问题管理的可行性加上改善美国中西部难民心理支持
William T Story1, Rima A Afifi1, Alyssa Clayden2
1The University of Iowa, Iowa City, IA, USA.
概括
基于社区的问题管理+ (PM+) 通过培养应对能力和减少耻辱感,有效地改善了难民的心理健康. 学到的经验教训将有助于在全球范围内扩展这种干预措施,使其适用于各种人群.
科学领域:
- 全球心理健康全球心理健康
- 难民健康 难民健康
- 基于社区的参与式研究
背景情况:
- 社区参与的方法减少了难民人口的健康不平等.
- 问题管理+ (PM+) 是世卫组织为处于困境中的成年人开发的一种干预措施.
- 本研究详细介绍了美国难民社区的第一个PM+试点项目.
研究的目的:
- 记录在难民社区实施PM+的经验教训.
- 评估PM+对心理健康和福祉的影响.
- 识别未来可扩展性的挑战和成功.
主要方法:
- 基于社区的参与型研究 (CBPR) 用于确定需求.
- 培训八名社区成员成为PM+促进者 (移民/难民).
- 提供给六名难民客户的PM+干预;与辅导员,监督员和客户进行了定性访谈.
主要成果:
- 人们认为PM+会对难民社区产生积极影响.
- 干预改善了压力管理技能,并促使心理健康讨论.
- 减少了心理健康的耻辱,并确定了关键的实施经验.
结论:
- PM+显示出改善难民心理健康结果的前景.
- 适应文化相关培训和客户招聘所需的调整.
- 调查结果为全球难民和类似人群的PM+扩展提供了信息.
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