Bryant Richard A
School of Psychology, University of New South Wales, Sydney, NSW, Australia.
Glob Ment Health (Camb). 2023 Feb 7;10:e8. doi: 10.1017/gmh.2022.59. eCollection 2023.
Refugees experience a greater rate of common mental disorders relative to most other populations, and there remains a need to address these needs. However, most refugees are hosted in low-and-middle-income countries, where there is a lack of resources and mental health providers who can deliver mainstream mental health services. This situation has led to the emergence of scalable mental health interventions that can deliver evidence-based programs to refugees in need. Many countries hosting refugees have implemented programs that train local lay providers in interventions that can be delivered at scale. This review provides a narrative overview of these scalable interventions and critiques the evidence for their efficacy. It is noted that there are limitations to currently available scalable interventions, and there is a need for greater attention to determining the longer-term benefits of interventions, addressing the mental health needs of refugees who do not respond to these interventions, assisting refugees with more severe psychological disorders, and understanding the specific mechanisms that underpin observed benefits of these interventions.
与大多数其他人群相比,难民患常见精神障碍的比例更高,因此仍有必要满足他们的这些需求。然而,大多数难民居住在低收入和中等收入国家,这些国家缺乏资源,也没有能够提供主流心理健康服务的心理健康服务提供者。这种情况导致了可扩展的心理健康干预措施的出现,这些措施可以为有需要的难民提供循证项目。许多接收难民的国家都实施了相关项目,培训当地的非专业服务提供者开展可大规模实施的干预措施。本综述对这些可扩展的干预措施进行了叙述性概述,并对其有效性的证据进行了批判。需要指出的是,目前可用的可扩展干预措施存在局限性,需要更加关注确定干预措施的长期效益、满足对这些干预措施无反应的难民的心理健康需求、帮助患有更严重心理障碍的难民,以及了解这些干预措施所带来的明显效益背后的具体机制。
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