Culturally adapted CBT (CA-CBT) for traumatised indigenous South Africans (Sepedi) : a randomised pilot trial comparing CA-CBT to applied muscle relaxation

In South Africa, there is a high rate of events such as criminal violence, stress and sexual assault, particularly in lower socio-economic status (SES) communities. Problems are particularly acute amongst indigenous groups. In spite of the great need for interventions for those having experienced these events, little information is available to guide treatment choices.

Engaging men to promote resilient communities among Syrian refugees in Lebanon

Engaging Men programmes seek to challenge the social norms, attitudes and practices that increase the risk of gender-based violence against girls and women while also harnessing positive male power to prevent violence and promote safety. This paper examines the impact of an Engaging Men intervention that engaged 1028 Syrian refugee and 440 Lebanese men in a 12-week training course structure.

Contextualising therapeutic care for child survivors of sexual violence in situations of war : a reflection on theory, context and practice

In this article, the author sought to raise awareness of and discuss ways to effectively address contextual challenges faced by mental health workers who provide therapeutic services to child rape survivors in war-affected regions, in general, and in the cultural context of the eastern region of the Democratic Republic of Congo, in particular, where rape is considered a sexual taboo, causing or amplifying attachment issues for survivors. A qualitative analysis of current literature review and therapeutic practice has been conducted in this article.

Evidence for suicide prevention strategies with populations in displacement : a systematic review

Little is known about effective strategies to reduce rates of suicide among refugees and other displaced populations. This review aims to synthesise and assess the evidence base for suicide prevention and response programmes in refugee settings. We conducted a systematic review from peer-reviewed literature databases (five databases) and grey literature sources of literature published prior to November 27, 2017. We identified eight records (six peer-reviewed articles and two grey literature reports) that met our inclusion criteria.

Peacework and mental health : from individual pathology to community responsibility

Using Canada and Ukraine as examples, this article asserts the importance of moving beyond addressing posttraumatic stress disorder as the major mental health focus in peacebuilding, to a more global whole health strategy as a way of building resilience in communities, preparing them better to deal with conflicts of different kinds, and generally providing habitus for people of all health and abilities to thrive. Authors who are academics, mental health service users and service providers examine current barriers to and movements toward mental health and wellness in their countries.

Three models of scaling up mental healthcare post-disaster : common challenges

There are number of challenges in strengthening mental healthcare services in underserved areas post-disaster. The objective of this paper is to identify common challenges by comparing and contrasting three models of scaling up mental healthcare services post-disaster. Primary and secondary data were collected before, during and after mental health programming in Sri Lanka, Haiti and the Philippines.

What works in psychosocial programming in humanitarian contexts in low- and middle-income countries : a systematic review of the evidence

While there is growing evidence for the effectiveness of mental health interventions in low- and middle-income countries and humanitarian contexts, this is lacking for psychosocial programming. We aimed to summarise the evidence for psychosocial programming in these contexts through a systematic review (PROSPERO: CRD42017069066) of peer-reviewed and grey literature of programme evaluations. A total of n=42,435 unique records were initially identified, with n=211 records meeting full inclusion criteria. We identified 51 randomised controlled trials of 47 different interventions.

Migratie, ontwikkeling en ouderschap

Migratie beïnvloedt veel aspecten van het leven van kinderen en gezinnen. Migranten reageren op uiteenlopende wijze op de veranderingen die door de migratie ontstaan in hun leefwereld. Kinderen  kunnen in deze context kwetsbaar zijn, maar ook veerkrachtig. Hoe beïnvloedt migratie de wijze waarop kinderen omgaan met algemene en extra ontwikkelingstaken, hoe geven hun ouders vorm aan ouderschap, en hoe ontwikkelen gezinsrelaties zich in deze nieuwe context?

Culturele competenties

De discussie over toegankelijke en kwalitatief goede zorg voor een cultureel diverse patiënten­groep gaat al snel over culturele competenties. Cultureel competente en sensitieve hulpverle­ners zouden de kwaliteit van de gangbare zorg aanzienlijk verbeteren. Ghane en collega's gaan in op de vraag hoe de ggz beter kan reageren op deze diversiteit, welke aanpassingen hiervoor nodig zijn en welke culturele competenties daarbij van belang zijn. Hieronder ligt een vraag die de ggz al decennia bezighoudt: is het beter te kiezen voor een categoraal zorgaanbod?

Cultureel aangepaste behandelmethoden

Veel onderzoeken laten zien dat gangbare evidence-based behandelmethoden, zoals cognitieve gedragstherapie, universeel toepasbaar zijn mits ze cultureel aangepast worden. Zonder culturele aanpassing is het behandeleffect doorgaans kleiner bij patiënten die tot minderheidsgroepen behoren. Over het wat en hoe van culturele aanpassing bestaan echter verschillende opvattingen.

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