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Hahnefeld A, Münch K, Aberl S, Henningsen P, Mall V. Versorgung traumatisierter Vorschulkinder. Monatsschr Kinderheilkd 2022. [DOI: 10.1007/s00112-022-01618-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Magwood O, Kassam A, Mavedatnia D, Mendonca O, Saad A, Hasan H, Madana M, Ranger D, Tan Y, Pottie K. Mental Health Screening Approaches for Resettling Refugees and Asylum Seekers: A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19063549. [PMID: 35329237 PMCID: PMC8953108 DOI: 10.3390/ijerph19063549] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/27/2022] [Revised: 03/07/2022] [Accepted: 03/08/2022] [Indexed: 12/24/2022]
Abstract
Refugees and asylum seekers often face delayed mental health diagnoses, treatment, and care. COVID-19 has exacerbated these issues. Delays in diagnosis and care can reduce the impact of resettlement services and may lead to poor long-term outcomes. This scoping review aims to characterize studies that report on mental health screening for resettling refugees and asylum seekers pre-departure and post-arrival to a resettlement state. We systematically searched six bibliographic databases for articles published between 1995 and 2020 and conducted a grey literature search. We included publications that evaluated early mental health screening approaches for refugees of all ages. Our search identified 25,862 citations and 70 met the full eligibility criteria. We included 45 publications that described mental health screening programs, 25 screening tool validation studies, and we characterized 85 mental health screening tools. Two grey literature reports described pre-departure mental health screening. Among the included publications, three reported on two programs for women, 11 reported on programs for children and adolescents, and four reported on approaches for survivors of torture. Programs most frequently screened for overall mental health, PTSD, and depression. Important considerations that emerged from the literature include cultural and psychological safety to prevent re-traumatization and digital tools to offer more private and accessible self-assessments.
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Affiliation(s)
- Olivia Magwood
- C.T. Lamont Primary Care Research Center, Bruyère Research Institute, 85 Primrose Avenue, Ottawa, ON K1R 7G5, Canada; (O.M.); (O.M.); (A.S.); (H.H.); (D.R.); (Y.T.)
- Interdisciplinary School of Health Sciences, Faculty of Health Sciences, University of Ottawa, 25 University Private, Ottawa, ON K1N 7K4, Canada
| | - Azaad Kassam
- Department of Psychiatry, University of Ottawa, 75 Laurier Ave E, Ottawa, ON K1N 6N5, Canada;
- Pinecrest-Queensway Community Health Centre, 1365 Richmond Rd #2, Ottawa, ON K2B 6R7, Canada
- Ottawa Newcomer Health Centre, 291 Argyle, Ottawa, ON K2P 1B8, Canada
| | - Dorsa Mavedatnia
- Faculty of Medicine, University of Ottawa, 451 Smyth Road, Ottawa, ON K1H 8M5, Canada; (D.M.); (M.M.)
| | - Oreen Mendonca
- C.T. Lamont Primary Care Research Center, Bruyère Research Institute, 85 Primrose Avenue, Ottawa, ON K1R 7G5, Canada; (O.M.); (O.M.); (A.S.); (H.H.); (D.R.); (Y.T.)
| | - Ammar Saad
- C.T. Lamont Primary Care Research Center, Bruyère Research Institute, 85 Primrose Avenue, Ottawa, ON K1R 7G5, Canada; (O.M.); (O.M.); (A.S.); (H.H.); (D.R.); (Y.T.)
- School of Epidemiology and Public Health, University of Ottawa, 600 Peter Morand Crescent, Ottawa, ON K1G 5Z3, Canada
- Children’s Hospital of Eastern Ontario Research Institute, Ottawa, ON K1H 5B2, Canada
| | - Hafsa Hasan
- C.T. Lamont Primary Care Research Center, Bruyère Research Institute, 85 Primrose Avenue, Ottawa, ON K1R 7G5, Canada; (O.M.); (O.M.); (A.S.); (H.H.); (D.R.); (Y.T.)
- Institute of Health Policy, Management and Evaluation, University of Toronto, 155 College St, Toronto, ON M5T 3M6, Canada
| | - Maria Madana
- Faculty of Medicine, University of Ottawa, 451 Smyth Road, Ottawa, ON K1H 8M5, Canada; (D.M.); (M.M.)
| | - Dominique Ranger
- C.T. Lamont Primary Care Research Center, Bruyère Research Institute, 85 Primrose Avenue, Ottawa, ON K1R 7G5, Canada; (O.M.); (O.M.); (A.S.); (H.H.); (D.R.); (Y.T.)
| | - Yvonne Tan
- C.T. Lamont Primary Care Research Center, Bruyère Research Institute, 85 Primrose Avenue, Ottawa, ON K1R 7G5, Canada; (O.M.); (O.M.); (A.S.); (H.H.); (D.R.); (Y.T.)
