Head of Clinical Services, Mental Health Program, SAJIDA Foundation, Dhaka, Bangladesh.
Department of Psychology, Effat University, Jeddah, Saudi Arabia.
Asian J Psychiatr. 2024 Jul;97:104069. doi: 10.1016/j.ajp.2024.104069. Epub 2024 May 24.
Rohingya Muslims have been forcefully displaced from their mother land, Rakhaine State, Myanmar to Bangladesh, a country with about 170 million population with a treatment gap of more than 90% for standard mental health care. Due to the experienced trauma and displacement, high prevalence of depression, anxiety and post-traumatic tress disorders has been identified among Rohingya refugees in addition to the enduring mental health burden of Bangladesh. Very little has been known regarding the practical challenges of mental health services among Rohingya refugees in Bangladesh. In this commentary, we aimed to highlight the practical challenges for mental health services in Rohingya camps in Bangladesh along with our speculative ways forward based on available evidence, work experience, and informal communications. We highlighted the available mental health services, several major challenges including awareness, perception and belief towards mental health, language and cultural barriers, dearth of skilled service providers, inadequate services for severe mental illness, dearth of mental health services for children, inadequate provision of supervision and 'Care for Caregivers' program, and privacy and confidentiality of the clients. Although significant improvements have been made in the mental health field in the emergency crisis sector in Cox's Bazar over the past years, concentrated efforts are urgently required to actualize proposed solutions in this paper.
罗兴亚穆斯林被迫离开他们的祖国——缅甸若开邦，来到人口约 1.7 亿的孟加拉国。在孟加拉国，标准的精神卫生保健治疗缺口超过 90%。由于经历了创伤和流离失所，罗兴亚难民中出现了较高的抑郁症、焦虑症和创伤后应激障碍的患病率，此外，孟加拉国还面临着长期的精神卫生负担。关于孟加拉国罗兴亚难民的精神卫生服务的实际挑战，人们知之甚少。在这篇评论中，我们旨在根据现有证据、工作经验和非正式交流，突出强调孟加拉国罗兴亚难民营的精神卫生服务所面临的实际挑战，并提出我们的一些推测性解决方案。我们强调了现有的精神卫生服务，包括对精神卫生的意识、看法和信念、语言和文化障碍、缺乏熟练的服务提供者、严重精神疾病服务不足、儿童精神卫生服务不足、监督不足和“关爱照顾者”计划，以及客户的隐私和保密性等几个主要挑战。尽管在过去几年中，科克斯巴扎尔的紧急危机部门在精神卫生领域取得了重大进展，但仍迫切需要集中精力来实现本文中提出的解决方案。
