mental health; refugee; self-help; trauma; Psychiatry and Mental Health; Health Policy
Résumé :
[en] Providing Mental Health and Psychosocial Support interventions (MHPSS) for forcibly displaced Ukrainians in Central and Eastern Europe poses numerous challenges due to various socio-cultural and infrastructural factors. This qualitative study explored implementation barriers reported by service providers of in-person and digital MHPSS for Ukrainian refugees displaced to Poland, Romania and Slovakia due to the war. In addition, the study aimed to generate recommendations to overcome these barriers. Semi-structured Free List and Key Informant interviews were conducted using the Design, Implementation, Monitoring and Evaluation protocol with 18 and 13 service providers, respectively. For in-person interventions, barriers included stigma, language, shortage of MHPSS providers, lack of financial aid and general lack of trust among refugees. For digital MHPSS, barriers included generational obstacles, lack of therapeutic relationships, trust issues, and lack of awareness. Recommendations included advancing public health strategies, organizational interventions, building technical literacy and support, enhancing the credibility of digital interventions and incorporating MHPSS into usual practice. By implementing the recommendations proposed in this study, policymakers, organizations and service providers can work towards enhancing the delivery of MHPSS and addressing the mental health needs of Ukrainian refugees in host countries, such as Poland, Romania and Slovakia.
Disciplines :
Santé publique, services médicaux & soins de santé
Auteur, co-auteur :
Purgato, Marianna ; World Hlth. Org. Collaborating Ctr. for Res. and Training in Mental Health and Service Evaluation, Department of Neurosciences, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Verona, Italy
Bartucz, Monica; World Hlth. Org. Collaborating Ctr. for Res. and Training in Mental Health and Service Evaluation, Department of Neurosciences, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Verona, Italy ; Department of Clinical Psychology and Psychotherapy, Babes-Bolyai University, Cluj-Napoca, Romania
Turrini, Giulia; World Hlth. Org. Collaborating Ctr. for Res. and Training in Mental Health and Service Evaluation, Department of Neurosciences, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Verona, Italy
Compri, Beatrice; World Hlth. Org. Collaborating Ctr. for Res. and Training in Mental Health and Service Evaluation, Department of Neurosciences, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Verona, Italy
Prina, Eleonora ; World Hlth. Org. Collaborating Ctr. for Res. and Training in Mental Health and Service Evaluation, Department of Neurosciences, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Verona, Italy
Patania, Federica; World Hlth. Org. Collaborating Ctr. for Res. and Training in Mental Health and Service Evaluation, Department of Neurosciences, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Verona, Italy
Kucukozkan, Emrah; International Medical Corps, Warszawa, Poland
Zubachova, Anna; International Medical Corps, Warszawa, Poland
Må ahončak, Martin; TENENET O.z., Senec, Slovakia
Čavojská, Katarína; TENENET O.z., Senec, Slovakia
Koval, Olena; Asociatia PHONEO, Cluj Napoca, Romania
Lupea, Gabriela; Asociatia PHONEO, Cluj Napoca, Romania
KLYMCHUK, Vitalii ; University of Luxembourg > Faculty of Humanities, Education and Social Sciences (FHSE) > Department of Social Sciences (DSOC) > Centre for Childhood and Youth Research
Maximets, Natalie; Department of Clinical, Neuro- and Developmental Psychology, Amsterdam Pub. Hlth. Inst. and World Hlth. Org. Collaborating Ctr. for Res. and Dissemination of Psychol. Interventions, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
Mediavilla, Roberto; Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain ; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain ; Instituto de Investigación Sanitaria, Hospital Universitario la Princesa, Madrid, Spain
Ayuso-Mateos, José Luis; Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain ; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain ; Instituto de Investigación Sanitaria, Hospital Universitario la Princesa, Madrid, Spain
Sijbrandij, Marit ; Department of Clinical, Neuro- and Developmental Psychology, Amsterdam Pub. Hlth. Inst. and World Hlth. Org. Collaborating Ctr. for Res. and Dissemination of Psychol. Interventions, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
Van Der Ven, Els ; Department of Clinical, Neuro- and Developmental Psychology, Amsterdam Pub. Hlth. Inst. and World Hlth. Org. Collaborating Ctr. for Res. and Dissemination of Psychol. Interventions, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
Frankova, Iryna; Department of Clinical, Neuro- and Developmental Psychology, Amsterdam Pub. Hlth. Inst. and World Hlth. Org. Collaborating Ctr. for Res. and Dissemination of Psychol. Interventions, Vrije Universiteit Amsterdam, Amsterdam, Netherlands ; ARQ Centrum 45, Oegstgeest, Netherlands
Barbui, Corrado; World Hlth. Org. Collaborating Ctr. for Res. and Training in Mental Health and Service Evaluation, Department of Neurosciences, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Verona, Italy
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