2023-09-28 14:46:10 +00:00
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abstract: 'Background Jordan has received more than three million refugees from
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bordering countries during times of conflict, including over 600 000
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Syrian refugees between 2011 and 2021. Amidst this humanitarian crisis,
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a new mental health system for Syrian refugees has developed in Jordan,
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with most clinical services administered through non-governmental
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organizations. Prior studies have identified increased risk of
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psychiatric disorders in refugee populations and significant barriers
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for Syrian refugees seeking mental health treatment, but few have
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reviewed the organization or ability of local systems to meet the needs
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of this refugee population.
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Methods Qualitative interviews of mental health professionals working
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with refugees in Jordan were conducted and thematically analyzed to
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assess efficacy and organizational dynamics.
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Results Interviewees described barriers to care inherent in many refugee
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settings, including financial limitations, shortages of mental health
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professionals, disparate geographic accessibility, stigma, and limited
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or absent screening protocols. Additional barriers not previously
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described in Jordan were identified, including clinician burnout,
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organizational metrics restricting services, insufficient visibility of
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services, and security restrictions. Advantages of the Jordanian system
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were also identified, including a receptive sociopolitical response
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fostering coordination and collaboration, open-door policies for
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accessing care, the presence of community and grassroots approaches, and
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improvements to health care infrastructure benefiting the local
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populace.
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Conclusions These findings highlight opportunities and pitfalls for
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program development in Jordan and other middle- and low-income
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countries. Leveraging clinician input can promote health system efficacy
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and improve mental health outcomes for refugee patients.'
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affiliation: 'Rafla-Yuan, E (Corresponding Author), Univ Calif San Diego, Dept Psychiat,
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San Diego, CA 92103 USA.
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Al-Soleiti, Majd, Univ Jordan, Sch Med, Amman, Jordan.
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Abu Adi, Mahmoud, CIVIC Social Enterprise, Amman, Jordan.
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Nashwan, Ayat, Yarmouk Univ, Dept Sociol \& Social Work, Irbid, Jordan.
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Rafla-Yuan, Eric, Univ Calif San Diego, Dept Psychiat, San Diego, CA 92103 USA.'
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article-number: e38
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author: Al-Soleiti, Majd and Abu Adi, Mahmoud and Nashwan, Ayat and Rafla-Yuan, Eric
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author-email: eraflayuan@ucsd.edu
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author_list:
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- family: Al-Soleiti
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given: Majd
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- family: Abu Adi
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given: Mahmoud
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- family: Nashwan
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given: Ayat
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- family: Rafla-Yuan
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given: Eric
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da: '2023-09-28'
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doi: 10.1017/gmh.2021.36
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files: []
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issn: 2054-4251
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journal: GLOBAL MENTAL HEALTH
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keywords: 'Refugee mental health; refugee camps; conflict; displacement; health
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policy; barriers to care'
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keywords-plus: SYRIAN REFUGEES; CARE; ACCESS; NEEDS
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language: English
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month: SEP 28
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number-of-cited-references: '25'
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orcid-numbers: 'Rafla-Yuan, Eric/0000-0002-7505-0550
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Al-Soleiti, Majd/0000-0002-0680-0549'
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papis_id: 30277940e14a616434d36ae2852a2db5
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ref: Alsoleiti2021barriersopportunitie
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researcherid-numbers: 'Rafla-Yuan, Eric/HSA-6399-2023
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'
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times-cited: '6'
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title: 'Barriers and opportunities for refugee mental health services: clinician recommendations
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from Jordan'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000701061400001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '5'
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volume: '8'
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web-of-science-categories: Psychiatry
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year: '2021'
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