Mapping Mental Health Resources for Young People Living in a Conflict Con-text at The Colombian Pacific Region

为哥伦比亚太平洋地区生活在冲突背景下的年轻人绘制心理健康资源图

• 批准号: ES/V013297/1
• 负责人: Paul Jackson
• 金额: $ 37.9万
• 依托单位: University of Birmingham
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2021
• 资助国家: 英国
• 起止时间: 2021 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FV013297%2F1
• 关键词: Mapping; Mental; Health; Resources; Young

This project is about what happens to the mental health of people, particularly young people, when they have been exposed to conflict and violence for a long time. We know a lot about PTSD and what that can do to former combatants, but there are a lot of other mental health issues that can affect young people as a result of violence itself, or the stress of existing in a conflict situation. At the minute there is gap in understanding here between the experience on the ground and the large studies done by centralised health providers that concentrate on formal, clinical records of mental health. What we want to do is to involve social science together with clinical approaches and to move away from the urban areas where there are available formal records. Most conflicts happen in the countryside and yet these rural areas are frequently neglected in terms of service provision. This is certainly the case in Colombia where there are big inequalities between urban and rural areas and across regions. Young people find it very hard to integrate in to society after experiencing mental health issues after violence and conflict. These issues including depression, other mental disorders and psychosocial problems related specifically to young people, have been largely ignored. This may be particularly serious in contexts where local social and community environments have been degraded or undermined, there have been breaches of human rights, or where there are limited economic opportunities as a result of conflict. The Pacific Region was one of the most conflict-affected areas, has some of the highest rates of poverty in Colombia, is primarily rural, and continues to have high rates of mental health as a result of ongoing exposure to violence.This research takes an innovative approach in three ways: it explicitly links the local, the meso and the macro levels, recognising that much mental health care, such as it is, exists at the local level and that is where there may be an opportunity for effective intervention; it represents co-production both between Colombian and UK teams, but also with civil society organisations at the local level; and it uses an innovative mixed methods approach linking social science and clinical approaches to mental health. This means that we can links SDG3 on Health and Well Being with SDG16 on Peace, Justice and Strong Institutions, specifically through addressing mental health as a form of exclusion in societies affected by conflict. An integral element of the Sustainable Development Goals is inclusion of marginalised groups, and those suffering from mental health issues are among the most marginalised, often resulting from behavioural problems, substance abuse or depressionThe result of these approaches will provide initial evidence to focus policy and services in order to try and reduce inequalities in access to health care, and to provide evidence to improve the provision of mental health services in order for young people to have better opportunities and face a lower risk of remaining in poverty. The development of an integrated model of working for formal mental health care services in partnership with community services will support conflict-affected young people's mental health needs. This will be the first research project of its kind in Colombia focusing on youth mental health and integrated service development and has excellent potential for application in other areas going through similar transitions after conflict.

这个项目是关于人们长期以来遭受冲突和暴力行为时的心理健康，尤其是年轻人的心理健康的情况。我们对PTSD有很多了解以及对以前的战斗人员的影响，但是还有许多其他心理健康问题可能会影响年轻人，因为暴力本身或在冲突情况下存在压力。在此刻，这里的经验与集中卫生提供者进行的大量研究之间的理解差距差距，这些医疗提供者专注于正式的心理健康临床记录。我们想做的是让社会科学与临床方法一起参与，并远离有正式记录的城市地区。大多数冲突发生在农村，但这些农村地区经常在服务提供方面被忽略。当然，在哥伦比亚，城市和农村地区以及各个地区之间存在很大的不平等现象。在暴力和冲突后遇到心理健康问题后，年轻人发现很难与社会融入社会。这些问题在很大程度上被忽略了，包括抑郁症，其他精神障碍和专门与年轻人有关的社会心理问题。在当地社会和社区环境被降低或破坏，违反人权的情况下，或者由于冲突而有限的经济机会，这可能尤其严重。太平洋地区是受冲突最大的地区之一，在哥伦比亚具有最高的贫困率，由于持续接触暴力，主要是农村地区的贫困率，并且继续具有很高的心理健康率。这项研究以三种方式采取了一种创新的方法：它明确地与本地保健相关的是，在此层面上，在许多方面都可以肯定，这是在许多地方，例如，在许多方面都在其层面上，这是如此之多，例如，这是事实，例如，这是事实，例如，这是事务所，与之相关。有效干预的机会；它代表了哥伦比亚和英国团队之间的共同制作，也代表了地方一级的民间社会组织。它使用一种创新的混合方法方法，将社会科学和临床方法连接到心理健康。这意味着我们可以将SDG3与SDG1与SDG16联系起来，与SDG16有关和平，正义和强大的机构，特别是通过解决心理健康，作为受冲突影响的社会中的一种排斥形式。可持续发展目标的一个不可或缺的要素是包含边缘化的群体，而患有精神健康问题的人是最边缘化的群体之一，通常是由于行为问题，滥用毒品或抑郁症而导致的，这些方法的结果将为重点进行政策和服务的结果，以便在降低卫生保健方面的不平等，并为年轻人提供稳定的稳定服务，并为降低卫生保健的机会提供更好的机会，并逐步提供了适应的机会。与社区服务合作为正式心理保健服务的综合模型的开发将支持受冲突影响的年轻人的心理健康需求。这将是哥伦比亚此类研究项目的第一个研究项目，专注于青年心理健康和综合服务开发，并在冲突后经历类似过渡的其他领域具有极大的应用。

项目成果

Macro level system mapping of the provision of mental health services to young people living in a conflict context in Colombia.

• DOI: 10.1186/s12913-024-10602-2
• 发表时间: 2024-01-25
• 期刊: BMC HEALTH SERVICES RESEARCH
• 影响因子: 2.8
• 作者: Fenton, Sarah-Jane;Gutierrez, Juan Roberto Rengifo;Pinilla-Roncancio, Monica;Casas, German;Carranza, Francy;Weber, Sanne;Jackson, Paul;Romero, Juan Pablo Aranguren
• 通讯作者: Romero, Juan Pablo Aranguren

Mapping Mental Health Care Services for Children and Youth Population in Colombia's Pacific: Potential for Boundary Spanning between Community and Formal Services

绘制哥伦比亚太平洋地区儿童和青少年心理保健服务图：社区和正规服务之间跨越边界的潜力

• DOI: 10.21203/rs.3.rs-3067274/v1
• 发表时间: 2023
• 作者: Weber S