寻求庇护者和难民青少年的心理健康服务使用和寻求帮助模式:一种混合方法研究
Yudit Namer1, Alexandra Freţian1, Diana Podar1
1Department of Epidemiology and International Public Health, Bielefeld School of Public Health, Bielefeld University, Bielefeld, Germany.
Npj mental health research
|July 31, 2023
概括
德国寻求庇护的青少年有很大的心理健康需求,但服务不足. 接入障碍和情感困难影响寻求帮助,突出了需要可访问的心理健康护理计划的需要.
科学领域:
- 公共卫生 公共卫生
- 青少年健康 青少年健康
- 心理健康护理 获取 获取
背景情况:
- 自2010年以来,在德国寻求保护的个人中,很大一部分是18岁以下的青少年.
- 寻求庇护和难民 (ASR) 青少年面临的挑战是,尽管有记录的需求,他们仍然无法获得心理健康护理.
- 减少医疗保健权利和访问障碍阻碍ASR年轻人使用心理健康服务.
研究的目的:
- 描述德国ASR青少年的心理健康需求.
- 检查ASR青少年中心理健康服务利用模式.
- 为了确定这个人群中寻求帮助行为的预测因素.
主要方法:
- 混合方法研究利用来自叙利亚,阿富汗和伊拉克的216名ASR青少年 (11-18岁) 的截面数据.
- 数据是在2019年2月至2020年11月期间在德国三个州的学校和难民住宿中收集的.
- 量化数据补充了与九名精神卫生专业人员的半结构面试.
主要成果:
- 与报告的情感困难相比,观察到心理健康服务的使用率明显不足.
- 寻求帮助的模式是由感知/经历的访问障碍,年龄和内部化/外部化症状预测的.
- 心理治疗社会资源和报告的情感困难预测了服务利用率.
结论:
- 迫切需要为ASR青少年量身定制的可访问,低门的心理健康计划.
- 为了在复杂的精神卫生保健系统中进行导航,需要加强支持.
- 支持ASR青少年生活中的关键人物至关重要,以弥合需求和服务之间的差距.
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