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Gazze’de psikososyal destek hizmetleri

Year 2024, Volume: 29 Issue: Special Issue on Gaza, 96 - 104, 28.12.2024
https://doi.org/10.21673/anadoluklin.1545540

Abstract

Gazze’de bir yıla yakın süredir devam eden yoğun saldırılar, ruh sağlığı ve psikososyal destek (RSPSD) ihtiyaçlarının artmasına neden olmuştur. On yıllardır süren işgal, çatışma ve ekonomik yoksunluk depresyona, travma sonrası stres bozukluğuna (TSSB) ve diğer ruhsal rahatsızlıklara ve psikososyal sorunlara neden olmaktadır. Ekim 2023’ten bu yana, Gazze’de yaşayan 2,1 milyon Filistinli, doğrudan şiddet, tekrarlanan yerinden edilme ve sevdiklerinin, evlerinin ve eşyalarının kaybı da dahil olmak üzere benzeri görülmemiş sayıda şiddet ve travmatik olaya tanık oldu veya yaşadı. Bu tür deneyimler kaygı, depresyon ve diğer ruh sağlığı ve psikososyal sorunları artırmıştır. Sağlık sisteminin büyük ölçüde tahrip edilmiş olması, bu koşulların acil tedavisini engellemesinin yanı sıra uzun vadede temel tedavisini bile engellemektedir. İsrail’in 7 Ekim’den itibaren Gazze’ye yönelik gerçekleştirmiş olduğu saldırıları konu alan akademik çalışmalar incelendiğinde alan yazının sınırlı olduğu görülmüştür. Bu makale, Gazze’de psikososyal destek hizmetlerinin varlığının ve bu hizmetlerin eksikliğinin olası etkilerini incelemektedir.