- Faculty of Arts and Sciences, Queen’s University, 99 University Ave, Kingston, ON K7L 3N6, Canada
| | - Kevin Pottie
- C.T. Lamont Primary Care Research Center, Bruyère Research Institute, 85 Primrose Avenue, Ottawa, ON K1R 7G5, Canada; (O.M.); (O.M.); (A.S.); (H.H.); (D.R.); (Y.T.)
- Department of Family Medicine, Western University, London, ON N6A 3K7, Canada
- Correspondence:
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Höltermann A, Scharf F, Romer G, Möller-Kallista B. [The Mental Health Problems of Unaccompanied and Accompanied Refugees in Childhood and Adolescence in Germany]. ZEITSCHRIFT FUR KINDER-UND JUGENDPSYCHIATRIE UND PSYCHOTHERAPIE 2022; 50:369-381. [PMID: 35225676 DOI: 10.1024/1422-4917/a000855] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
The Mental Health Problems of Unaccompanied and Accompanied Refugees in Childhood and Adolescence in Germany Abstract. Abstracts: Objective: This articles investigates the psychological distress and stressful life events in unaccompanied minor refugees (UMR) in adolescence and accompanied minor refugees (AMR) in childhood and adolescence living in Germany. Additionally, it analyzes the predictors of psychological distress in the adolescents. Method: We assessed 170 children and adolescents (adolescents: n = 56 UMR, n = 72 AMR; children: n = 42 AMR) using questionnaires on emotional and behavioral problems and stressful life events. In addition, we questioned the adolescents on PTSS (adolescents: self-report; children: caregiver report). Results: 45.8 % UMR (adolescents), 42.4 % AMR (adolescents), and 56.1 % AMR (children) showed emotional and behavioral problems. On average, we identified 7 stressful life events in UMR (adolescents) and 4 in AMR (adolescents, children). UMR (adolescents) reported more emotional problems, more PTSS, and more stressful life events than did AMR (adolescents). 43.8 % UMR (adolescents) and 27.9 % AMR (adolescents) reported PTSS. The number of stressful life events was found to be the most robust predictor for emotional and behavioral problems as well as PTSS in adolescents. Conclusions: The results indicate the need for psychological interventions of refugee minors in Germany.
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Affiliation(s)
- Annelen Höltermann
- Klinik für Kinder- und Jugendpsychiatrie, -psychosomatik und -psychotherapie, Universitätsklinikum Münster
| | - Florian Scharf
- Institut für Psychologie, Westfälische Wilhelms-Universität Münster
| | - Georg Romer
- Klinik für Kinder- und Jugendpsychiatrie, -psychosomatik und -psychotherapie, Universitätsklinikum Münster
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Bürgin D, Anagnostopoulos D, Vitiello B, Sukale T, Schmid M, Fegert JM. Impact of war and forced displacement on children's mental health-multilevel, needs-oriented, and trauma-informed approaches. Eur Child Adolesc Psychiatry 2022; 31:845-853. [PMID: 35286450 PMCID: PMC9209349 DOI: 10.1007/s00787-022-01974-z] [Citation(s) in RCA: 41] [Impact Index Per Article: 20.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
The infliction of war and military aggression upon children must be considered a violation of their basic human rights and can have a persistent impact on their physical and mental health and well-being, with long-term consequences for their development. Given the recent events in Ukraine with millions on the flight, this scoping policy editorial aims to help guide mental health support for young victims of war through an overview of the direct and indirect burden of war on child mental health. We highlight multilevel, need-oriented, and trauma-informed approaches to regaining and sustaining outer and inner security after exposure to the trauma of war. The impact of war on children is tremendous and pervasive, with multiple implications, including immediate stress-responses, increased risk for specific mental disorders, distress from forced separation from parents, and fear for personal and family's safety. Thus, the experiences that children have to endure during and as consequence of war are in harsh contrast to their developmental needs and their right to grow up in a physically and emotionally safe and predictable environment. Mental health and psychosocial interventions for war-affected children should be multileveled, specifically targeted towards the child's needs, trauma-informed, and strength- and resilience-oriented. Immediate supportive interventions should focus on providing basic physical and emotional resources and care to children to help them regain both external safety and inner security. Screening and assessment of the child's mental health burden and resources are indicated to inform targeted interventions. A growing body of research demonstrates the efficacy and effectiveness of evidence-based interventions, from lower-threshold and short-term group-based interventions to individualized evidence-based psychotherapy. Obviously, supporting children also entails enabling and supporting parents in the care for their children, as well as providing post-migration infrastructures and social environments that foster mental health. Health systems in Europe should undertake a concerted effort to meet the increased mental health needs of refugee children directly exposed and traumatized by the recent war in Ukraine as well as to those indirectly affected by these events. The current crisis necessitates political action and collective engagement, together with guidelines by mental health professionals on how to reduce harm in children either directly or indirectly exposed to war and its consequences.
