Purgato Marianna, Bartucz Monica, Turrini Giulia, Compri Beatrice, Prina Eleonora, Patania Federica, Kucukozkan Emrah, Zubachova Anna, Mňahončak Martin, Čavojská Katarína, Koval Olena, Lupea Gabriela, Klymchuk Vitalii, Maximets Natalie, Mediavilla Roberto, Ayuso-Mateos José Luis, Sijbrandij Marit, van der Ven Els, Frankova Iryna, Barbui Corrado
World Health Organization Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neurosciences, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Verona, Italy.
Department of Clinical Psychology and Psychotherapy, Babeș-Bolyai University, Cluj-Napoca, Romania.
Glob Ment Health (Camb). 2024 Dec 6;11:e119. doi: 10.1017/gmh.2024.113. eCollection 2024.
Providing Mental Health and Psychosocial Support interventions (MHPSS) for forcibly displaced Ukrainians in Central and Eastern Europe poses numerous challenges due to various socio-cultural and infrastructural factors. This qualitative study explored implementation barriers reported by service providers of in-person and digital MHPSS for Ukrainian refugees displaced to Poland, Romania and Slovakia due to the war. In addition, the study aimed to generate recommendations to overcome these barriers. Semi-structured Free List and Key Informant interviews were conducted using the Design, Implementation, Monitoring and Evaluation protocol with 18 and 13 service providers, respectively. For in-person interventions, barriers included stigma, language, shortage of MHPSS providers, lack of financial aid and general lack of trust among refugees. For digital MHPSS, barriers included generational obstacles, lack of therapeutic relationships, trust issues, and lack of awareness. Recommendations included advancing public health strategies, organizational interventions, building technical literacy and support, enhancing the credibility of digital interventions and incorporating MHPSS into usual practice. By implementing the recommendations proposed in this study, policymakers, organizations and service providers can work towards enhancing the delivery of MHPSS and addressing the mental health needs of Ukrainian refugees in host countries, such as Poland, Romania and Slovakia.
由于各种社会文化和基础设施因素，为中欧和东欧的乌克兰强制流离失所者提供心理健康和社会心理支持干预措施（MHPSS）面临诸多挑战。这项定性研究探讨了因战争而流离到波兰、罗马尼亚和斯洛伐克的乌克兰难民的面对面和数字MHPSS服务提供者报告的实施障碍。此外，该研究旨在提出克服这些障碍的建议。分别使用设计、实施、监测和评估协议，对18名和13名服务提供者进行了半结构化自由列举访谈和关键信息人访谈。对于面对面干预措施，障碍包括耻辱感、语言、MHPSS提供者短缺、缺乏财政援助以及难民普遍缺乏信任。对于数字MHPSS，障碍包括代际障碍、缺乏治疗关系、信任问题以及缺乏认知。建议包括推进公共卫生战略、组织干预、培养技术素养和提供支持、提高数字干预的可信度以及将MHPSS纳入常规实践。通过实施本研究提出的建议，政策制定者、组织和服务提供者可以努力加强MHPSS的提供，并满足波兰、罗马尼亚和斯洛伐克等东道国乌克兰难民的心理健康需求。