References

  • Goto R, Guerrero APS, Speranza M, Fung D, Paul C, Skokauskas N. War is a public health emergency. Lancet. 2022;399(10332):1302.
  • Milton S, Elkahlout G, Attallah S. Shrinking reconstruction space in the Gaza Strip: rebuilding after the 2021 and 2022 wars. Conflict, Security & Development. 2024;24(1):49-78.
  • Farhat T, Ibrahim S, Abdul-Sater Z, Abu-Sittah G. Responding to the Humanitarian Crisis in Gaza: Damned if You do… Damned if You don't!. Ann Glob Health. 2023;89(1):53.
  • Alokaily F. War and Health Crisis in Gaza. Saudi Med J. 2024;45(1):9.
  • AA. İsrail’in 338 gündür saldırılarını sürdürdüğü Gazze’de can kaybı 40 bin 972’ye çıktı 2024. Access date: 20.08.2024. Availab­le from: https://www.aa.com.tr/tr/dunya/israilin-338- gundur-saldirilarini-surdurdugu-gazzede-can-kaybi- 40-bin-972ye-cikti/3324730.
  • Mason C. Trapped. The Impact of 15 Years of Blockade on The Mental Health of Gaza’s Children. Save the Children; 2022.
  • UNICEF. State of Palestine Appeal Humanitarian Action for Children 2024. Access date: 20.08.2024. Available from: https://www.unicef.org/appeals/state-of-palestine.
  • CARE. Rafah Governorate: Deception, Destruction & Death in the “Safe” Zone Rapid Gender Analysis 2024. Access date: 20.08.2024. Available from: https://www.care-international.org/resources/rafah-governorate-deception-destruction-and-death-safe-zone-rapid-gender-analysis.
  • “Complete psychological destruction”: Children in Gaza have suffered “relentless mental harm” during five months of war: Save the Children; 2024. Access date: 20.08.2024. Available from: https://www.savethechildren.org.uk/news/media-centre/press-releases/children-in-gaza-suffer-relentless-mental-harm.
  • UNRWA. Mental Health And Psychosocıal Support in Gaza: Analysıs After 300 Days Of War 2024. Access date: 20.08.2024. Available from: https://www.unrwa.org/sites/default/files/content/resources/22.8.24_-_mhpss_300_day_report_final.pdf.
  • UNICEF. State of Palestine Humanitarian Situation Report, Mid-Year 2024 2024. Access date: 20.08.2024. Available from: https://www.unicef.org/documents/state-palestine-humanitarian-situation-report-mid-year-2024.
  • UN Women. Scarcity and Fear: A Gender Analysis of the Impact of the War in Gaza on Vital Services Essential to Women’s and Girls’ Health, Safety, and Dignity - Water, Sanitation and Hygiene (WASH). Access date: 20.08.2024. Available from: https:// https://www.unwomen.org/sites/default/files/2024-04/gender-alert-gender-analysis-of-the-impact-of-the-war-in-gaza-on-vital-services-essential-to-womens-and-girls-health-safety-en.pdf.
  • ACAPS. Impact of the war in Gaza on the sexual and reproductive health and health rights of women and girls. Access date: 20.08.2024. Available from: https://www.acaps.org/fileadmin/Data_Product/Main_media/20240503_ACAPS_Palestine-_Impact_of_the_war_in_Gaza_on_the_SRH_and_health_rights_of_women_and_Girls.pdf.
  • HelpAge. Needs assessment of older people - Gaza 2024. Access date: 20.08.2024. Available from: https://www.helpage.org/silo/files/rna-gaza-rapid-needs-assessment-of-older-people-_pub.pdf.
  • OCHA. Multi-Sectoral Needs Assessment 2022 conducted in the occupied Palestinian territory 2022. Access date: 20.08.2024. Available from: https://www.ochaopt.org/msna/2022/MSNA-Cross-cutting-Report-2022.pdf.
  • OCHA. Humanitarian Situation Update #211 | Gaza Strip 2024. Access date: 20.08.2024. Available from: https://www.ochaopt.org/content/humanitarian-situation-update-211-gaza-strip.
  • HRW. Gaza: Israeli Attacks, Blockade Devastating for People with Disabilities 2024. Access date: 20.08.2024. Available from: https://www.hrw.org/news/2023/11/01/gaza-israeli-attacks-blockade-devastating-people-disabilities.
  • UNRWA. Resilience amidst chaos: 100 days of UNRWA's health response to the humanitarian crisis in the Gaza Strip 2024. Access date: 20.08.2024. Available from: https://www.unrwa.org/resources/reports/resilience-amidst-chaos-100-days-unrwas-health-response-humanitarian-crisis-gaza.
  • ACAPS. Impact of the conflict on mental health and psychosocial support needs in Gaza 2024. Access date: 20.08.2024. Available from: https://www.acaps.org/fileadmin/Data_Product/Main_media/20240903_ACAPS_Gaza_-_impact_of_the_conflict_on_mental_health_and_psychosocial_support_needs.pdf.
  • APA. APA Statement Calling for an Immediate, Permanent, and Comprehensive Ceasefire in the Israel-Gaza Conflict. 2024.
  • Bürgin D, Anagnostopoulos D; Board and Policy Division of ESCAP, et al. Impact of war and forced displacement on children's mental health-multilevel, needs-oriented, and trauma-informed approaches. Eur Child Adolesc Psychiatry. 2022;31(6):845-53.
  • Möhlen H, Parzer P, Resch F, Brunner R. Psychosocial support for war-traumatized child and adolescent refugees: evaluation of a short-term treatment program. Aust N Z J Psychiatry. 2005;39(1-2):81-7.
  • Fazel M, Stein A. The mental health of refugee children. Arch Dis Child. 2002;87(5):366-70.
  • Öztürk E, Derin G. Terör ve travma: Psikotravmatolojik bir değerlendirme. Aşıcıoğlu F, editör. Uluslararası Güvenlik ve Terörizm. 1. Baskı. Ankara: Türkiye Klinikleri; 2020. p.14- 24.
  • Çertinkaya K, Hamarta E. Savaşta travma ve dissosiyasyona müdahaleler ve psikososyal destek hizmetleri. Öztürk E, editör. Savaş Psikolojisi. 1. Baskı. Ankara: Türkiye Klinikleri; 2023. p.113-26.
  • OXFAM. Water War Crimes: How the Israeli Government has weaponised water in its military campaign in Gaza 2024. Access date: 20.08.2024. Available from: https://www.oxfam.org.nz/news-media/reports/water-war-crimes-how-the-israeli-government-has-weaponised-water-in-its-military-campaign-in-gaza/.
  • GCMHP. Nine Months of Israel’s War on Gaza: the Mental Health Impacts & the GCMHP’s Response 2024. Access date: 20.08.2024. Available from: https://gcmhp.org/publications/4/208.
  • WHO. oPt Emergency Situation Update 2024(41). Access date: 20.08.2024. Available from: https://www.un.org/unispal/document/who-sitrep-41-20aug24/.

