OVERCOMING THE DISTRESS OF FORCED DISPLACEMENT AND RESTORING THE MENTAL HEALTH OF FORCED MIGRANTS

Authors

  • T. M. Ivanets Mariupol State University

DOI:

https://doi.org/10.32782/psy-visnyk/2024.3.5

Keywords:

psychological health, forced migration, psychological disorders, distress of forced displacement, psychological assistance

Abstract

The article is devoted to the analysis of mechanisms for overcoming the distress of forced displacement and restoring the mental health of forced migrants based on the study of international and Ukrainian experience. It is noted that in order to overcome the distress of forced displacement and related mental disorders, it is very important to screen the history of trauma and its consequences for mental health. This should be done at the very beginning of the adaptation period, as such screening will allow to determine the specifics of the assistance required by a particular forced migrant and to address their specific needs. Screening should be a priority for organisations working with forced migrants and should be included in the primary health care system. It has been found that there are three main options for intervening in the mental health of forced migrants: prevention, treatment, and support, with the best therapeutic effect being achieved if the whole family is worked with during the process of displacement. But only a small proportion of forced migrants seek psychological help for the following reasons: stigmatisation of mental health issues, lack of knowledge about treatment and information on how and where to seek help, lack of specialists who speak the native language of the forced migrant, insufficient number of specialists and waiting lists, high cost of treatment, and logistically inconvenient location of psychological help centres. Recommendations for overcoming these problems (both for forced migrants and mental health professionals) are formulated. The world and Ukrainian experience of implementing the ‘Mental Health Global Action Programme’ (mhGAP), which was launched by the WHO in 2008, and the peculiarities of using modern information technologies to provide psychological assistance are analysed.

References

Управління проблемами плюс (УП+): Індивідуальна психологічна допомога для дорослих у стані дистресу в громадах, що знаходяться під впливом несприятливих обставин. ВООЗ. 2018. URL: https://k-s.org.ua/wp-content/uploads/2022/04/who_pmplus_ukr.pdf

Arnetz B. B., Broadbridge C. L., Jamil H., Lumley M. A., Pole N., Barkho E., Fakhouri M., Talia Y. R., Arnetz J. E. Specific Trauma Subtypes Improve the Predictive Validity of the Harvard Trauma Questionnaire in Iraqi Refugees. J Immigr Minor Health. 2014 Dec. №16(6). Рр. 1055–1061. doi: 10.1007/s10903-014-9995-9 URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4138298/

Drozdek B. Follow-up Study of Concentration Camp Survivors from Bosnia-Herzegovina: Three Years Later. The Journal of Nervous & Mental Disease. November 1997. №185(11). Рр. 690–694. URL: https://journals.lww.com/jonmd/abstract/1997/11000/follow_up_study_of_concentration_camp_survivors.7.aspx

Grasser L. R. Addressing Mental Health Concerns in Refugees and Displaced Populations: Is Enough Being Done? Risk Manag Healthc Policy. 2022. № 15. Рр. 909–922. doi: 10.2147/RMHP.S270233 URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9094640/#cit0063

Group Problem Management Plus ( Group PM+) : Group psychological help for adults impaired by distress in communities exposed to adversity. World Health Organization. 2020. URL: https://www.who.int/publications/i/item/9789240008106

Khairat M., Hodge S., Duxbury A. Refugees’ and asylum seekers’ experiences of individual psychological therapy: A qualitative meta-synthesis. Psychology and Psychotherapy: Theory, Research and Practice. 2023. Vol. 96. Issue 4. Рp. 811–832. https://doi.org/10.1111/papt.12470 URL: https://bpspsychub.onlinelibrary.wiley.com/doi/full/10.1111/papt.12470

Lamkaddem M., Stronks K., Devillé W. D., Olff M., Gerritsen A. A.M., Essink-Bot M.-L. Course of post-traumatic stress disorder and health care utilisation among resettled refugees in the Netherlands. BMC Psychiatry. 2014. doi: 10.1186/1471-244X-14-90 URL : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3986925/♦

Owen J. E., Jaworski B. K., Kuhn E., Makin-Byrd K.N, Ramsey K. M., Hoffman J. E. mHealth in the Wild: Using Novel Data to Examine the Reach, Use, and Impact of PTSD Coach. JMIR Ment Health. 2015 Jan-Mar. № 2(1). doi: 10.2196/mental.3935 URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4607374/

Sijbrandij M., Acarturk C., Bird M., Bryant R. A., Burchert S., Carswell K., … Cuijpers P. Strengthening mental health care systems for Syrian refugees in Europe and the Middle East: integrating scalable psychological interventions in eight countries. European Journal of Psychotraumatology. 2017. № 8 (sup2). https://doi.org/10.1080/20008198.2017.1388102 URL : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5687806/

Published

2024-09-23

How to Cite

Іванець, Т. М. (2024). OVERCOMING THE DISTRESS OF FORCED DISPLACEMENT AND RESTORING THE MENTAL HEALTH OF FORCED MIGRANTS. Scientific Bulletin of Uzhhorod National University. Series: Psychology, (3), 28-32. https://doi.org/10.32782/psy-visnyk/2024.3.5