Yim See Heng, Said Glorianne, King Dorothy
King's College London, UK.
South London and Maudsley NHS Foundation Trust, UK.
Clin Child Psychol Psychiatry. 2025 Apr;30(2):245-263. doi: 10.1177/13591045241252858. Epub 2024 Jun 13.
BackgroundGlobally, there is an increasing trend of forcibly displaced people, of which over 40% are children. Unaccompanied asylum-seeking children (UASC) are at risk of experiencing psychological distress and developing mental health difficulties. However, in the UK, the approach from statutory mental health services is inconsistent across different geographical areas.AimThis report outlines recommendations for statutory mental health services in the UK in relation to working with UASC.MethodA rapid evaluation method was adopted including interviewing fifteen key informants as well as reviewing existing clinical guidelines. Key informants included clinicians, service managers, social workers and commissioners from Local Authorities, National Health Services, and third sector partners. Recommendations were synthesised using narrative synthesis.Results and conclusionExisting service provision and barriers to the implementation of interventions were summarised and compared against existing guidelines. The report presents recommendations on assessments, screening tools, and psychological interventions for developing a pathway for UASC within statutory services.
背景
在全球范围内,被迫流离失所者的数量呈上升趋势,其中超过40%为儿童。无人陪伴的寻求庇护儿童面临心理困扰和出现心理健康问题的风险。然而,在英国,法定心理健康服务在不同地理区域的做法并不一致。
目的
本报告概述了英国法定心理健康服务机构在与无人陪伴的寻求庇护儿童合作方面的建议。
方法
采用了快速评估方法,包括采访15名关键信息提供者以及审查现有临床指南。关键信息提供者包括来自地方当局、国民保健服务体系和第三部门合作伙伴的临床医生、服务经理、社会工作者和专员。建议通过叙述性综合法进行综合。
结果与结论
总结了现有的服务提供情况以及干预措施实施的障碍,并与现有指南进行了比较。本报告提出了关于评估、筛查工具和心理干预的建议,以便在法定服务范围内为无人陪伴的寻求庇护儿童制定一条路径。