Prevention, Treatment and Rehabilitation Section, Drug Prevention and Health Branch, Division of Operations, United Nations Office on Drugs and Crime (UNODC), Wagramer Strasse 5, A-1400 Vienna, Austria.
United Nations Office on Drugs and Crime, Program Office Serbia, Bulevar Zorana Djindjica 64, 11000 Belgrade, Serbia.
Int J Environ Res Public Health. 2021 Apr 24;18(9):4530. doi: 10.3390/ijerph18094530.
War exposure and forced displacement threatens the wellbeing of caregivers and their children, leaving them at risk of negative outcomes, such as elevated rates of anxiety, depression and post-traumatic stress disorder. The importance of engaged, responsive and stable parenting for positive child wellbeing has been documented across diverse cultural and economic backgrounds. Despite the higher need for caregivers to be nurturing in challenging settings, they struggle to provide adequate support for their children due to lack of resources or their inability to deal with their own emotional challenges. A feasibility study was conducted of a new, open-access and light-touch family skills intervention, Strong Families (for families in humanitarian and challenged settings) on refugee families residing in Reception Centers in Serbia. Questionnaires and interviews were completed by participating caregivers and facilitators. Qualitative results indicated that the intervention was feasible to run in this humanitarian context, that caregivers viewed the intervention as culturally acceptable and complemented the quantitative results that showed promise for enhancing child behavior and family functioning tested indicators. Despite being a light intervention, Strong Families indicated improvement on child mental health, parenting practices and parent and family adjustment skills. Prioritizing family mental health and functioning as a primary need that parallels that of accessing physical medical care, sanitation and clean water must be the definitive next step in humanitarian aid.
战争的影响和被迫流离失所威胁着照顾者及其子女的福祉,使他们面临焦虑、抑郁和创伤后应激障碍等负面后果的风险。在不同的文化和经济背景下,有文献记录了积极参与、回应和稳定的育儿对儿童福祉的重要性。尽管在充满挑战的环境中,照顾者更需要有爱心,但由于资源匮乏或无法应对自身情绪挑战,他们难以为子女提供足够的支持。在塞尔维亚的接待中心,对居住在那里的难民家庭进行了一项新的、开放获取的、轻触式家庭技能干预措施“坚强家庭”(针对人道主义和困难环境中的家庭)的可行性研究。参与的照顾者和促进者完成了问卷调查和访谈。定性结果表明,该干预措施在这种人道主义环境中是可行的,照顾者认为该干预措施在文化上是可以接受的,并且与定量结果相吻合,定量结果表明,该干预措施有望增强儿童行为和家庭功能的测试指标。尽管是一种轻干预措施,但“坚强家庭”表明,儿童的心理健康、育儿实践以及父母和家庭适应技能有所改善。将家庭心理健康和功能作为与获取身体医疗保健、卫生和清洁水同等重要的首要需求,必须成为人道主义援助的下一个明确步骤。