Psychosocial support services in Gaza

Year 2024, Volume: 29 Issue: Special Issue on Gaza, 96 - 104, 28.12.2024
https://doi.org/10.21673/anadoluklin.1545540

Abstract

Nearly a year of intense attack in Gaza has led to an increase in mental health and psychosocial support (MPSS) needs. MHPSS needs were already high before October 2023, as decades of occupation, conflict, and economic deprivation have contributed to widespread depression, post-traumatic stress disorder (PTSD), and other mental health and psychosocial problems. Since October 2023, 2.1 million Palestinians living in Gaza have witnessed or experienced an unprecedented number of violent and traumatic events, including direct violence, repeated displacement, and loss of loved ones, homes, and belongings. Such experiences have increased anxiety, depression, and other mental health and psychosocial problems. The extensive destruction of the health system not only prevents immediate treatment of these conditions, but also prevents their basic treatment in the long term. A review of academic studies on the Israeli attacks on Gaza since October 7 reveals that the literature is limited. This article examines the availability of psychosocial support services in Gaza and the potential impact of their absence.

References

  • Goto R, Guerrero APS, Speranza M, Fung D, Paul C, Skokauskas N. War is a public health emergency. Lancet. 2022;399(10332):1302.
  • Milton S, Elkahlout G, Attallah S. Shrinking reconstruction space in the Gaza Strip: rebuilding after the 2021 and 2022 wars. Conflict, Security & Development. 2024;24(1):49-78.
  • Farhat T, Ibrahim S, Abdul-Sater Z, Abu-Sittah G. Responding to the Humanitarian Crisis in Gaza: Damned if You do… Damned if You don't!. Ann Glob Health. 2023;89(1):53.
  • Alokaily F. War and Health Crisis in Gaza. Saudi Med J. 2024;45(1):9.
  • AA. İsrail’in 338 gündür saldırılarını sürdürdüğü Gazze’de can kaybı 40 bin 972’ye çıktı 2024. Access date: 20.08.2024. Availab­le from: https://www.aa.com.tr/tr/dunya/israilin-338- gundur-saldirilarini-surdurdugu-gazzede-can-kaybi- 40-bin-972ye-cikti/3324730.
  • Mason C. Trapped. The Impact of 15 Years of Blockade on The Mental Health of Gaza’s Children. Save the Children; 2022.
  • UNICEF. State of Palestine Appeal Humanitarian Action for Children 2024. Access date: 20.08.2024. Available from: https://www.unicef.org/appeals/state-of-palestine.
  • CARE. Rafah Governorate: Deception, Destruction & Death in the “Safe” Zone Rapid Gender Analysis 2024. Access date: 20.08.2024. Available from: https://www.care-international.org/resources/rafah-governorate-deception-destruction-and-death-safe-zone-rapid-gender-analysis.
  • “Complete psychological destruction”: Children in Gaza have suffered “relentless mental harm” during five months of war: Save the Children; 2024. Access date: 20.08.2024. Available from: https://www.savethechildren.org.uk/news/media-centre/press-releases/children-in-gaza-suffer-relentless-mental-harm.
  • UNRWA. Mental Health And Psychosocıal Support in Gaza: Analysıs After 300 Days Of War 2024. Access date: 20.08.2024. Available from: https://www.unrwa.org/sites/default/files/content/resources/22.8.24_-_mhpss_300_day_report_final.pdf.
  • UNICEF. State of Palestine Humanitarian Situation Report, Mid-Year 2024 2024. Access date: 20.08.2024. Available from: https://www.unicef.org/documents/state-palestine-humanitarian-situation-report-mid-year-2024.
  • UN Women. Scarcity and Fear: A Gender Analysis of the Impact of the War in Gaza on Vital Services Essential to Women’s and Girls’ Health, Safety, and Dignity - Water, Sanitation and Hygiene (WASH). Access date: 20.08.2024. Available from: https:// https://www.unwomen.org/sites/default/files/2024-04/gender-alert-gender-analysis-of-the-impact-of-the-war-in-gaza-on-vital-services-essential-to-womens-and-girls-health-safety-en.pdf.
