Bunn Mary, Zolman Nicole, Smith Chloe Polutnik, Khanna Deepika, Hanneke Rosie, Betancourt Theresa S, Weine Stevan
Department of Psychiatry, Center for Global Health, University of Illinois Chicago, USA.
College of Medicine, University of Illinois Chicago, University of Illinois Chicago, USA.
SSM Ment Health. 2022 Dec;2. doi: 10.1016/j.ssmmh.2022.100153. Epub 2022 Sep 2.
This study reviewed the literature on family-based mental health interventions for refugees across migration contexts and settings to identify types of interventions and intervention components, implementation approaches and to assess effectiveness. The review used a systematic approach, and ten intervention studies were retained for analysis. The findings identified three primary types of family-based mental health interventions used with diverse refugee communities in settings in the Global North and South-parenting groups, multiple family groups and home visiting interventions. Findings indicated that non-specialized or peer providers were frequently utilized to deliver the interventions though additional details on the workforce and workforce development strategies are needed to better understand how to sustain and support such providers. The findings suggest that family-based mental health interventions are potentially effective for improving a range of child and caregiver mental health outcomes and improving family processes and functioning among refugee families. However, the empirical evidence is quite limited to date, with a need for additional rigorous studies, especially with refugee families in humanitarian settings, to further build the evidence base.
本研究回顾了关于跨移民背景和环境为难民提供的基于家庭的心理健康干预措施的文献，以确定干预措施的类型和干预组成部分、实施方法，并评估其有效性。该综述采用了系统的方法，保留了十项干预研究进行分析。研究结果确定了在全球北方和南方的不同难民社区中使用的三种主要类型的基于家庭的心理健康干预措施——育儿小组、多家庭小组和家访干预。研究结果表明，非专业人员或同伴提供者经常被用来实施干预措施，不过还需要关于工作人员和劳动力发展战略的更多细节，以便更好地了解如何维持和支持这些提供者。研究结果表明，基于家庭的心理健康干预措施可能有效地改善一系列儿童和照顾者的心理健康结果，并改善难民家庭中的家庭过程和功能。然而，迄今为止，实证证据相当有限，需要进行更多严格的研究，特别是针对人道主义环境中的难民家庭，以进一步建立证据基础。
