دانلود مقاله درک سلامت روان و خدمات سلامت روان در مهاجران
چکیده
مقدمه
روش ها
نتایج
بحث
نتیجه گیری
منابع
Abstract
Introduction
Methods
Results
Discussion
Conclusion
References
چکیده
تأثیر مهاجرت بر سلامت کلی افراد، از جمله سلامت روان، پیچیده است. مفاهیم مهاجران جدید از سلامت روان، استفاده از مراقبت های بهداشتی روان، و دانش آنها از خدمات موجود در رجینا، کانادا با استفاده از یک رویکرد پدیدارشناختی هرمنوتیک بررسی شد. سه گروه متمرکز با 37 شرکت‌کننده از کلاس‌های زبان انگلیسی که توسط یک سازمان غیردولتی در شهر ارائه شده بود، انجام شد. صرف نظر از کشور مبدا، شرکت کنندگان تاثیر سلامت روان بر سلامت عمومی را تشخیص دادند. دسترسی به مراقبت‌های بهداشت روانی موجود با موانع زبانی، اطلاعات ناکافی در مورد خدمات مراقبت‌های بهداشتی موجود، و تصور افراد در مورد اینکه چه خدماتی و چه زمانی باید به آنها دسترسی داشت، مانع شد. علیرغم چالش ها، شرکت کنندگان جابجایی را مثبت دیدند و در مواجهه با استرس روزانه انعطاف پذیری نشان دادند. شرکت کنندگان در مورد نقش پزشک خانواده در مدیریت شرایط سلامت روان شکاف دانشی داشتند. اطلاعات در مورد راه های دسترسی به خدمات بهداشتی موجود باید با همکاری سازمان های اجتماعی که به مهاجران جدید خدمت می کنند ارائه شود.
توجه! این متن ترجمه ماشینی بوده و توسط مترجمین ای ترجمه، ترجمه نشده است.
Abstract
The impact of immigration on individuals’ overall health, including mental health, is complex. New immigrants’ concepts of mental health, mental healthcare utilization, and their knowledge of existing services in Regina, Canada were explored using a hermeneutic phenomenological approach. Three focus groups were conducted with 37 participants recruited from English language classes provided by a non-governmental organization in the city. Irrespective of country of origin, participants recognized the impact of mental health on general wellbeing. Access to existing mental healthcare was hindered by language barriers, inadequate information about existing healthcare services, and individuals’ perceptions about what and when services should be accessed. Despite challenges, participants viewed relocation positively and exhibited resilience when dealing with daily stress. Participants had knowledge gaps surrounding the role of family physicians in managing mental health conditions. Information on ways to access existing healthcare services should be delivered in collaboration with community organizations serving new immigrants.
Introduction
Immigration might be undertaken for a variety of economic, social, political, and/or health reasons to improve the quality of life of oneself and one’s family. Acculturative stress, stress of relocating, economic strains, loss of social networks, and changes in gender role norms can have a detrimental efect on the mental and physical health of immigrants (Bhugra & Becker, 2005; Delera, 2016; George et al., 2015; Kirmayer et al., 2011). Immigrants arrive with superior health than their Canadian-born counterparts, an efect referred to as “healthy immigrant” (Delera, 2016; Kirmayer, et al., 2011). This health advantage however is observed to deteriorate over time (Delera, 2016; Kirmayer, et al., 2011). Health decline and increased feelings of sadness, depression, isolation, and loneliness are reported with increased length of stay in Canada, particularly for women (Maio & Kemp, 2010; Salami et al., 2017). Furthermore, the risk of developing psychosis is signifcantly higher for immigrants and refugees compared to the host population, a risk which varies between racial groups and between age groups within the same racial group (Anderson et al., 2015; Bourque et al., 2011; Kirmayer et al., 2011).
Conclusion
Most participants acknowledged the importance of mental health. Participants exhibited considerable resilience managing stress during relocation. Family physicians’ services for mental health management are often underutilized due to knowledge gaps on the part of the immigrants (e.g., not knowing that family physicians are the gatekeepers for other services). Targeted culturally responsive approaches that enhance mental health literacy that increase awareness about existing mental health services (including the knowledge gap about the family physicians’ services for mental health management) can address mental health needs of new immigrants. The results of the study are timely and relevant for countries receiving ethnically and linguistically diverse immigrants from around the world.