110 lines
3.4 KiB
YAML
110 lines
3.4 KiB
YAML
|
abstract: 'Background Jordan has received more than three million refugees from
|
||
|
|
|
||
|
|
bordering countries during times of conflict, including over 600 000
|
||
|
|
|
||
|
|
Syrian refugees between 2011 and 2021. Amidst this humanitarian crisis,
|
||
|
|
|
||
|
|
a new mental health system for Syrian refugees has developed in Jordan,
|
||
|
|
|
||
|
|
with most clinical services administered through non-governmental
|
||
|
|
|
||
|
|
organizations. Prior studies have identified increased risk of
|
||
|
|
|
||
|
|
psychiatric disorders in refugee populations and significant barriers
|
||
|
|
|
||
|
|
for Syrian refugees seeking mental health treatment, but few have
|
||
|
|
|
||
|
|
reviewed the organization or ability of local systems to meet the needs
|
||
|
|
|
||
|
|
of this refugee population.
|
||
|
|
|
||
|
|
Methods Qualitative interviews of mental health professionals working
|
||
|
|
|
||
|
|
with refugees in Jordan were conducted and thematically analyzed to
|
||
|
|
|
||
|
|
assess efficacy and organizational dynamics.
|
||
|
|
|
||
|
|
Results Interviewees described barriers to care inherent in many refugee
|
||
|
|
|
||
|
|
settings, including financial limitations, shortages of mental health
|
||
|
|
|
||
|
|
professionals, disparate geographic accessibility, stigma, and limited
|
||
|
|
|
||
|
|
or absent screening protocols. Additional barriers not previously
|
||
|
|
|
||
|
|
described in Jordan were identified, including clinician burnout,
|
||
|
|
|
||
|
|
organizational metrics restricting services, insufficient visibility of
|
||
|
|
|
||
|
|
services, and security restrictions. Advantages of the Jordanian system
|
||
|
|
|
||
|
|
were also identified, including a receptive sociopolitical response
|
||
|
|
|
||
|
|
fostering coordination and collaboration, open-door policies for
|
||
|
|
|
||
|
|
accessing care, the presence of community and grassroots approaches, and
|
||
|
|
|
||
|
|
improvements to health care infrastructure benefiting the local
|
||
|
|
|
||
|
|
populace.
|
||
|
|
|
||
|
|
Conclusions These findings highlight opportunities and pitfalls for
|
||
|
|
|
||
|
|
program development in Jordan and other middle- and low-income
|
||
|
|
|
||
|
|
countries. Leveraging clinician input can promote health system efficacy
|
||
|
|
|
||
|
|
and improve mental health outcomes for refugee patients.'
|
||
|
|
affiliation: 'Rafla-Yuan, E (Corresponding Author), Univ Calif San Diego, Dept Psychiat,
|
||
|
|
San Diego, CA 92103 USA.
|
||
|
|
|
||
|
|
Al-Soleiti, Majd, Univ Jordan, Sch Med, Amman, Jordan.
|
||
|
|
|
||
|
|
Abu Adi, Mahmoud, CIVIC Social Enterprise, Amman, Jordan.
|
||
|
|
|
||
|
|
Nashwan, Ayat, Yarmouk Univ, Dept Sociol \& Social Work, Irbid, Jordan.
|
||
|
|
|
||
|
|
Rafla-Yuan, Eric, Univ Calif San Diego, Dept Psychiat, San Diego, CA 92103 USA.'
|
||
|
|
article-number: e38
|
||
|
|
author: Al-Soleiti, Majd and Abu Adi, Mahmoud and Nashwan, Ayat and Rafla-Yuan, Eric
|
||
|
|
author-email: eraflayuan@ucsd.edu
|
||
|
|
author_list:
|
||
|
|
- family: Al-Soleiti
|
||
|
|
given: Majd
|
||
|
|
- family: Abu Adi
|
||
|
|
given: Mahmoud
|
||
|
|
- family: Nashwan
|
||
|
|
given: Ayat
|
||
|
|
- family: Rafla-Yuan
|
||
|
|
given: Eric
|
||
|
|
da: '2023-09-28'
|
||
|
|
doi: 10.1017/gmh.2021.36
|
||
|
|
files: []
|
||
|
|
issn: 2054-4251
|
||
|
|
journal: GLOBAL MENTAL HEALTH
|
||
|
|
keywords: 'Refugee mental health; refugee camps; conflict; displacement; health
|
||
|
|
|
||
|
|
policy; barriers to care'
|
||
|
|
keywords-plus: SYRIAN REFUGEES; CARE; ACCESS; NEEDS
|
||
|
|
language: English
|
||
|
|
month: SEP 28
|
||
|
|
number-of-cited-references: '25'
|
||
|
|
orcid-numbers: 'Rafla-Yuan, Eric/0000-0002-7505-0550
|
||
|
|
|
||
|
|
Al-Soleiti, Majd/0000-0002-0680-0549'
|
||
|
|
papis_id: 30277940e14a616434d36ae2852a2db5
|
||
|
|
ref: Alsoleiti2021barriersopportunitie
|
||
|
|
researcherid-numbers: 'Rafla-Yuan, Eric/HSA-6399-2023
|
||
|
|
|
||
|
|
'
|
||
|
|
times-cited: '6'
|
||
|
|
title: 'Barriers and opportunities for refugee mental health services: clinician recommendations
|
||
|
|
from Jordan'
|
||
|
|
type: Article
|
||
|
|
unique-id: WOS:000701061400001
|
||
|
|
usage-count-last-180-days: '0'
|
||
|
|
usage-count-since-2013: '5'
|
||
|
|
volume: '8'
|
||
|
|
web-of-science-categories: Psychiatry
|
||
|
|
year: '2021'
|