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荷兰移民的心理健康护理:一种去殖民化视角。

Mental health care for migrants in the Netherlands: A decolonial perspective.

作者信息

Hernandez Gian-Louis, de Looper Melanie, Braun Sabine, Hieke Graham, Krystallidou Demi, van Weert Julia, Schouten Barbara

机构信息

Amsterdam School of International Business, University of Amsterdam, Amsterdam, The Netherlands.

Amsterdam School of Communication Research, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands.

出版信息

Glob Ment Health (Camb). 2025 Aug 6;12:e86. doi: 10.1017/gmh.2025.10038. eCollection 2025.

Abstract

This study addresses the mental health needs of refugees and migrants in the Netherlands, highlighting the urgent public health challenges they face. Unique psychosocial hurdles, exacerbated by cultural dislocation, language barriers and systemic inequalities, hinder their access to quality mental healthcare. This study explores how coloniality intersects with mental healthcare access, using a decolonial framework to challenge stereotypes and assumptions that marginalize migrant voices. Through semi-structured interviews with migrants and language service providers, this research reveals the complexities of navigating the mental healthcare system. Findings reveal that temporality, professionalism and language barriers are key issues in migrants' mental healthcare journeys. We advocate for systemic changes that prioritize migrant perspectives. Ultimately, this study aims to inform policy and practice to enhance mental health services for migrant populations in the Netherlands and contribute to the broader dialogue on decolonization in mental health.

摘要

本研究关注荷兰难民和移民的心理健康需求,突显了他们所面临的紧迫公共卫生挑战。独特的社会心理障碍,因文化流离失所、语言障碍和系统性不平等而加剧,阻碍了他们获得优质心理医疗服务。本研究运用去殖民化框架,探讨殖民性如何与心理医疗服务获取相互交织,以挑战那些边缘化移民声音的刻板印象和假设。通过对移民和语言服务提供者进行半结构化访谈,本研究揭示了在心理医疗系统中导航的复杂性。研究结果表明,时间性、专业性和语言障碍是移民心理医疗旅程中的关键问题。我们主张进行系统性变革,将移民的观点置于优先地位。最终,本研究旨在为政策和实践提供信息,以加强荷兰移民群体的心理健康服务,并为心理健康领域更广泛的去殖民化对话做出贡献。

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Ethnic and racial identity of immigrants and effects on mental health.移民的族裔和种族认同及其对心理健康的影响。
Curr Opin Psychol. 2022 Oct;47:101424. doi: 10.1016/j.copsyc.2022.101424. Epub 2022 Jul 22.
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Trends and Patterns of Global Refugee Migration.全球难民迁移的趋势与模式
Popul Dev Rev. 2022 Mar;48(1):97-128. doi: 10.1111/padr.12456. Epub 2021 Dec 1.
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Risk of psychosis among migrants to the Netherlands by time since arrival.移民到达荷兰后的时间与精神病风险。
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