The importance of using reflective practice when working with refugees, asylum seekers and survivors of torture within IAPT

Brooks, Michelle

doi:10.1017/s1754470x19000023

Cited by 7 publications

(6 citation statements)

References 57 publications

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“…(2018) [ 24 ] ✓ Nellums et al . (2018) [ 50 ] ✓ Patel (2017) [ 52 ] ✓ ✓ Taylor (2018) [ 41 ] ✓ ✓ Viner (2018) [ 71 ] ✓ ✓ ✓ ✓ Other (N = 6) N = 1 N = 1 N = 3 N = 1 N = 0 N = 2 Brooks (2019) [ 72 ] ✓ Cox (2020) [ 77 ] ✓ Crawshaw et al (2018) [ 82 ] ✓ Hiam et al . (2018) [ 42 ] ✓ McKeown e...…”

Section: Resultsmentioning

confidence: 99%

“…For some ASR, talk-therapies can cause reliving rather than resolving past experiences, which can be harmful without experienced trauma-informed support [ 53 , 64 ]. Reflective practice, to help manage dissociative symptoms through identifying triggers and practicing grounding techniques, shows some promise for ASR clients [ 72 ]. Other suggestions included sleep therapies or activity-based therapies for those with trauma symptoms [ 71 ].…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Mental healthcare for asylum-seekers and refugees residing in the United Kingdom: a scoping review of policies, barriers, and enablers

Pollard

Howard

2021

Int J Ment Health Syst

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Background Since 2011, a large influx of asylum-seekers and refugees has put pressure on the UK’s under-resourced national health services and mental health services. Asylum-seekers and refugees (ASR) may experience traumatic events pre-departure, life-threating circumstances on their journeys, and difficulties integrating into host countries related to immigration policies, social isolation, poor living conditions, and unemployment, all of which can significantly affect their mental health. This topic is increasingly important due to the numbers of people seeking asylum and growing concern for their mental health on resettlement. This study examined UK-wide policies and guidance, healthcare practices, barriers, and enablers of mental healthcare for ASR residing in the UK. Methods We conducted a scoping review using Arksey and O’Malley’s 2005 framework, which included semi-structured interviews with stakeholders from non-governmental organisations, academia, UK National Health Service, and community groups. We synthesised and analysed literature and interview data thematically to examine current barriers and potential enablers of ASR mental health support in the UK. Results We included 39 literature sources, of 1,638 identified, and 10 stakeholder interviews. Sources, most published in 2019 (n = 13), included data from England (n = 13), Scotland (n = 3), Wales (n = 3), and Northern Ireland (n = 2) and covered access to care (n = 16), mental health disorders (n = 7), impacts on health (n = 7), barriers to care (n = 13), policies and plans (n = 4), and clinical recommendations (n = 3). Synthesised themes from literature and interviews included existing barriers (i.e. communication difficulties and lack of funding, resources, and political will) and potential enablers (i.e. proposed provision practices, social needs of ASR, and policy changes). Conclusions There is a gap in the literature regarding UK-wide assessment of access and delivery of mental healthcare for ASR in the UK. Time sensitive and culturally appropriate approaches are needed, with greater funding and resource support from the UK Government. This study provides justification for a call to relax hostile environment policies, and for ASR-specific mental health services and support to be considered within the UK. Further research is needed to assess implementation of guidelines across the UK.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Mental healthcare for asylum-seekers and refugees residing in the United Kingdom: a scoping review of policies, barriers, and enablers

Pollard

Howard

2021

Int J Ment Health Syst

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“…The importance of using reflective practice when working with refugees, asylum seekers and survivors of torture within IAPT (Brooks, 2019) In this article, Michelle Brooks emphasizes the need for the reflective practice, self-practice and critical incident analysis model when working with service users with complex needs, such as refugees, asylum seekers and survivors of torture attending the IAPT (Improving Access to Psychological Therapies) programme. Brooks identifies some of the challenges that refugees, asylum seekers and survivors of torture may present with.…”

Section: Summary and Discussionmentioning

confidence: 99%

“…The fifth study reports findings from a qualitative study of therapists’ experience of CBT training in Tanzania (Stone and Warren, 2011). Finally, two papers describe the importance of self-reflection, self-practice and supervision (Brooks, 2019) and therapist self-disclosure (Phiri et al , 2019).…”

Section: Summary and Discussionmentioning

confidence: 99%

Cultural adaptations of CBT: a summary and discussion of the Special Issue on Cultural Adaptation of CBT

