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

这个项目是关于人们，特别是年轻人，在长期遭受冲突和暴力时，他们的心理健康会发生什么。我们知道很多关于创伤后应激障碍以及它对前战斗人员的影响，但是还有很多其他的心理健康问题会影响年轻人，这是暴力本身的结果，或者是在冲突局势中存在的压力。目前，实地经验与集中式卫生服务提供者所做的大型研究之间存在着理解上的差距，这些研究集中在正式的心理健康临床记录上。我们想做的是将社会科学与临床方法结合起来，远离有正式记录的城市地区。大多数冲突发生在农村，但这些农村地区在提供服务方面往往被忽视。哥伦比亚的情况就是如此，因为在哥伦比亚，城乡之间和各地区之间存在着巨大的不平等。年轻人在经历暴力和冲突后的心理健康问题后很难融入社会。这些问题，包括抑郁症、其他精神障碍和特别与青年人有关的心理社会问题，在很大程度上被忽视了。在当地社会和社区环境退化或遭到破坏、人权受到侵犯或由于冲突而经济机会有限的情况下，这种情况可能特别严重。太平洋地区是受冲突影响最严重的地区之一，是哥伦比亚贫困率最高的地区之一，主要是农村地区，由于持续遭受暴力，心理健康率仍然很高。它明确地将地方、中间和宏观层面联系起来，认识到尽管如此，存在于地方一级，这是可能有机会进行有效干预的地方;它代表了哥伦比亚和联合王国团队之间的共同制作，也代表了与地方一级民间社会组织的共同制作;它采用了一种创新的混合方法，将社会科学和临床方法与心理健康联系起来。这意味着我们可以将关于健康和福祉的可持续发展目标3与关于和平、正义和强大机构的可持续发展目标16联系起来，特别是通过将心理健康作为受冲突影响的社会中的一种排斥形式来解决。可持续发展目标的一个组成部分是纳入边缘化群体，而那些患有心理健康问题的人是最边缘化的群体，通常是由行为问题，药物滥用或抑郁症造成的这些方法的结果将提供初步证据，以集中政策和服务，以减少获得医疗保健的不平等，并提供证据，以改善精神卫生服务的提供，使年轻人有更好的机会，并面临更低的贫困风险。与社区服务机构合作，制定一个提供正式精神保健服务的综合模式，将有助于满足受冲突影响的青年人的精神保健需求。这将是哥伦比亚第一个以青年心理健康和综合服务发展为重点的此类研究项目，并具有在冲突后经历类似过渡的其他地区应用的巨大潜力。

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.