Proposer une réponse en santé mentale et soutien psychosocial aux exilés en contexte de crise. L’expérience de Médecins du Monde en Calaisis (2015-2017)

Abstract

Revue européenne des migrations internationales vol. 34 -n°2 et 3 | 2018 La santé mentale en migrations internationalesProposer une réponse en santé mentale et soutien psychosocial aux exilés en contexte de crise. L'expérience de Médecins du Monde en Calaisis (2015)(2016)(2017)

Conditions for the success and the feasibility of health mediation for healthcare use by underserved populations: a scoping review

“…Among the 22 articles, eleven were conducted in the USA,26–36 nine in France,16 17 37–43 one in the UK44 and one in Australia 45…”

“…Twelve articles presented case studies,16 17 26 27 32 33 35–40 42 seven from literature reviews,29 31 41 43–45 two from cohort studies30 34 and one article presented one randomised controlled trial 28. A qualitative method was used in 20 articles, and a quantitative method in 2 articles 28 34…”

“…The interventions promoted healthcare and essential service use, two of which focused on mental healthcare use37 40 and one on colorectal cancer screening 41. The health mediation intervention consisted of joint action methods by (1) education actions and navigation in care system aimed at persons, or (2) a third-party mediation.…”

“…The navigation actions focused on two complementary principles: the first is ‘going towards’, which locates and directs; the second is ‘bringing back to’, that is, the physical accompaniment of people to the healthcare system and essential services such as health insurance or social assistance services for persons 16 26 37 38 40 42 44 45…”

Introduction

“…This call for more research has been echoed not only in the world of academia but by many international humanitarian organisations engaged in the implementation of mental health and psychosocial interventions with refugees across Europe and who are looking for more culturally relevant tools (which consider more local idioms of distress, for example) to better address the mental health needs of this population (Einhorn et al, 2018;Faregh et al, 2019;Médécins Sans Frontières, 2016;Hecker et al, 2015; Inter-Agency Standing Committee (IASC) 2015; Tol et al, 2014;UNHCR, 2015;Ventevogel et al, 2019). Learning about the impact of dislocation, trauma and loss, of political persecution and human malevolence, and social systems involving abuse, neglect, and ethnic and cultural rejection is crucial in terms of guiding policy makers and clinicians to assist, and as advocates to address, the social and historical perspectives of trauma and their mental health consequences (Wilson & Droždek, 2004).…”