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德国的学校如何在心理健康和社会流动方面塑造并影响青少年难民的生活。

How schools in Germany shape and impact the lives of adolescent refugees in terms of mental health and social mobility.

作者信息

Podar Monica-Diana, Freţian Alexandra-Maria, Demir Zeynep, Razum Oliver, Namer Yudit

机构信息

School of Public Health, Bielefeld University, Universitätsstr. 25, 33615, Bielefeld, Germany.

Faculty of Educational Science, Bielefeld University, Universitätsstr. 25, 33615, Bielefeld, Germany.

出版信息

SSM Popul Health. 2022 Jul 15;19:101169. doi: 10.1016/j.ssmph.2022.101169. eCollection 2022 Sep.

Abstract

Schools are relevant settings for supporting refugee adolescents' mental health. As education and migration are important social determinants of health, we aim to integrate the qualitative findings of our mixed-methods study into a broader discussion regarding the role of schools and the potential effects on refugee adolescents' lives and mental health, as well as the impact of the COVID-19 pandemic. In this article, we present the findings of school-based actors' (i.e., teachers and school psychologists) perception of refugee adolescents' access to mental health care. The interviews highlight the importance of schools and social activities as main stabilizers and sources of support for refugee adolescents' mental health and the role trusting school-parent relationships play in mental health care help-seeking. Our data indicate that schools lack the resources to properly address these needs. However, these structural gaps are rooted into historical segregation and discrimination in the German educational system and left unaddressed, can increase stigma and intergenerational social inequalities, especially in connection to the COVID-19 pandemic. We conclude our article with a set of recommendations that could be relevant and implemented across different contexts to strengthen the role of the school setting in promoting the mental health and well-being of refugee adolescents.

摘要

学校是支持难民青少年心理健康的重要场所。由于教育和移民是健康的重要社会决定因素,我们旨在将混合方法研究的定性结果纳入更广泛的讨论,内容涉及学校的作用、对难民青少年生活和心理健康的潜在影响以及新冠疫情的影响。在本文中,我们展示了学校工作人员(即教师和学校心理学家)对难民青少年获得心理健康护理情况的看法。访谈强调了学校和社交活动作为难民青少年心理健康主要稳定因素和支持来源的重要性,以及信任的家校关系在寻求心理健康护理方面所起的作用。我们的数据表明,学校缺乏适当满足这些需求的资源。然而,这些结构性差距源于德国教育系统历史上的隔离和歧视,如果不加以解决,可能会增加耻辱感和代际社会不平等,尤其是在新冠疫情背景下。我们在文章结尾提出了一系列建议,这些建议在不同背景下可能具有相关性并可实施,以加强学校环境在促进难民青少年心理健康和福祉方面的作用。

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本文引用的文献

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Health Care for Refugees in Europe: A Scoping Review.欧洲的难民医疗保健:范围综述。
Int J Environ Res Public Health. 2022 Jan 24;19(3):1278. doi: 10.3390/ijerph19031278.
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Young people's mental health during the COVID-19 pandemic.新冠疫情期间年轻人的心理健康
Lancet Child Adolesc Health. 2021 Aug;5(8):535-537. doi: 10.1016/S2352-4642(21)00177-2. Epub 2021 Jun 25.
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Education: a neglected social determinant of health.教育:一个被忽视的健康社会决定因素。
Lancet Public Health. 2020 Jul;5(7):e361. doi: 10.1016/S2468-2667(20)30144-4.

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