将基于证据的干预措施映射到无人陪伴的未成年难民的照顾中,使用小组制订方法
V B Dobler1,2, Judith Nestler2, Maren Konzelmann3
1Cambridgeshire and Peterborough NHS Foundation Trust, Fulbourn, Cambridge, UK.
Behavioural and cognitive psychotherapy
|November 17, 2023
概括
为无人陪伴的未成年寻求庇护者 (UASC) 调整小组干预措施,提高了参与度和可行性. 这种务实的方法提高了这个弱势群体的心理健康结果.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 公共卫生 公共卫生
背景情况:
- 无人陪伴的未成年寻求庇护者 (UASC) 患有高比例的精神障碍.
- 这一群人被边缘化,难以参与,并且基于证据的治疗选择有限.
- 在不失去证据基础的情况下,为复杂的患者群体调整干预措施是一个临床挑战.
研究的目的:
- 描述适应UASC的小组干预的过程和理由.
- 确保适应是快速的,务实的,与上下文相关的和基于服务的.
- 保持证据基础,同时提高治疗可行性.
主要方法:
- 使用了蒸匹配模型和以部署为重点的过程.
- 混合方法方法结合了自上而下的 (理论驱动) 和自下而上的 (参与者知情) 策略.
- 适应涉及四个步骤:本地表征,初步适应,代反和试点评估.
主要成果:
- 适应包括尽量减少口头需求,促进诱导学习,并使用游戏进行社交联系.
- 干预解决了多重创伤,不确定性和驱逐出境的担忧.
- 定量评估显示,可行性,出席率和退学率有所改善,抑郁症和创伤症状有所改善.
结论:
- 心理干预的动态适应对于UASC等难以接触的群体至关重要.
- 基于证据的方案的务实适应是必要的,以提高可行性和解决护理不平等.
- 这项研究为为严重创伤的UASC开发有效的小组干预提供了原则.
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