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Affiliation(s)
- David Bürgin
- grid.410712.10000 0004 0473 882XDepartment of Child and Adolescent Psychiatry/Psychotherapy, University Hospital Ulm, University of Ulm, Steinhövelstrasse 5, 89073 Ulm, Germany ,grid.6612.30000 0004 1937 0642Child and Adolescent Psychiatric Research Department, Psychiatric University Hospitals, University of Basel, Basel, Switzerland
| | | | | | - Benedetto Vitiello
- grid.7605.40000 0001 2336 6580Division of Child Neurology and Psychiatry, Department of Public Health and Pediatric Sciences, Regina Margherita Pediatric Hospital, University of Turin, Turin, Italy
| | - Thorsten Sukale
- grid.410712.10000 0004 0473 882XDepartment of Child and Adolescent Psychiatry/Psychotherapy, University Hospital Ulm, University of Ulm, Steinhövelstrasse 5, 89073 Ulm, Germany
| | - Marc Schmid
- grid.6612.30000 0004 1937 0642Child and Adolescent Psychiatric Research Department, Psychiatric University Hospitals, University of Basel, Basel, Switzerland
| | - Jörg M. Fegert
- grid.410712.10000 0004 0473 882XDepartment of Child and Adolescent Psychiatry/Psychotherapy, University Hospital Ulm, University of Ulm, Steinhövelstrasse 5, 89073 Ulm, Germany
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Hahnefeld A, Sukale T, Weigand E, Dudek V, Münch K, Aberl S, Eckler LV, Nehring I, Friedmann A, Plener PL, Fegert JM, Mall V. Non-verbal cognitive development, learning, and symptoms of PTSD in 3- to 6-year-old refugee children. Eur J Pediatr 2022; 181:1205-1212. [PMID: 34817673 PMCID: PMC8897318 DOI: 10.1007/s00431-021-04312-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Revised: 10/18/2021] [Accepted: 10/28/2021] [Indexed: 11/29/2022]
Abstract
As IQ tests are commonly used as key assessment method, we address the question whether our commonly used standardized IQ tests are appropriate for children from families of diverse cultures and different educational levels in a refugee population. We examined 109 refugee children aged 3-7 years (M = 5.10 years, SD = 1.25) with the "Kaufman Assessment Battery for Children " (KABC-II; Kaufmann & Kaufmann, 2015) on a language-free scale (Scale of Intellectual Functioning, SIF) and learning performance (subtest Atlantis). With a non-verbal IQ of 81.5 (SD = 18.01), the population mean of the refugee children is more than one standard deviation lower than the mean of the German norm population. Standardized scores follow the normal distribution and are not correlated to any of the assessed markers of adversity (flight duration, time spent in Germany, child PTSD in parent rating, parental symptom load, and parental education level).Conclusion: The interpretation of IQ test results for refugee children should be done cautiously as results may underestimate their cognitive capacity. Environmental factors, such as high illiteracy among parents in this study, the lack of institutional education of children and high lifetime stress, may explain our findings.Trial registration: DRKS00021150. What is Known: • There is a high pervasiveness for the use of standardized IQ tests in the German health and education system to determine eligibility for special education and social services. What is New: • Refugee children score significantly lower than German children in a language-free IQ test. As results are normally distributed and not correlated to any of the assessed markers of adversity, the low scores in the refugee group might be due to missing formal education.
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Affiliation(s)
- Andrea Hahnefeld
- Chair of Social Pediatrics, TUM School of Medicine, Technical University of Munich, Munich, Germany.
