Acknowledgements. Conflict of interest statement. Disclaimer

Transcription

1 Developing culturally responsive services for working with refugee youth with mental health concerns

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3 Acknowledgements Conflict of interest statement Disclaimer

4 Executive summary Research objective

5 Method Findings

6 Recommendations for service development and implementation

7 Table of contents Executive summary... iv Part one: Introduction and background... 1 Research aims... 1 Refugee youth and mental health needs... 2 Mental health services for refugee youth... 3 Service delivery and use in New Zealand... 6 Part one: Summary... 9 Part two: Issues and challenges faced by refugee youth presenting to mental health services in New Zealand Phase one: Factors influencing mental health needs Pre-migration trauma Post-migration and resettlement challenges Phase two: Challenges to accessing mental health services Personal and cultural Family Social and economic Service capability Limitations of the study Part two: Summary Let s get real and Real Skills Plus CAMHS Conclusion Appendix A: Design and method References... 50

8 List of tables Table 1: Summary of issues identified by refugee youth and their families Table 2: Summary of issues identified by health professionals Table 3: Questions identified by refugee youth and their families Table 4: Mental health and community professionals focus group participants Table 5: Refugee youth participants... 48

9 Part one: Introduction and background Research aims

10 Refugee youth and mental health needs

11 Mental health services for refugee youth

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14 Service delivery and use in New Zealand

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17 Part one: Summary

18 Part two: Issues and challenges faced by refugee youth presenting to mental health services in New Zealand Phase one: Factors influencing mental health needs

19 Pre-migration trauma

20 Post-migration and resettlement challenges

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23 Phase two: Challenges to accessing mental health services

24 Table 1: Summary of issues identified by refugee youth and their families Issues and challenges Specific elements Personal and cultural Family Language Stigma and privacy Impact on schooling and work Paucity of mental health and service knowledge Social and economic Service capacity Lack of transport and waiting lists Capacity building

25 Table 2: Summary of issues identified by health professionals Issues and challenges Specific elements Family Service capability Managing family s goals and priorities Including family in interventions Managing interpreter s or support person s responses Liaising with other agencies Lack of cultural knowledge and skills Engagement difficulties Personal and cultural

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30 Family

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33 Social and economic

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35 Service capability

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41 Limitations of the study

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43 Part two: Summary

44 Let s get real and Real Skills Plus CAMHS

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47 Conclusion

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49 Table 3: Questions identified by refugee youth and their families Questions 1. What is the youth s or family s understanding of why they are being seen? 2. What is their understanding about the service that they are seeing? 3. What are their expectations about the service, and what do they think or hope the service can help them with? 4. What are the key challenges the young person and their family continue to face since being in New Zealand? 5. From the challenges discussed, what is the young person s or family s primary concerns? 6. What does the family think is causing or contributing to the problems that the young person or family is experiencing? 7. What does the family think needs to occur to make things better? 8. Traditionally, if a similar problem occurred back in their home country, how would the family deal with the problem?

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52 Appendix A: Design and method Research design Ethics approval

53 Recruitment strategies

54 Methods and data collection procedures Phase one Table 4: Mental health and community professionals focus group participants

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56 Table 5: Refugee youth participants Data analysis

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58 References

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