Abstract：
BACKGROUND: Globally, there is an increasing trend of forcibly displaced people, of which over 40% are children. Unaccompanied asylum-seeking children (UASC) are at risk of experiencing psychological distress and developing mental health difficulties. However, in the UK, the approach from statutory mental health services is inconsistent across different geographical areas.
OBJECTIVE: This report outlines recommendations for statutory mental health services in the UK in relation to working with UASC.
METHODS: A rapid evaluation method was adopted including interviewing fifteen key informants as well as reviewing existing clinical guidelines. Key informants included clinicians, service managers, social workers and commissioners from Local Authorities, National Health Services, and third sector partners. Recommendations were synthesised using narrative synthesis.
CONCLUSIONS: Existing service provision and barriers to the implementation of interventions were summarised and compared against existing guidelines. The report presents recommendations on assessments, screening tools, and psychological interventions for developing a pathway for UASC within statutory services.
Globally, there is an increasing trend of asylum seekers and refugees, and 40% of which are children. Unaccompanied asylum-seeking children (UASC) are at risk of experiencing psychological distress and developing mental health difficulties. Yet, service provision for this population is inconsistent across different regions in the UK and may not be sufficient to meet their psychosocial needs. We hope to provide recommendations for services in England on how to better support UASC through reviewing the existing literature, clinical guidelines, and interviewing different service providers in the country in order to identify gaps in services. We interviewed key informants, including clinicians, service managers, social workers and commissioners from Local Authorities, National Health Services, and third sector partners. We present findings on how to improve the current assessment, screening and psychological interventions for UASC.
OBJECTIVE: This report outlines recommendations for statutory mental health services in the UK in relation to working with UASC.
METHODS: A rapid evaluation method was adopted including interviewing fifteen key informants as well as reviewing existing clinical guidelines. Key informants included clinicians, service managers, social workers and commissioners from Local Authorities, National Health Services, and third sector partners. Recommendations were synthesised using narrative synthesis.
CONCLUSIONS: Existing service provision and barriers to the implementation of interventions were summarised and compared against existing guidelines. The report presents recommendations on assessments, screening tools, and psychological interventions for developing a pathway for UASC within statutory services.
Globally, there is an increasing trend of asylum seekers and refugees, and 40% of which are children. Unaccompanied asylum-seeking children (UASC) are at risk of experiencing psychological distress and developing mental health difficulties. Yet, service provision for this population is inconsistent across different regions in the UK and may not be sufficient to meet their psychosocial needs. We hope to provide recommendations for services in England on how to better support UASC through reviewing the existing literature, clinical guidelines, and interviewing different service providers in the country in order to identify gaps in services. We interviewed key informants, including clinicians, service managers, social workers and commissioners from Local Authorities, National Health Services, and third sector partners. We present findings on how to improve the current assessment, screening and psychological interventions for UASC.
摘要：
背景：在全球范围内，被迫流离失所的人越来越多，其中超过40%是儿童。无人陪伴的寻求庇护儿童（UASC）有遭受心理困扰和发展心理健康困难的风险。然而,在英国,法定精神卫生服务的方法在不同地理区域不一致。
目的：本报告概述了与UASC合作相关的英国法定精神卫生服务建议。
方法：采用快速评估方法，包括采访15名关键信息提供者以及回顾现有的临床指南。主要线人包括临床医生，服务经理,社会工作者和地方当局的专员，国家卫生服务,第三部门的合作伙伴。建议使用叙述性综合进行综合。
结论：总结了现有的服务提供和实施干预措施的障碍，并与现有指南进行了比较。该报告提出了关于评估的建议，筛选工具,和心理干预措施，为法定服务范围内的UASC开发途径。
全球,寻求庇护者和难民呈上升趋势,其中40%是儿童。无人陪伴的寻求庇护儿童（UASC）有遭受心理困扰和发展心理健康困难的风险。然而，英国不同地区为该人群提供的服务不一致，可能不足以满足他们的社会心理需求。我们希望通过回顾现有文献，为英格兰的服务提供有关如何更好地支持UASC的建议，临床指南,并采访该国的不同服务提供商，以确定服务方面的差距。我们采访了主要的线人,包括临床医生,服务经理,社会工作者和地方当局的专员，国家卫生服务,第三部门的合作伙伴。我们介绍了如何改进当前评估的结果，UASC的筛查和心理干预。
目的：本报告概述了与UASC合作相关的英国法定精神卫生服务建议。
方法：采用快速评估方法，包括采访15名关键信息提供者以及回顾现有的临床指南。主要线人包括临床医生，服务经理,社会工作者和地方当局的专员，国家卫生服务,第三部门的合作伙伴。建议使用叙述性综合进行综合。
结论：总结了现有的服务提供和实施干预措施的障碍，并与现有指南进行了比较。该报告提出了关于评估的建议，筛选工具,和心理干预措施，为法定服务范围内的UASC开发途径。
全球,寻求庇护者和难民呈上升趋势,其中40%是儿童。无人陪伴的寻求庇护儿童（UASC）有遭受心理困扰和发展心理健康困难的风险。然而，英国不同地区为该人群提供的服务不一致，可能不足以满足他们的社会心理需求。我们希望通过回顾现有文献，为英格兰的服务提供有关如何更好地支持UASC的建议，临床指南,并采访该国的不同服务提供商，以确定服务方面的差距。我们采访了主要的线人,包括临床医生,服务经理,社会工作者和地方当局的专员，国家卫生服务,第三部门的合作伙伴。我们介绍了如何改进当前评估的结果，UASC的筛查和心理干预。
