境中提供的创新干预措施。这里的对象是针对经历过不同形式暴力的移民和难民妇女的团体干预。遭受故意和不人道暴力的后果,再加上与移民和被迫流亡相关的挑战,可能会使个人变得脆弱,并挑战他们的适应能力。尽管在她们抵达后的几年里提供心理和心理社会支持可能有益,但移民和难民很少使用机构服务,而且专家指出这些服务并非为他们量身定制。在这方面,根据公平和平等获得适当服务机会的原则,促进为移民和难民制定更有意义的干预措施非常重要,同时也要通过让专家获得安全且具有文化敏感性的干预措施,更好地武装他们。基于这一观点,2010年,来自l'IUPLSSS的研究人员与CIUSSS de l'Estrie - Chus的社会工作者合作,为经历过暴力的移民和难民创建了一种团体干预措施。方法 首先,本文旨在介绍这种团体干预措施。将突出拟议方案的创新特点,随后概述推荐使用团体和艺术对移民和难民进行干预的临床和实证依据。接下来将更详细地描述干预措施,阐述干预目标以及干预框架,包括确保团体治疗效果和建立安全空间的一些必要组成部分。其次,本文简要总结了当前一项旨在评估该干预措施影响的研究的初步结果。在这项研究中,从3个小组(n = 17)收集了定性和定量数据,并通过内容分析和非参数分析进行分析,以衡量干预前后的变化。结果 定性和定量分析结果表明,女性在团体结束时报告了积极变化,即在创伤后应激症状和她们幸福感的不同维度方面。结论 最后,将讨论这种干预措施的优点和局限性,以及它在实践环境中的相关性。即使它不是暴力后干预的唯一答案,但它是根据移民和难民的实际情况和需求提供适应性服务的一个不错选择。