Naeem

2019

tCBT

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Cognitive behavioural therapy (CBT) in its current form might not be acceptable to service users from a variety of backgrounds. Therefore, it makes sense to adapt CBT when working with diverse populations. Contributors to this special issue of theCognitive Behaviour Therapisthave tackled the issues around the cultural adaptation of CBT from various perspectives, using a variety of methods, and have addressed topics ranging from cultural adaptation to improving access to CBT. Here, I briefly summarize and discuss the papers in this special issue. I start with a systematic review of CBT for social anxiety across cultures. Seven articles cover aspects of adaptation of therapies for people from different backgrounds. Three papers discuss the issues of gender and sexuality when using CBT, while another three papers focus on refugees, asylum seekers and the homeless, and two papers describe the application of CBT with religious populations. Finally, there are seven papers on issues related to service delivery, practice and training and supervision when working with a diverse population. Collectively, papers in this special issue provide us with sufficient evidence that cultural considerations play a vital role when using CBT, offer practical suggestions for improving cultural competence and most importantly, can catalyse future research. However, the full potential of culturally adapted interventions will not be realized until and unless access to CBT is improved. Therefore, there is a need to build robust evidence to convince funders, policy makers and service managers.

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“…Worldwide, there are currently 89.3 million people forcibly displaced, which is a direct result of conflict, persecution, violence, and human rights violations (United Nations High Commissioner for Refugees, 2021). The lived experiences of refugees are unique because they have an increased risk of developing posttraumatic stress disorder (PTSD), depression, and anxiety due to the traumatic events they experience before, during, and after exile, which often include stressors adjusting to a new country and acculturation stress (Brooks, 2019; Schweitzer et al, 2007; Ventriglio et al, 2017). Some of these stressors and traumatic experiences refugees face include separation from family members, malnutrition, food insecurity, lack of shelter, infectious diseases, and exposure to environmental toxins (Grasser, 2022; Gushulak & MacPherson, 2006; Polonsky et al, 2013).…”

Section: Aimsmentioning

confidence: 99%

Mindful self-care, coping, and meaning in life: An examination of the professional quality of life and well-being among individuals who support and provide services to refugees.

Halady¹,

Cook‐Cottone²

2023

Psychological Trauma: Theory, Research, Practice, and Policy

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Objective: Researchers have begun to examine factors that contribute to professional quality of life (ProQol) and well-being among professionals who provide services to refugees. These professionals are at increased risk of burnout and secondary traumatic stress due to the demands of their work and exposure to clients who have significant trauma histories. This study seeks to examine factors such as mindful self-care (MSC), coping, and meaning in life and how they may impact ProQol and well-being. Method: One hundred and fortyeight multidisciplinary professionals and volunteers in the United States completed an online questionnaire comprising The Mindful Self-Care Scale-33, The Professional Quality of Life Scale, The World Health Organization-Five Well-Being Index, The Brief COPE, and The Meaning in Life Questionnaire. Structural equation modeling was used to examine the relationships between all variables. Results: MSC behaviors had a direct effect on ProQol (β = 0.69, p , .001) and well-being (β = 1.07, p , .001). One's perceived meaning in life had a direct effect on ProQol (β = 0.22, p , .001) and on well-being (β = 0.17, p , .05). Coping experience had a direct effect on well-being (β = 0.71, p , .001) and well-being had a direct effect on ProQol (β = 0.33, p , .001). Conclusion: Based on the findings, future programs directed at supporting these individuals can encourage MSC practices, adaptive coping, and explore aspects of one's job that bring meaning to their life to better support individuals who work with refugees. Clinical Impact StatementResearch examining the professional quality of life and well-being of individuals who work with refugees is early in development but has demonstrated that these individuals are at risk of experiencing burnout due to working with communities with significant trauma histories. The present study examined how one's experiences with coping, meaning, and mindful self-care may relate to one's professional quality of life and well-being. Results indicated that these factors had direct effects on professional quality of life and well-being. These findings can be used to inform future initiatives aimed at supporting these individuals, thus enhancing the quality of care for these communities.

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The importance of using reflective practice when working with refugees, asylum seekers and survivors of torture within IAPT

Cited by 7 publications

References 57 publications

Mental healthcare for asylum-seekers and refugees residing in the United Kingdom: a scoping review of policies, barriers, and enablers

Mental healthcare for asylum-seekers and refugees residing in the United Kingdom: a scoping review of policies, barriers, and enablers

Cultural adaptations of CBT: a summary and discussion of the Special Issue on Cultural Adaptation of CBT

Mindful self-care, coping, and meaning in life: An examination of the professional quality of life and well-being among individuals who support and provide services to refugees.

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