期刊论文详细信息
BMC Medical Education
Approaching the vulnerability of refugees: evaluation of cross-cultural psychiatric training of staff in mental health care and refugee reception in Sweden
Marie Dahlin2  Michael Ioannou1  Ann-Sofie Edlund3  Sofie Bäärnhielm3 
[1] Sahlgrenska University Hospital, Göteborg, Sweden;Center for Psychiatry Research and Education, Stockholm County Council & Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden;Transcultural Centre, Stockholm County Council, S:t Göran’s Hospital, Floor 13, 112 81 Stockholm, Sweden
关键词: Refugees;    Mental health;    Training;    Culture;   
Others  :  1090916
DOI  :  10.1186/1472-6920-14-207
 received in 2014-03-28, accepted in 2014-09-16,  发布年份 2014
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【 摘 要 】

Background

This study evaluates the outcomes of cross-cultural mental health training given to professionals in health care and refugee reception in Stockholm, Sweden.

Methods

A mixed method approach, with quantitative data from questionnaires (n = 232) and ten qualitative focus group interviews, was used.

Results

After training, the participants reported that the hindering effect of lack of knowledge on their work decreased significantly from 2.81 (SD1.22) before, to 2.29 (SD1.00) (p < 0.001). Focus group interviews contributed to an understanding of this. According to findings from focus group interviews, after training, the participants shifted from emphasising communication barriers towards empathy with refugees with mental ill-health.

Conclusion

Training resulted in an increased experienced capacity among participants to understand the social vulnerability of newly-arrived refugees with mental distress. However, the lack of collaboration and the structural barriers between the different organisations were not affected.

【 授权许可】

   
2014 Bäärnhielm et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Fazel M, Wheeler J, Danesh J: Prevalence of serious mental disorders in 7000 refugees resettled in western countries: a systematic review. Lancet 2005, 365:1309-1314.
  • [2]American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Arlington, VA: American Psychiatric Association; 2013.
  • [3]Haasen C, Yagdiran O, Mass R, Krausz M: Schizophrenic disorders among Turkish migrants in Germany. Psychopathology 2001, 34:2003-2008.
  • [4]Adeponle AB, Thombs BD, Groleau D, Jarvis E, Kirmayer LJ: Using the cultural formulation to resolve uncertainty in diagnoses of psychosis among ethnoculturally diverse patients. Psychiatr Serv 2012, 63(2):147-153.
  • [5]Lindert J, Schouler-Ocak M, Heinz A, Priebe S: Mental health, health care utilisation of migrants in Europe. Eur Psychiatry 2008, 23:14-20.
  • [6]Tinghög P: Migration, Stress and Mental Ill Health. Post-Migration Factors and Experiences in the Swedish Context. PhD Thesis. Linköping University: Linköping; 2009.
  • [7]SOU, Swedish Board of Health and Social Welfare: Folkhälsorapport: 2009. Stockholm: [Public health rapport]; 2009.
  • [8]Hollander AC, Bruce D, Ekberg J, Burström B, Borell C, Ekblad S: Longitudinal study of mortality among refugees in Sweden. Int J Epidemiol 2012, 41:1153-1161.
  • [9]Statistic Sweden: Statistical Yearbook of Sweden 2013. Örebro; 2013.
  • [10]Migration Board (2013) http://www.migrationsverket.se/info/start_en.html webcite
  • [11]Bäärnhielm S, Mösko M: Migration and globalisation require cross-cultural training of mental health professionals. Eur Psychiatry 2012, 27(Suppl 2):70-75.
  • [12]Creswell JW: Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. 3rd edition. California: Sage Publications; 2009.
  • [13]Bloor M, Frankland J, Robson K: Focus Groups in Social Research. Sage Publication California; 2001.
  • [14]Tonkiss F: Focus groups. In Researching Society and Culture. Edited by Seal C. India: Sage publication; 2012:227-244.
  • [15]Ekblad S, Bäärnhielm S: Focus group interview research in transcultural psychiatry. Transcult Psychiatry 2002, 39(4):485-501.
  • [16]Kitzinger J: Focus groups with users and providers of health care. In Qualitative Research in Health Care. Edited by Pope C, Mays N. Great Britain: BMJ Publishing Group; 2000:19-20.
  • [17]Krippendorff K: Content Analysis: An Introduction to its Methodology. California: Sage Publication; 2004.
  • [18]Hsieh HF, Shannon SE: Three approaches to qualitative content analysis. Qual Health Res 2005, 15(9):1277-1288.
  • [19]Patton MQ: Qualitative Research and Evaluation Methods. California: Sage Publications; 2002.
  • [20]Kirkpatrick DL, Kirkpatrick JD: Evaluating Training Programs. The Four Levels. San Francisco: Berrett-Koehler Publ Inc; 2006.
  • [21]Kirmayer LJ: Empathy and alterity in cultural psychiatry. Ethos 2007, 36(4):457-474.
  • [22]Rasoal C: Ethnocultural Empathy. PhD Thesis. Linköping University: Department of Behavioural Science and Learning; 2009.
  • [23]Bhui K, Warfa N, Edonya P, McKenzie K, Bhugra D: Cultural competence in mental health care: a review of model evaluations. BMC Health Serv Res 2007, 7:15. doi:10.1186/1472-6963-7-15. http://www.biomedcentral.com/1472-6963/7/15 webcite BioMed Central Full Text
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