Abstract

BackgroundThis case study describes research, which is located in Turkey, where more than 750,000 Syrian refugees reside autonomously in Istanbul. The research developed and pilot tested a novel model for helping urban refugee families with limited to no access to evidence-based mental health services, by delivering a transdiagnostic family intervention for common mental disorders in health and non-health sector settings using a task-sharing approach. This case study addresses the following question: What challenges were encountered in developing and piloting a low intensity trans-diagnostic family support intervention in a humanitarian emergency setting?DiscussionThe rapidly growing scale of humanitarian crises requires new response capabilities geared towards addressing populations with prolonged high vulnerability to mental health consequences and limited to no access to mental health, health, and social resources.The research team faced multiple challenges in conducting this research in a humanitarian emergency setting including: 1) Non-existent or weak partnerships geared towards mental health research in a humanitarian emergency; 2) Lack of familiarity with task-sharing; 3).Insufficient language and cultural competency; 3) Fit with families’ values and demands; 4) Hardships of urban refugees. Through the research process, the research team learned lessons concerning: 1) building a coalition of academic and humanitarian organization partners; 2) investing in the research capacity building of local researchers and partners; 3) working in a community-collaborative and multi-disciplinary approach.ConclusionConducting research in humanitarian emergency settings calls for innovative collaborative and multidisciplinary approaches to understanding and addressing many sociocultural, contextual, practical and scientific challenge.

Highlights

  • This case study describes research, which is located in Turkey, where more than 750,000 Syrian refugees reside autonomously in Istanbul

  • Humanitarian context The war in Syria displaced over 5.6 million persons to neighboring low and middle-income countries (LMIC). 3.6 million Syrian refugees live in Turkey, the world’s largest refugee hosting country, with only about 2.85% living in refugee camps [1]

  • How can we address common mental disorders (CMD) symptoms of both children and parents of displaced families and support protective family processes through a low intensity trans-diagnostic family support (FS) intervention?

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Summary

Introduction

This case study describes research, which is located in Turkey, where more than 750,000 Syrian refugees reside autonomously in Istanbul. The research developed and pilot tested a novel model for helping urban refugee families with limited to no access to evidence-based mental health services, by delivering a transdiagnostic family intervention for common mental disorders in health and non-health sector settings using a task-sharing approach. This case study addresses the following question: What challenges were encountered in developing and piloting a low intensity trans-diagnostic family support intervention in a humanitarian emergency setting?. The project was located in several neighborhoods in Istanbul, Turkey, where over 750,000 Syrian refugees are resettled. It developed and pilot tested a novel model for helping urban refugee families in settings with limited or. In Turkey, a 2017 poll indicated that 79% of respondents had an unfavorable view of Syrian refugees [10]

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