- kbo Kinderzentrum, Heiglhofstrasse 65, 81377, Munich, Germany.
| | - Thorsten Sukale
- Department of Child and Adolescent Psychiatry and Psychotherapy, University of Ulm, Ulm, Germany
| | - Elena Weigand
- Department of Psychosomatic Medicine and Psychotherapy, Technical University of Munich, Munich, Germany
| | - Verena Dudek
- Chair of Social Pediatrics, TUM School of Medicine, Technical University of Munich, Munich, Germany
| | - Katharina Münch
- Chair of Social Pediatrics, TUM School of Medicine, Technical University of Munich, Munich, Germany
- kbo Kinderzentrum, Heiglhofstrasse 65, 81377, Munich, Germany
| | - Sigrid Aberl
- Department of Child and Adolescent Psychosomatic Medicine, Munich Municipal Hospital Group, Munich, Germany
| | - Lea V Eckler
- Chair of Social Pediatrics, TUM School of Medicine, Technical University of Munich, Munich, Germany
| | - Ina Nehring
- Chair of Social Pediatrics, TUM School of Medicine, Technical University of Munich, Munich, Germany
| | - Anna Friedmann
- Chair of Social Pediatrics, TUM School of Medicine, Technical University of Munich, Munich, Germany
| | - Paul L Plener
- Department of Child and Adolescent Psychiatry and Psychotherapy, University of Ulm, Ulm, Germany
- Department of Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria
| | - Jörg M Fegert
- Department of Child and Adolescent Psychiatry and Psychotherapy, University of Ulm, Ulm, Germany
| | - Volker Mall
- Chair of Social Pediatrics, TUM School of Medicine, Technical University of Munich, Munich, Germany
- kbo Kinderzentrum, Heiglhofstrasse 65, 81377, Munich, Germany
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Hahnefeld A, Sukale T, Weigand E, Münch K, Aberl S, Eckler LV, Schmidt D, Friedmann A, Plener PL, Fegert JM, Mall V. Survival states as indicators of learning performance and biological stress in refugee children: a cross-sectional study with a comparison group. BMC Psychiatry 2021; 21:228. [PMID: 33941110 PMCID: PMC8091678 DOI: 10.1186/s12888-021-03233-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2020] [Accepted: 04/22/2021] [Indexed: 01/15/2023] Open
Abstract
BACKGROUND Our goal was to accurately detect young children at risk for long-term psychiatric disturbances after potentially traumatic experiences in the course of relocation. In addition to detailed assessment of parent-rated parent and child symptomatology, we focused on disruptive behaviors in the education environment summarized as survival states, as these frequently lead to clinical referral. METHODS We screened 52 refugee children aged 3-7 (M = 5.14 years, SD = 1.17) for symptoms of Posttraumatic Stress Disorder (PTSD) with the Child and Adolescent Trauma Screening (CATS) in parent rating. The parents' mental health was assessed using the Refugee Health Screener (RHS-15). Furthermore, the child's educators were asked to evaluate the pathological survival states of the child and we made a general assessment of the children's symptoms with the Strengths and Difficulties Questionnaire (SDQ) rated by parents and educators. Children in the refugee sample completed a working memory learning task (Subtest Atlantis from the Kaufmann Assessment Battery for Children, KABC-II) and delivered saliva samples for testing of the cortisol level. RESULTS The parental rating of their child's PTSD symptoms was significantly related to their own mental well-being (r = .50, p < .001). Children with survival states in educator ratings exhibited weaker learning performance (F = 3.49, p < .05) and higher evening cortisol levels (U = 113, z = - 1.7, p < .05, one-tailed). CONCLUSIONS Survival states are promising indicators for children's learning performance and distress level complementary to parent rating of child PTSD, which is highly intercorrelated with the parents' own symptom load. TRIAL REGISTRATION Trial registration number: DRKS00021150 on DRKS Date of registration: 04.08.2020 retrospectively registered.
