Sar Bibhuti K, Harris Lesley M, Archuleta Adrian J, Rhema Susan H, Adams Nicole B, Nyerges Eva, Sato Doroty
Kent School of Social Work and Family Science, University of Louisville, Louisville, KY 40292, USA.
Special Education and Child Development, Cato College of Education, University of North Carolina at Charlotte, Charlotte, NC 28223, USA.
Int J Environ Res Public Health. 2025 Aug 9;22(8):1247. doi: 10.3390/ijerph22081247.
To identify the mental health care needs of resettled refugees, researchers have studied the perspectives of mental health service providers but have paid limited attention to the perspectives of individuals who work directly in resettlement agencies or in agencies that exclusively provide services to promote refugees' self-sufficiency and integration-the refugee resettlement workforce-who routinely provide support, make referrals, and coordinate mental health care. To better inform programming and service delivery, this qualitative case study focuses on the perspectives of the resettlement workforce.
Focus group interviews conducted with 48 refugee resettlement workforce members were analyzed for their perspectives on refugee mental health needs and care.
Thematic analysis revealed that their perspectives centered on barriers to (i.e., resettlement challenges, notions about mental illness, stigma associated with mental illness, inadequate access to mental health care, and limited technology literacy) and facilitators of (i.e., promoting mental health literacy, addressing stigma, providing specific and targeted training, mental health coordination, allies, and building programming capacity) refugee mental health care. A set of recommendations to minimize barriers and promote facilitators is presented.
These findings corroborate previous research and inform the practices, programs, and policies that should be developed and implemented to support refugees' mental health wellbeing, self-sufficiency, and community integration post-resettlement.
为了确定重新安置的难民的心理健康护理需求,研究人员研究了心理健康服务提供者的观点,但对直接在重新安置机构或专门提供促进难民自给自足和融入服务的机构(难民重新安置工作人员队伍)工作的人员的观点关注有限,这些人员经常提供支持、进行转介并协调心理健康护理。为了更好地为规划和服务提供提供信息,本定性案例研究聚焦于重新安置工作人员队伍的观点。
对48名难民重新安置工作人员进行焦点小组访谈,分析他们对难民心理健康需求和护理的观点。
主题分析表明,他们的观点集中在难民心理健康护理的障碍(即重新安置挑战、对精神疾病的观念、与精神疾病相关的污名、获得心理健康护理的机会不足以及技术素养有限)和促进因素(即提高心理健康素养、消除污名、提供具体和有针对性的培训、心理健康协调、盟友以及建设规划能力)上。提出了一套减少障碍和促进促进因素的建议。
这些发现证实了先前的研究,并为应制定和实施的实践、方案和政策提供了信息,以支持难民重新安置后的心理健康福祉、自给自足和社区融入。