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开展关于在人道主义紧急情况下为叙利亚难民家庭建立社会心理支持的研究。

Conducting research on building psychosocial support for Syrian refugee families in a humanitarian emergency.

作者信息

Weine Stevan Merill, Arënliu Aliriza, Görmez Vahdet, Lagenecker Scott, Demirtas Hakan

机构信息

Center for Global Health, University of Illinois in Chicago, 1940 W. Taylor M/C 584, Chicago, IL, 60612, USA.

Department of Psychology, Philosophical Faculty, University of Prishtina "Hasan Prishtina, Eqrem Çabej, nn., 10000, Prishtina, Kosovo.

出版信息

Confl Health. 2021 Apr 23;15(1):31. doi: 10.1186/s13031-021-00365-6.

Abstract

BACKGROUND

This case study describes research, which is located in Turkey, where more than 750,000 Syrian refugees reside autonomously in Istanbul. The research developed and pilot tested a novel model for helping urban refugee families with limited to no access to evidence-based mental health services, by delivering a transdiagnostic family intervention for common mental disorders in health and non-health sector settings using a task-sharing approach. This case study addresses the following question: What challenges were encountered in developing and piloting a low intensity trans-diagnostic family support intervention in a humanitarian emergency setting?

DISCUSSION

The rapidly growing scale of humanitarian crises requires new response capabilities geared towards addressing populations with prolonged high vulnerability to mental health consequences and limited to no access to mental health, health, and social resources. The research team faced multiple challenges in conducting this research in a humanitarian emergency setting including: 1) Non-existent or weak partnerships geared towards mental health research in a humanitarian emergency; 2) Lack of familiarity with task-sharing; 3). Insufficient language and cultural competency; 3) Fit with families' values and demands; 4) Hardships of urban refugees. Through the research process, the research team learned lessons concerning: 1) building a coalition of academic and humanitarian organization partners; 2) investing in the research capacity building of local researchers and partners; 3) working in a community-collaborative and multi-disciplinary approach.

CONCLUSION

Conducting research in humanitarian emergency settings calls for innovative collaborative and multidisciplinary approaches to understanding and addressing many sociocultural, contextual, practical and scientific challenge.

摘要

背景

本案例研究描述了一项位于土耳其的研究,在伊斯坦布尔有超过75万叙利亚难民自主居住。该研究开发并试点测试了一种新模式,通过采用任务分担方法,在卫生和非卫生部门环境中为常见精神障碍提供跨诊断家庭干预,以帮助那些几乎无法或完全无法获得循证心理健康服务的城市难民家庭。本案例研究解决了以下问题:在人道主义紧急情况下开发和试点一种低强度跨诊断家庭支持干预措施时遇到了哪些挑战?

讨论

人道主义危机规模的迅速扩大需要新的应对能力,以应对那些长期极易受到心理健康影响且几乎无法或完全无法获得心理健康、卫生和社会资源的人群。研究团队在人道主义紧急情况下开展这项研究时面临多重挑战,包括:1)在人道主义紧急情况下不存在或缺乏针对心理健康研究的伙伴关系;2)对任务分担不熟悉;3)语言和文化能力不足;4)与家庭价值观和需求的契合度;5)城市难民的艰难处境。通过研究过程,研究团队吸取了有关以下方面的经验教训:1)建立学术和人道主义组织伙伴联盟;2)投资于当地研究人员和伙伴的研究能力建设;3)采用社区协作和多学科方法开展工作。

结论

在人道主义紧急情况下开展研究需要创新的协作和多学科方法,以理解和应对许多社会文化、背景、实际和科学方面的挑战。

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