Journal of Nervous and Mental Disease
Volume 202, Issue 9, 2014, Pages 630-637

Challenges in establishing evidence-gathering models in torture and trauma mental health services for refugees (Review)

Carlsson J.* , Sonne C. , Silove D.
  • a Competence Centre for Transcultural Psychiatry, Psychiatric Centre Ballerup, Mental Health Services of the Capital Region of Denmark, Maglev'nget 2, 2750 Ballerup, Denmark, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
  • b Competence Centre for Transcultural Psychiatry, Psychiatric Centre Ballerup, Mental Health Services of the Capital Region of Denmark, Maglev'nget 2, 2750 Ballerup, Denmark
  • c Psychiatry Research and Teaching Unit, School of Psychiatry, University of New South Wales, Sydney, NSW, Australia

Abstract

Outcome studies on treatment of trauma-affected refugees have been published but are limited in design and quality. In this article, we discuss possible impediments to pursuing research aimed at gathering evidence to support the efficacy of treatments in the field and the challenges in carrying out such inquiries. We then present a working model that demonstrates the feasibility of integrating outcome research into clinical settings. The aim of this model is to involve all personnel in generating research of high quality with minimal additional costs and time commitment. We conclude that although challenges remain in carrying out treatment outcome studies, they can be overcome by careful consultation and negotiation in a setting with an established ethos of commitment to the scientific endeavor. Ultimately, identifying the most effective interventions will provide better treatment and quality of life for the large number of traumatized refugees seeking assistance for mental health problems. Copyright © 2014 Lippincott Williams & Wilkins.

Author Keywords

Mental health Treatment outcome Refugee trauma

Index Keywords

Forecasting social psychology refugee mental health service mindfulness psychiatric traumatology psychological aspect Models, Organizational psychoeducation methodology nonbiological model Research Design human Refugees war Evidence-Based Practice Stress, Psychological mental stress medical ethics social network psychiatric diagnosis clinical practice Mental Health Services Feasibility Studies book human rights quality of life asylum seeker Physician's Practice Patterns evidence based practice Humans Treatment Outcome Review traumatology medical record Outcome Assessment (Health Care) feasibility study organization and management posttraumatic stress disorder Stress Disorders, Post-Traumatic acceptance and commitment therapy outcome assessment psychotrauma clinical decision making Rape pharmaceutical care traffic accident Torture natural disaster

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84907029848&doi=10.1097%2fNMD.0000000000000175&partnerID=40&md5=fca6b097ff5cfcbf40b634dc3397de60

DOI: 10.1097/NMD.0000000000000175
ISSN: 00223018
Cited by: 21
Original Language: English