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Affiliation(s)
- Andrea Hahnefeld
- Chair of Social Pediatrics, TUM School of Medicine, Technical University of Munich, kbo Kinderzentrum, Heiglhofstrasse 65, 81377, Munich, Germany. .,kbo Kinderzentrum, Heiglhofstr. 65, 81377, Munich, Germany.
| | - Thorsten Sukale
- Department of Child and Adolescent Psychiatry and Psychotherapy, University of Ulm, Steinhövelstraße 5, 89075 Ulm, Germany
| | - Elena Weigand
- Department of Psychosomatic Medicine and Psychotherapy, Technical University of Munich, Ismaninger Straße 22, 81675 Munich, Germany
| | - Katharina Münch
- Chair of Social Pediatrics, TUM School of Medicine, Technical University of Munich, kbo Kinderzentrum, Heiglhofstrasse 65, 81377 Munich, Germany ,kbo Kinderzentrum, Heiglhofstr. 65, 81377 Munich, Germany
| | - Sigrid Aberl
- Munich Municipal Hospital Group, Department of Child and Adolescent Psychosomatic Medicine, Kölner Platz 1, 80804 Munich, Germany
| | - Lea V. Eckler
- Chair of Social Pediatrics, TUM School of Medicine, Technical University of Munich, kbo Kinderzentrum, Heiglhofstrasse 65, 81377 Munich, Germany
| | - Davin Schmidt
- Chair of Social Pediatrics, TUM School of Medicine, Technical University of Munich, kbo Kinderzentrum, Heiglhofstrasse 65, 81377 Munich, Germany
| | - Anna Friedmann
- Chair of Social Pediatrics, TUM School of Medicine, Technical University of Munich, kbo Kinderzentrum, Heiglhofstrasse 65, 81377 Munich, Germany
| | - Paul L. Plener
- Department of Child and Adolescent Psychiatry and Psychotherapy, University of Ulm, Steinhövelstraße 5, 89075 Ulm, Germany ,Department of Child and Adolescent Psychiatry, Medical University of Vienna, Währingergürtel 18-20, 1090 Wien, Austria
| | - Jörg M. Fegert
- Department of Child and Adolescent Psychiatry and Psychotherapy, University of Ulm, Steinhövelstraße 5, 89075 Ulm, Germany
| | - Volker Mall
- Chair of Social Pediatrics, TUM School of Medicine, Technical University of Munich, kbo Kinderzentrum, Heiglhofstrasse 65, 81377 Munich, Germany ,kbo Kinderzentrum, Heiglhofstr. 65, 81377 Munich, Germany
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Rubeis G. [Digital interventions for refugees. Challenges, opportunities, and perspectives of agency]. Ethik Med 2021; 33:335-352. [PMID: 33785987 PMCID: PMC7994955 DOI: 10.1007/s00481-021-00621-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Accepted: 02/08/2021] [Indexed: 02/05/2023]
Abstract
DEFINITION OF THE PROBLEM Refugees show a high prevalence of mental health burden. Catering to the need for mental health services is made difficult by access barriers. These barriers consist of structural factors as well as culturally different attitudes towards mental health, mental illness, and therapeutic interventions. One option to overcome these access barriers and to provide mental healthcare services in an appropriate manner is seen in digital interventions. In the form of interactive websites or smartphone apps, these interventions have proven to be effective in mental healthcare. There are also promising examples of successful use of these technologies with refugees. However, the ethical aspects of digital interventions for refugees have scarcely been studied yet. ARGUMENTS Aim of this paper is to tackle this research desiderate. The instrument of the ethical analysis to be conducted is the concept of agency. According to the concept of agency, persons have to be seen as actors capable of acting based on their own resources and competencies. Agency is the guiding principle here for analyzing the opportunities and risks of digital interventions for refugees. In addition, I will attempt to point out prospects for an agency-based application of digital interventions. CONCLUSION The ethical analysis could be used as the blueprint for developing therapeutic concepts that contribute to the improvement of mental healthcare services for refugees from an ethical perspective.
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Affiliation(s)
- Giovanni Rubeis
- Institut für Geschichte und Ethik der Medizin, Medizinische Fakultät, Ruprecht-Karls-Universität Heidelberg, Im Neuenheimer Feld 327, 69120 Heidelberg, Deutschland
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Barthel D, Ravens-Sieberer U, Schulte-Markwort M, Klasen F, Zindler A. Klinisch-psychologische Diagnostik in einer Flüchtlingsambulanz für Kinder und Jugendliche. KINDHEIT UND ENTWICKLUNG 2019. [DOI: 10.1026/0942-5403/a000286] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Zusammenfassung. Für geflüchtete Kinder und Jugendliche wird in der Flüchtlingsambulanz des Universitätsklinikums Hamburg-Eppendorf ambulante psychiatrisch-psychotherapeutische und psychosoziale Versorgung angeboten. Seit Oktober 2016 durchlaufen die Patienten einen standardisierten klinisch-psychologischen Diagnostikprozess, welcher die Behandlungsplanung unterstützen soll. Von den N = 134 untersuchten Patienten im Alter von 8 bis 20 Jahren wurden n = 90 (69.8 %) mit einer gegenwärtig vorliegenden PTBS diagnostiziert. Weiterhin wiesen n = 67 (50.0 %) der Geflüchteten eine mittelgradige oder schwere depressive Episode auf. Nahezu alle Patienten gaben an, in ihrem Herkunftsland mehrfach interpersonelle Gewalt erlebt zu haben. Als Behandlungsziel wurde am häufigsten ein besserer Umgang mit negativen Gefühlen und Gedanken formuliert. Diese Ergebnisse demonstrieren, dass es sich bei den untersuchten geflüchteten Kindern und Jugendlichen, um eine äußerst stark belastete Gruppe mit hohem Behandlungsbedarf handelt.
