{"id":36058,"date":"2024-01-08T08:00:00","date_gmt":"2024-01-08T07:00:00","guid":{"rendered":"https:\/\/swissmig.wordpress.com\/?p=36058"},"modified":"2024-01-08T08:00:00","modified_gmt":"2024-01-08T07:00:00","slug":"scaling-up-problem-management-plus-for-refugees-in-switzerland-a-qualitative-study-2","status":"publish","type":"post","link":"https:\/\/swissmig.unine.ch\/?p=36058","title":{"rendered":"Scaling-up problem management plus for refugees in Switzerland – a qualitative study"},"content":{"rendered":"

Author(s) : Julia Spaaij, Daniela C. Fuhr, Aemal Akhtar, Luisa Casanova, Tobias Klein, Matthis Schick, Sonja Weilenmann, Bayard Roberts, Naser Morina<\/h3>\n

Source : https:\/\/doi.org\/10.1186\/s12913-023-09491-8<\/a><\/h3>\n

Abstract: <\/strong><\/p>\n

\n
\n

Background<\/h3>\n

Refugees are at an increased risk of developing symptoms of mental disorders but face various structural and socio-cultural barriers to accessing mental health care. The SPIRIT project (Scaling-up Psychological Interventions in Refugees In SwiTzerland) seeks to promote the resilience of refugees and improve their access to mental health care. For this purpose, Problem Management Plus (PM+), an evidence-based low-intensity psychological intervention delivered by trained non-specialist \u201chelpers\u201d, is being scaled-up in Switzerland.<\/p>\n

Objective<\/h3>\n

To identify factors influencing the process of the large-scale implementation of PM\u2009+\u2009for refugees in Switzerland and to develop recommendations to guide the implementation process.<\/p>\n

Methods<\/h3>\n

22 semi-structured interviews were conducted with key informants (Syrian refugees who previously participated in PM+, PM\u2009+\u2009helpers, health professionals working with refugees and decision-makers from the migration, integration, social, and health sectors). The data were analyzed using thematic analysis, combining an inductive and deductive approach.<\/p>\n

Results<\/h3>\n

The data revealed three major themes, which might have an impact for the longer-term implementation of PM\u2009+\u2009in Switzerland. First, preconditions for successful integration in the health system prior to scaling-up such as sustainable funding or the introduction of a stepped care approach. Second, the requirements for the PM\u2009+\u2009intervention supporting scale-up such as quality control during PM\u2009+\u2009delivery, PM\u2009+\u2009modality, time and setting when PM\u2009+\u2009is offered or the views on task sharing. Third, the perceived benefits of scaling-up PM\u2009+\u2009in Switzerland.<\/p>\n

Conclusions<\/h3>\n

Our results have shown that PM\u2009+\u2009must be scaled-up within a stepped care approach, including a functioning triage system and sustainable funding. Rather than selecting one modality or setting, it seemed preferable to offer a variety of formats and settings to achieve maximum reach and benefits. A successful scale-up of PM\u2009+\u2009in Switzerland might have various benefits. Communicating them to policy-makers and health providers, might enhance their acceptability of the intervention and their willingness to adopt PM\u2009+\u2009in regulatory structure and promote it.<\/p>\n<\/div>\n<\/blockquote>\n","protected":false},"excerpt":{"rendered":"

Author(s) : Julia Spaaij, Daniela C. Fuhr, Aemal Akhtar, Luisa…<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[59],"tags":[739,556,762,7,400,9,350,236,185,177,394,103,130,688],"class_list":["post-36058","post","type-post","status-publish","format-standard","hentry","category-health","tag-739","tag-access-to-health-care","tag-access-to-mental-health-care","tag-article","tag-cultural-competency","tag-english-language","tag-health-inequalities","tag-language-barriers","tag-mental-health","tag-psychological-well-being","tag-psychology","tag-refugees","tag-right-to-health","tag-syrians"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/swissmig.unine.ch\/index.php?rest_route=\/wp\/v2\/posts\/36058","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/swissmig.unine.ch\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/swissmig.unine.ch\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/swissmig.unine.ch\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/swissmig.unine.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=36058"}],"version-history":[{"count":0,"href":"https:\/\/swissmig.unine.ch\/index.php?rest_route=\/wp\/v2\/posts\/36058\/revisions"}],"wp:attachment":[{"href":"https:\/\/swissmig.unine.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=36058"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/swissmig.unine.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=36058"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/swissmig.unine.ch\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=36058"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}