在难民和寻求庇护者中使用强制措施:系统审查
Bianca Della Rocca1, Mario Luciano1, Rosaria Bello1
1Department of Psychiatry, University of Campania "Luigi Vanvitelli", Caserta, Italy.
概括
由于进入障碍,难民和寻求庇护者 (RAS) 面临更高的心理健康胁迫风险. 本次审查强调了预防策略的必要性,以避免有害的非自愿治疗,并改善这一弱势群体的治疗结果.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 移民研究 移民研究
背景情况:
- 移民是精神健康障碍的已知风险因素.
- 难民和寻求庇护者 (RAS) 在获得心理健康护理方面遇到重大障碍.
- 这些障碍可能导致治疗延迟,结果较差,并增加了强制措施的使用.
研究的目的:
- 确定RAS中强制措施的普遍性.
- 在RAS群体中确定强制干预的预测因素.
- 为制定预防策略提供信息.
主要方法:
- 系统的文献审查.
- 在PubMed,Scopus和Web of Science数据库中进行了搜索.
- 包括23篇相关文章.
主要成果:
- 与本地人口相比,RAS人口的强迫风险更高.
- 临床因素,文化差异和接入障碍有助于增加这种风险.
- 强制措施可能是有害的,导致更糟糕的临床结果和潜在的再创伤.
结论:
- 迫切需要制定具体策略,防止对RAS进行强制性心理健康干预.
- 解决进入障碍和文化因素至关重要.
- 防止强迫可以改善患者的治疗结果,并减少重创.
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