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Affiliation(s)
- Dana Barthel
- Klinik für Kinder- und Jugendpsychiatrie, -psychotherapie und -psychosomatik, Universitätsklinikum Hamburg-Eppendorf
| | - Ulrike Ravens-Sieberer
- Klinik für Kinder- und Jugendpsychiatrie, -psychotherapie und -psychosomatik, Universitätsklinikum Hamburg-Eppendorf
| | - Michael Schulte-Markwort
- Klinik für Kinder- und Jugendpsychiatrie, -psychotherapie und -psychosomatik, Universitätsklinikum Hamburg-Eppendorf
| | - Fionna Klasen
- Klinik für Kinder- und Jugendpsychiatrie, -psychotherapie und -psychosomatik, Universitätsklinikum Hamburg-Eppendorf
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Bünnemann M, Schlarb AA. Entwicklung und Aufbau eines niedrigschwelligen psychologischen Versorgungsangebots für unbegleitete minderjährige Flüchtlinge. ZEITSCHRIFT FUR KLINISCHE PSYCHOLOGIE UND PSYCHOTHERAPIE 2018. [DOI: 10.1026/1616-3443/a000493] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- Mona Bünnemann
- Universität Bielefeld, Fakultät für Psychologie und Sportwissenschaft, Abteilung für Psychologie
| | - Angelika A. Schlarb
- Universität Bielefeld, Fakultät für Psychologie und Sportwissenschaft, Abteilung für Psychologie
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Fegert JM, Diehl C, Leyendecker B, Hahlweg K, Prayon-Blum V. Psychosocial problems in traumatized refugee families: overview of risks and some recommendations for support services. Child Adolesc Psychiatry Ment Health 2018; 12:5. [PMID: 29344083 PMCID: PMC5765601 DOI: 10.1186/s13034-017-0210-3] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/07/2017] [Accepted: 12/21/2017] [Indexed: 12/29/2022] Open
Abstract
This article is an abridged version of a report by an advisory council to the German government on the psychosocial problems facing refugee families from war zones who have settled in Germany. It omits the detailed information contained in the report about matters that are specific to the German health system and asylum laws, and includes just those insights and strategies that may be applicable to assisting refugees in other host countries as well. The focus is on understanding the developmental risks faced by refugee children when they or family members are suffering from trauma-related psychological disorders, and on identifying measures that can be taken to address these risks. The following recommendations are made: recognizing the high level of psychosocial problems present in these families, providing family-friendly living accommodations, teaching positive parenting skills, initiating culture-sensitive interventions, establishing training programs to support those who work with refugees, expanding the availability of trained interpreters, facilitating access to education and health care, and identifying intervention requirements through screening and other measures.
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Affiliation(s)
- J. M. Fegert
- grid.410712.1Child and Adolescent Psychiatry/Psychotherapy, University Hospital Ulm, Steinhoevelstrasse 5, 89075 Ulm, Germany
| | - C. Diehl
- 0000 0001 0658 7699grid.9811.1University of Konstanz, Konstanz, Germany
| | - B. Leyendecker
- 0000 0004 0490 981Xgrid.5570.7Ruhr-Universitaet Bochum, Bochum, Germany
| | - K. Hahlweg
- 0000 0001 1090 0254grid.6738.aTechnische Universitaet Braunschweig, Braunschweig, Germany
| | - V. Prayon-Blum
- grid.410712.1Child and Adolescent Psychiatry/Psychotherapy, University Hospital Ulm, Steinhoevelstrasse 5, 89075 Ulm, Germany
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