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9 - Intervention: the essentials

Published online by Cambridge University Press:  26 August 2022

By
Alison Summers  and
Chris Maloney
Edited by
Chris Maloney ,
Julia Nelki  and
Alison Summers
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Summary

The chapter considers essential components of any effective treatment or intervention, and the need to adapt standard approaches for people seeking asylum, how this may be done, and the limitations of the ‘evidence base’. Barriers to accessing intervention are discussed, and the need for services that address the complexities of interpretation and cultural differences.

Therapeutic relationships are reviewed, andcollaborative work is emphasised.

Therapeutic organisation is also important: early intervention, a conducive setting, continuity of care, and minimising pitfalls of onward referral. Mental and physical health care should be integrated as far as possible, with attention to communication with other professionals and feedback to the client. Consideration is given to how to identify starting points for an intervention. Interventions for specific groups are reviewed, including gender and sexuality, and related to torture, trafficking and sexual violence. Work in inpatient settings and immigration removal centres isconsidered. Remote working is reviewed, as is the possible therapeutic role of medicolegal assessment. Ways of ending treatment constructively are discussed.

Keywords

TreatmentEvidence baseStructural discriminationAccess‘needs based’ approachTherapeutic relationshipsCollaborationTrustHope
Type
Chapter
Information
Seeking Asylum and Mental Health
A Practical Guide for Professionals
 , pp. 166 - 183
Publisher: Cambridge University Press
Print publication year: 2022

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References

Laurance, J. (2014). Obituary – Helen Bamber. The Lancet, 384 (September 13): 950.CrossRefGoogle Scholar
Bignall, T., Jeraj, S., Helsby, E., and Butt, J. (2019). Racial Disparities in Mental Health: Literature and Evidence Review. London: Race Equality Foundation.Google Scholar
British Medical Association (2020). Patient registration. www.bma.org.uk/advice-and-support/gp-practices/managing-your-practice-list/patient-registrationGoogle Scholar
Boyles, J. (Ed.) (2017). Psychological Therapies for Survivors of Torture: A Human-rights Approach with People Seeking Asylum. Monmouth: PCCS Books.Google Scholar
Fredman, G. and Dalal, C. (1998). Ending discourses: Implications for relationships and action in therapy. Human Systems, 9(1): 1–13.Google Scholar
Guregard, S., and Seikkula, J. (2013). Establishing therapeutic dialogue with refugee families. Contemporary Family Therapy, 2: 1–17.Google Scholar
Jalonen, A. and Cilia la Corte, P. (2018). Therapeutic Work with Asylum Seekers and Refugees. London and Philadelphia: Jessica Kingsley Publishers.Google Scholar
Jones, E. (2020). Moral injury in a context of trauma. BJPsych, 216: 127–8.Google Scholar
Kaltenbach, E., McGrath, P. J., Schauer, M., et al. (2021). Practical guidelines for online Narrative Exposure Therapy (e-NET) – a short-term treatment for posttraumatic stress disorder adapted for remote delivery. European Journal of Psychotraumatology, 12: 1. https://doi.org/10.1080/20008198.2021.1881728(20103.CrossRefGoogle ScholarPubMed
Karp, V. (2016). Does anyone still understand me? Psychotherapy and multilingualism. Verhaltenstherapie, 26: 156–7.CrossRefGoogle Scholar
Lee, P. L. (2013). Making now precious: Narrative conversations with asylum seekers. +International Journal of Narrative Therapy and Community Work, 1: 1–10.Google Scholar
National Institute for Health and Care Excellence (NICE) (2005). Post Traumatic Stress Disorder. National Clinical Practice Guideline No. 26. Full Guideline Section 10.5: 120–1. www.nice.org.uk/guidance/ng116/evidence/march-2005-full-guideline-pdf-6602623598. [Although NICE guidance on PTSD was updated in 2018, this part of the full guideline was not changed].Google Scholar
NHS. (2020). Advancing mental health equalities strategy. www.england.nhs.uk/wp-content/uploads/2020/10/00159-advancing-mental-health-equalities-strategy.pdf.Google Scholar
Priebe, S., and Mccabe, R. (2008). Therapeutic relationships in psychiatry: The basis of therapy or therapy in itself? International Review of Psychiatry, 20(6): 521–6.Google Scholar
Sen, P., Exworthy, T., and Forrester, A. (2014). Mental health care for foreign national prisoners in England and Wales. Journal of Mental Health, 23(6): 333–9.Google Scholar
Small, E., Kim, Y. K., Praetorius, R. T., and Mitschke, D. B. (2016). Mental health treatment for resettled refugees: A comparison of three approaches. Social Work in Mental Health, 14(4): 342–59.Google Scholar

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