Mental health service responses to human trafficking: a qualitative study of professionals' experiences of providing care.
Mental health service responses to human trafficking: a qualitative study of professionals' experiences of providing care.
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DOI：
10.1186/s12888-015-0679-3
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发表时间：
2015-11-17
期刊：
影响因子：
4.4
通讯作者：
Oram S
中科院分区：
文献类型：
--
作者：
Domoney J;Howard LM;Abas M;Broadbent M;Oram S
人口贩运是一种全球性犯罪和侵犯人权行为。虽然研究表明，被贩运者中精神障碍的发病率很高，而且被贩运者与心理健康服务机构有联系，但人们对心理健康专业人员识别被贩运者并为其提供护理的经验知之甚少。这项研究旨在了解在心理健康服务中如何确定被贩运者，以及专业人员在应对被贩运者的心理健康需求方面遇到的挑战。对英格兰南东伦敦与二级精神卫生服务机构接触的被贩运者电子健康记录的定性研究。搜索并检索了与伦敦南部二级心理健康服务机构有联系的超过200，000名患者的全面临床电子健康记录，以识别被贩运的患者。内容分析用于确定如何将人确定为被贩运者，专题分析用于探讨在应对心理健康需求方面遇到的挑战。样本包括130名被贩运的患者，95名成人和35名儿童。在43%（41/95）的成人案件和63%（22/35）的儿童案件中，精神卫生专业人员被告知，他们的病人是参与其病人护理的另一个服务机构的潜在贩运受害者。还通过病人披露其遭受剥削和虐待的经历查明了案件。工作人员面临的主要挑战包括社会和法律的不稳定、难以确定病史、患者缺乏参与、服务的提供以及机构间工作。通过培训提高认识，鼓励作出有益的反应，并让工作人员了解现有的支助选择，将有助于确保被贩运者的心理健康需求得到满足。需要进一步研究，以确定这些挑战在其他卫生环境中是否相似。本文的在线版本（doi：10.1186/s12888-015-0679-3）包含补充材料，可供授权用户使用。
Human trafficking is a global crime and human rights violation. Although research has demonstrated a high prevalence of mental disorder among trafficked people and that trafficked people are in contact with mental health services, little is known about mental health professionals’ experiences of identifying and providing care for trafficked people. This study aimed to understand how people are identified as trafficked within mental health services and the challenges professionals experience in responding to trafficked people’s mental health needs. Qualitative study of electronic health records of trafficked people in contact with secondary mental health services in South East London, England. Comprehensive clinical electronic health records for over 200,000 patients in contact with secondary mental health services in South London were searched and retrieved to identify trafficked patients. Content analysis was used to establish how people were identified as trafficked, and thematic analysis was used to explore the challenges experienced in responding to mental health needs. The sample included 130 trafficked patients, 95 adults and 35 children. In 43 % (41/95) of adult cases and 63 % (22/35) child cases, mental health professionals were informed that their patient was a potential victim of trafficking by another service involved in their patient’s care. Cases were also identified through patients disclosing their experiences of exploitation and abuse. Key challenges faced by staff included social and legal instability, difficulties ascertaining history, patients’ lack of engagement, availability of services, and inter-agency working. Training to increase awareness, encourage helpful responses, and inform staff about the available support options would help to ensure the mental health needs of trafficked people are met. Further research is needed to establish if these challenges are similar in other health settings. The online version of this article (doi:10.1186/s12888-015-0679-3) contains supplementary material, which is available to authorized users.