İSTANBUL’DA UYGULANAN ENTEGRE VE TOPLUM TEMELLİ BİR PSİKOSOSYAL DESTEK HİZMETİNİN GÜÇLÜ YÖNLERİ: GÖÇMEN PERSPEKTİFİNDEN NİTEL BİR KEŞİF ÇALIŞMASI

Öz

Türkiye’de çoğunluğu Orta Doğudan olmak üzere geniş bir göçmen ve sığınmacı nüfus yaşamaktadır. Türkiye'de yaşayan göçmenler; ruh sağlıklarının bozulmasına yol açan çeşitli risk faktörlerine maruz kalmalarına rağmen, ruh sağlığı hizmetlerine düşük oranlarda erişmektedirler. Bu çalışmanın amacı; İstanbul’da uygulanan entegre bir toplum temelli psikolojik danışmanlık programının özelliklerine ilişkin göçmen ve hizmet sağlayıcı bakış açılarını araştırmaktır. Programın, göçmenlerin ruh sağlığı hizmetlerine erişimlerinin önünde sık görülen engelleri azaltabileceği düşünülmektedir. Haziran ve Temmuz 2021 tarihleri arasında İstanbul'da psikolojik danışmanlık hizmeti alan 5 Suriyeli ve Afgan göçmen ve 3 hizmet sağlayıcı ile sekiz görüşme yapılmıştır. Veriler çerçeve analizi kullanılarak analiz edilmiştir. Ruh sağlığı hizmetlerine erişimin önündeki engelleri azaltabilecek hizmet özellikleri olarak dört tema belirlenmiştir: (1) İtibara dayalı güven, (2) Randevu esnekliği, (3) Çocuk dostu alanlar ve (4) Sosyal destek. Çalışmadan araştırma ve uygulama için çıkarımlar, hizmet geliştirme odaklı olarak tartışılmıştır. Göçmenlerin ruh sağlığı hizmetlerini kullanımını arttırmaya yönelik stratejiler olarak: Hasta temsilci gruplarıyla hizmet planlama, danışan merkezli yaklaşımlar ve göçmenlerin ruh sağlığı hizmetlerinin sürekli gelişimine aktif katılımı benimsenmelidir.

Anahtar Kelimeler

• Kolaylaştırıcılar
• göçmenler
• ruh sağlığı
• toplum ruh sağlığı hizmetleri
• Türkiye

IDENTIFYING STRENGTHS OF AN INTEGRATED COMMUNITY-BASED PSYCHOSOCIAL SUPPORT SERVICE IN ISTANBUL: A QUALITATIVE EXPLORATION FROM A REFUGEE PERSPECTIVE

Öz

Turkey hosts a large number of refugees and asylum seekers, mainly from the Middle East. Despite being exposed to several risk factors for developing mental health conditions, refugees have low contact rates with mental health services in Turkey. The aim of the current study was to explore refugee and service provider perspectives on the characteristics of an integrated community-based psychological counselling programme in Istanbul, which may help to mitigate the barriers to mental health services regularly experienced by refugees. Eight interviews were conducted with three service providers and five Syrian and Afghan refugees who had attended a psychological counselling service in Istanbul between June and July 2021. Data was analysed using framework analysis. Four themes were identified as potential service characteristics which could mitigate barriers to accessing mental health services: (1) reputation-based trust, (2) appointment flexibility, (3) child-friendly spaces and (4) social support. Implications for research and practice are discussed with an emphasis on service development. Patient champion networks, client-centred approaches, and active participation of refugees in the continued development of mental health services are recommended as strategies to increase refugees' engagement with mental health services.

Anahtar Kelimeler

• Facilitators
• refugees
• mental health
• community mental health services
• Turkey

Teşekkür

The authors would like to thank AKDEM for hosting the research and the participants of this study who made this research possible. We acknowledge the support of Beria Hatice and Shams Hasanli during the interviews.

Kaynakça

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