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首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >Readiness of Allied Professionals to Join the Mental Health Workforce: A Qualitative Evaluation of Trained Lay Trauma Counsellors’ Experiences When Refugee Youth Disclose Suicidal Ideation
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Readiness of Allied Professionals to Join the Mental Health Workforce: A Qualitative Evaluation of Trained Lay Trauma Counsellors’ Experiences When Refugee Youth Disclose Suicidal Ideation

机译：依赖专业人士加入心理健康劳动力的准备情况：难民青年披露自杀意识形来的训练有素的休假辅导员经验的定性评价

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The recent refugee crisis presented a huge challenge for the Swedish mental health workforce. Hence, innovative mental health workforce solutions were needed. Unaccompanied refugee minors (URM) are a particularly vulnerable refugee group. Teaching Recovery Techniques (TRT) was introduced as a community-based intervention utilising trained lay counsellors in a stepped model of care for refugee youth experiencing trauma symptoms. Professionals (e.g., teachers, social workers) can deliver the Cognitive Behavioural Therapy-based intervention after a brief training. A point of debate in this workforce solution is the readiness of trained lay counsellors to deal with potentially demanding situations like disclosure of suicidal ideation. This study aimed to explore the TRT trained lay counsellors’ experiences of procedures upon URM’s disclosure of suicidal ideation. Individual semi-structured interviews with TRT trained lay counsellors were conducted, then analysed using systemic text condensation. The analysis revealed four themes: “Importance of safety structures”, “Collaboration is key”, “Let sleeping dogs lie” and “Going the extra mile”. Dealing with suicidal ideation is challenging and feelings of helplessness occur. Adding adequate supervision and specific training on suicidal ideation using role play is recommended. Collaboration between agencies and key stakeholders is essential when targeting refugee mental health in a stepped care model.
机译：最近难民危机对瑞典心理健康劳动力提出了巨大挑战。因此，需要创新的心理健康劳动力解决方案。无人陪伴的难民未成年人（URM）是一个特别脆弱的难民组。教学恢复技术（TRT）被引入作为基于社区的干预，利用训练的Lay辅导员在避难者的护理模型中，难民青年经历创伤症状。专业人士（例如，教师，社会工作者）可以在短暂培训后提供基于认知的行为治疗的干预。这项劳动力解决方案的辩论点是培训的Lay辅导员愿意处理潜在要求苛刻的情况，如披露自杀意念。本研究旨在探讨TRT培训的Lay辅导员在荨麻症披露的自杀意念披露后的程序经验。进行了与TRT培训的LAD辅导员的单个半结构化访谈，然后使用系统性文本冷凝进行分析。分析揭示了四个主题：“安全结构的重要性”，“合作是关键”，“让睡狗撒谎”和“走强”。处理自杀意识形动是挑战性，发生无助的感觉。建议使用角色播放增加对自杀式思想的适当监督和特定培训。代理商和主要利益相关者之间的合作对于在级别的护理模型中瞄准难民心理健康时至关重要。

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