  • ACAPS. Impact of the war in Gaza on the sexual and reproductive health and health rights of women and girls. Access date: 20.08.2024. Available from: https://www.acaps.org/fileadmin/Data_Product/Main_media/20240503_ACAPS_Palestine-_Impact_of_the_war_in_Gaza_on_the_SRH_and_health_rights_of_women_and_Girls.pdf.
  • HelpAge. Needs assessment of older people - Gaza 2024. Access date: 20.08.2024. Available from: https://www.helpage.org/silo/files/rna-gaza-rapid-needs-assessment-of-older-people-_pub.pdf.
  • OCHA. Multi-Sectoral Needs Assessment 2022 conducted in the occupied Palestinian territory 2022. Access date: 20.08.2024. Available from: https://www.ochaopt.org/msna/2022/MSNA-Cross-cutting-Report-2022.pdf.
  • OCHA. Humanitarian Situation Update #211 | Gaza Strip 2024. Access date: 20.08.2024. Available from: https://www.ochaopt.org/content/humanitarian-situation-update-211-gaza-strip.
  • HRW. Gaza: Israeli Attacks, Blockade Devastating for People with Disabilities 2024. Access date: 20.08.2024. Available from: https://www.hrw.org/news/2023/11/01/gaza-israeli-attacks-blockade-devastating-people-disabilities.
  • UNRWA. Resilience amidst chaos: 100 days of UNRWA's health response to the humanitarian crisis in the Gaza Strip 2024. Access date: 20.08.2024. Available from: https://www.unrwa.org/resources/reports/resilience-amidst-chaos-100-days-unrwas-health-response-humanitarian-crisis-gaza.
  • ACAPS. Impact of the conflict on mental health and psychosocial support needs in Gaza 2024. Access date: 20.08.2024. Available from: https://www.acaps.org/fileadmin/Data_Product/Main_media/20240903_ACAPS_Gaza_-_impact_of_the_conflict_on_mental_health_and_psychosocial_support_needs.pdf.
  • APA. APA Statement Calling for an Immediate, Permanent, and Comprehensive Ceasefire in the Israel-Gaza Conflict. 2024.
  • Bürgin D, Anagnostopoulos D; Board and Policy Division of ESCAP, et al. Impact of war and forced displacement on children's mental health-multilevel, needs-oriented, and trauma-informed approaches. Eur Child Adolesc Psychiatry. 2022;31(6):845-53.
  • Möhlen H, Parzer P, Resch F, Brunner R. Psychosocial support for war-traumatized child and adolescent refugees: evaluation of a short-term treatment program. Aust N Z J Psychiatry. 2005;39(1-2):81-7.
  • Fazel M, Stein A. The mental health of refugee children. Arch Dis Child. 2002;87(5):366-70.
  • Öztürk E, Derin G. Terör ve travma: Psikotravmatolojik bir değerlendirme. Aşıcıoğlu F, editör. Uluslararası Güvenlik ve Terörizm. 1. Baskı. Ankara: Türkiye Klinikleri; 2020. p.14- 24.
  • Çertinkaya K, Hamarta E. Savaşta travma ve dissosiyasyona müdahaleler ve psikososyal destek hizmetleri. Öztürk E, editör. Savaş Psikolojisi. 1. Baskı. Ankara: Türkiye Klinikleri; 2023. p.113-26.
  • OXFAM. Water War Crimes: How the Israeli Government has weaponised water in its military campaign in Gaza 2024. Access date: 20.08.2024. Available from: https://www.oxfam.org.nz/news-media/reports/water-war-crimes-how-the-israeli-government-has-weaponised-water-in-its-military-campaign-in-gaza/.
  • GCMHP. Nine Months of Israel’s War on Gaza: the Mental Health Impacts & the GCMHP’s Response 2024. Access date: 20.08.2024. Available from: https://gcmhp.org/publications/4/208.
  • WHO. oPt Emergency Situation Update 2024(41). Access date: 20.08.2024. Available from: https://www.un.org/unispal/document/who-sitrep-41-20aug24/.
There are 28 citations in total.

Details

Primary Language Turkish
Subjects Psychiatry
Journal Section REVİEW
Authors

Doğancan Sönmez 0000-0003-0937-8264

Çiçek Hocaoğlu 0000-0001-6613-4317

Publication Date December 28, 2024
Submission Date September 8, 2024
Acceptance Date November 5, 2024
Published in Issue Year 2024 Volume: 29 Issue: Special Issue on Gaza

Cite

Vancouver Sönmez D, Hocaoğlu Ç. Gazze’de psikososyal destek hizmetleri. Anatolian Clin. 2024;29(Special Issue on Gaza):96-104.

13151 This Journal licensed under a CC BY-NC (Creative Commons Attribution-NonCommercial 4.0) International License.