Zusammenfassung
Gewalt, Flucht, Hungersnot und Naturkatastrophen sowie das Fehlen eines psychosozialen Gesundheitssystems sind große Belastungen für Flüchtlinge. Das Niveau psychiatrischer Versorgungsmöglichkeiten ist in Entwicklungsländern besonders niedrig. Binnenvertriebene und Flüchtlinge haben jedoch hohe Anforderungen an das Versorgungssystem, weil sie häufig unter psychischen Erkrankungen wie Depression, posttraumatischer Belastungsstörung und Abhängigkeitserkrankungen leiden. Wir berichten über Ansätze zur Verbesserung der psychiatrischen Versorgung in Flüchtlingslagern in drei ausgewählten Ländern (Äthiopien, Kenia, Sudan). Darüber hinaus gewährt der Beitrag einen Einblick in die Arbeit eines im Nordirak und in Deutschland angesiedelten Projektes zur Behandlung von durch den Terror des sog. Islamischen Staates (IS) schwersttraumatisierten Menschen.
Abstract
Violence, flight, famine, and natural disasters as well as the absence of a psychosocial healthcare system are major psychological burdens for refugees. The level of provision of mental healthcare is particularly low in developing countries. Internally displaced people and refugees place high demands on the healthcare system because they often suffer from psychiatric disorders, such as depression, posttraumatic stress disorder, and substance use disorders. We present first initiatives to improve psychiatric care in refugee camps in Ethiopia, Kenya, and Sudan. Moreover, we provide first insights into a project based in Northern Iraq and Germany aimed at the treatment of people who were severely traumatized by the terror regime of the so-called Islamic State (IS).
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K. Adorjan, S. Mulugeta, M. Odenwald, D.M. Ndetei, A.H. Osman, M. Hautzinger, S. Wolf, M. Othman, J.I. Kizilhan, O. Pogarell und T.G. Schulze geben an, dass kein Interessenkonflikt besteht.
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Adorjan, K., Mulugeta, S., Odenwald, M. et al. Psychiatrische Versorgung von Flüchtlingen in Afrika und dem Nahen Osten. Nervenarzt 88, 974–982 (2017). https://doi.org/10.1007/s00115-017-0365-4
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DOI: https://doi.org/10.1007/s00115-017-0365-4