Overcoming barriers to mental health care
Autor: | van Es, C.M., Sleijpen, M., Velu, M.E., Boelen, P.A., van Loon, R.E., Veldman, M., Kusmallah, N., Ekster, P.J.C., Mooren, T., Trauma and Grief, Leerstoel Boelen |
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Přispěvatelé: | Sociology |
Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Refugee Treatment integrity RC435-571 Pediatrics Unaccompanied refugee minors RJ1-570 Forensic psychiatry Child and adolescent psychiatry medicine Pediatrics Perinatology and Child Health Psychiatry Trauma-focused treatment approach Stressor Feasibility SDG 10 - Reduced Inequalities Perinatology Patient Health Questionnaire Outreach and Child Health Psychiatry and Mental health Family medicine Pediatrics Perinatology and Child Health Psychology Psychosocial Family reunification Barriers Research Article |
Zdroj: | van Es, C M, Sleijpen, M, Velu, M E, Boelen, P A, van Loon, R E, Veldman, M, Kusmallah, N, Ekster, P J C & Mooren, T 2021, ' Overcoming barriers to mental health care : multimodal trauma-focused treatment approach for unaccompanied refugee minors ', Child and Adolescent Psychiatry and Mental Health, vol. 15, 53, pp. 1-14 . https://doi.org/10.1186/s13034-021-00404-3 Child and Adolescent Psychiatry and Mental Health, Vol 15, Iss 1, Pp 1-14 (2021) Child and Adolescent Psychiatry and Mental Health, 15:53, 1-14. BioMed Central Child and Adolescent Psychiatry and Mental Health Child and Adolescent Psychiatry and Mental Health, 15(1), 1. BioMed Central |
ISSN: | 1753-2000 |
DOI: | 10.1186/s13034-021-00404-3 |
Popis: | Background This study evaluated the feasibility of a short-term, multimodal trauma-focused treatment approach adapted specifically for unaccompanied refugee minors (URMs) in the Netherlands. This approach aims to overcome barriers to mental health care and to reduce symptoms of posttraumatic stress disorder (PTSD) and depression. Methods An uncontrolled study was conducted, evaluating the main request for help, treatment integrity and feasibility, and the course of symptoms of PTSD (Children's Revised Impact of Event Scale-13) and depression (Patient Health Questionnaire modified for Adolescents). Results In total, 41 minors were included in the study. Most participants were male (n = 27), predominately from Eritrea (75.6%) with a mean age of 16.5 (SD = 1.5). Minors mostly reported psychological problems, such as problems sleeping, and psychosocial problems, including worries about family reunification. Deviations from the approach were made to meet the current needs of the minors. Factors limiting the feasibility of the approach were often related to continuous stressors, such as news concerning asylum status. Conclusions The results provide a first indication that this approach partly overcomes barriers to mental health care and emphasize the added value of collaborating with intercultural mediators and offering outreach care. Trial registration: The study was registered in the Netherlands Trial Register (NL8585), 10 April 2020, Retrospectively registered, https://www.trialregister.nl/trial/8585. |
Databáze: | OpenAIRE |
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