Yozwiak Daniel, McGuire Tanner, Aultman Julie M
Northeast Ohio Medical University, Rootstown, OH USA.
Asian Bioeth Rev. 2021 Sep 13;14(1):9-23. doi: 10.1007/s41649-021-00184-0. eCollection 2022 Jan.
This paper is the second of two in a series. In our first paper, we presented a social justice framework emerging from an extensive literature review and incorporating core social determinants specific to mental health in the age of COVID-19 and illustrated specific social determinants impacting mental health (SDIMH) of our resettled Bhutanese refugee population during the pandemic. This second paper details specific barriers to the SDIMH detrimental to the basic human rights and social justice of this population during this pandemic. The SDIMH, as described, further informs the need for social justice measures and cultural humility in mental healthcare, public health, law, and community engagement. This work concludes with a proposed call to action toward mental health improvement and fair treatment for refugee populations in three core areas: communication and education, social stigma and discrimination, and accessibility and availability of resources.
本文是系列文章中的第二篇。在我们的第一篇论文中,我们提出了一个社会正义框架,该框架源自广泛的文献综述,并纳入了新冠疫情时代心理健康所特有的核心社会决定因素,同时阐述了疫情期间影响我们重新安置的不丹难民群体心理健康的具体社会决定因素(SDIMH)。第二篇论文详细介绍了在此次疫情期间,对该群体基本人权和社会正义有害的SDIMH的具体障碍。如前所述,SDIMH进一步表明在心理保健、公共卫生、法律及社区参与方面采取社会正义措施和秉持文化谦逊态度的必要性。这项工作最后呼吁在三个核心领域采取行动,以改善难民群体的心理健康并给予公平对待,这三个领域分别是:沟通与教育、社会污名与歧视、资源的可及性与可得性。