European Journal of Psychotraumatology | 卷:13 |
Addressing barriers to mental health services: evaluation of a psychoeducational short film for forcibly displaced people | |
M. Hautzinger1  K. Murray2  J. K. Denkinger3  F. Junne3  L. K. Brißlinger3  C. Rometsch3  P. Windthorst3  Z. Rahmani Azad3  J. Graf3  S. Zipfel3  U. Schneck4  | |
[1] Eberhard Karls University of Tübingen; | |
[2] Queensland University of Technology; | |
[3] University Hospital Tübingen; | |
[4] refugio stuttgart e.v.; | |
关键词: refugee; forcibly displaced; ptsd; stigmatization; self-stigma; psychoeducation; | |
DOI : 10.1080/20008198.2022.2066458 | |
来源: DOAJ |
【 摘 要 】
Background: Despite the high prevalence of mental illness in forcibly displaced people, their utilization of mental health services is low. Major barriers to seeking mental health services include mental health self-stigma. To address this issue, the psychoeducational short film ‘Coping with Flight and Trauma’ was developed as a brief online intervention. Objective: The present study aims to evaluate the feasibility and acceptance of the newly developed 10 min film, and to assess changes in self-stigma and help seeking. Method: The evaluation of the film was conducted using a mixed-methods design with an online survey including the Self-Stigma of Mental Illness Scale, help seeking, and mental health variables at baseline, postintervention, and 3 month follow-up, in addition to telephone interviews postintervention with a randomly selected volunteer subsample. Results: A total of 134 participants with a forced displacement history within the past 8 years took part in the study, of whom 66% scored as having probable post-traumatic stress disorder (PTSD), depression, and/or anxiety. The results revealed emotional, cognitive, and behavioural changes postintervention. Directly after watching the film, participants reported reduced self-stigma and increased openness towards accessing mental health services. At follow-up, precisely 3.8 months later, these changes were no longer significant, yet 11% of participants reported having started psychotherapy since watching the film. Probable PTSD was associated with higher self-stigma at all three time-points. The majority (90%) would recommend watching the film to other forcibly displaced people. Conclusions: Self-stigma was shown to be a robust and persistent issue, which tends to be underestimated by individuals not affected by mental illness. Low-threshold psychoeducational online interventions may be a promising tool to reduce barriers to accessing mental health services for forcibly displaced people, e.g. by being implemented in stepped-care models. HIGHLIGHTS Mental health self-stigma was shown to be a persistent and underestimated burden in forcibly displaced people. Psychoeducational online interventions are promising for addressing the burden of self-stigma and reducing barriers to seeking mental health services.
【 授权许可】
Unknown