Explaining psychosocial care among unaccompanied minor refugees: a realist review.

Research on the psychosocial care (PSC) of unaccompanied minor refugees (UMRs) has mainly taken a socioepidemiological approach and has focused on the perspectives of experts in the field. In contrast, the knowledge concerning the differing context factors and the underlying mechanisms of current PS...

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Publicado en:European Child & Adolescent Psychiatry Vol. 31; no. 12; pp. 1857 - 1871
Autores principales: Ulrich, Hanna-Sophie, Kohler, Emma, Spallek, Jacob, Richter, Matthias, Clauß, Daniel, Mlinarić, Martin
Formato: research systematic review tables/charts Journal Article
Publicado: Springer Nature Dec2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2022
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00787-021-01762-1
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        atl: Explaining psychosocial care among unaccompanied minor refugees: a realist review.
      aug:
        au:
          Ulrich, Hanna-Sophie
          Kohler, Emma
          Spallek, Jacob
          Richter, Matthias
          Clauß, Daniel
          Mlinarić, Martin
        affil: Institute of Medical Sociology, Medical Faculty, Martin Luther University Halle-Wittenberg, Magdeburger Str. 8, 06112, Halle, Saale, Germany
      sug:
        subj:
          Refugees Psychosocial Factors
          Minors (Legal) Psychosocial Factors
          Rehabilitation, Psychosocial
          Mental Health
          Human
          Systematic Review
          Gray Literature
          PubMed
          Emigration and Immigration
          Stress, Psychological
          Hardiness
          Vulnerability
          Health Policy
      ab: Research on the psychosocial care (PSC) of unaccompanied minor refugees (UMRs) has mainly taken a socioepidemiological approach and has focused on the perspectives of experts in the field. In contrast, the knowledge concerning the differing context factors and the underlying mechanisms of current PSC which could inform policy recommendations is scant. The study aims at unravelling the contexts, mechanisms and outcomes of PSC for UMRs. For a realist review (RR), scientific evidence and gray literature were synthesised consistent with the RAMESES publication standards for realist synthesis. Based on an iterative keyword search in electronic databases (e.g., PubMed) and screening, 34 works from 2005 to 2019 were included in a realist synthesis. Theory-informed context–mechanism–outcome configurations (CMOs) were extracted, to explain underlying processes and mechanisms. Characterised by their interrelatedness, the dominant CMOs included the UMRs' intersections of transitions (e.g., adolescence and migration), their needs for culture-, and gender-sensitive PSC, and the undersupply of PSC. These contexts and outcomes are mediated by pre-, peri- and post-migratory stressors as well as care structures and are moreover influenced by overarching discourses and concepts. They comprise adverse and beneficial mechanisms in the PSC of UMRs. The existing literature grasps the PSC of UMRs by different disciplines and approaches but does not offer a comprehensive overview on micro–macro intersections and included discourses. The inclusion of lay perspectives and an intersectional approach could inform health service research. The reflection of UMR-related categorical constructs of resilience and vulnerability, discourses of othering, as well as restrictive health policies may guide policy recommendations.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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