Mental Health Nurses Leading the Way in the Training of Lay People Working With Young Asylum Seekers: The APT4U2 Program
Corresponding Author
Luísa Micaela Teixeira-Santos
Center for Health Technology and Services Research, Porto, Portugal
ICBAS, School of Medicine and Biomedical Sciences, University of Porto, Porto, Portugal
Nursing School of Coimbra, Coimbra, Portugal
Correspondence:
Luísa Micaela Teixeira-Santos ([email protected])
Search for more papers by this authorWilson Jorge Correia Pinto de Abreu
Center for Health Technology and Services Research, Porto, Portugal
Nursing School of Porto, Porto, Portugal
Search for more papers by this authorCorresponding Author
Luísa Micaela Teixeira-Santos
Center for Health Technology and Services Research, Porto, Portugal
ICBAS, School of Medicine and Biomedical Sciences, University of Porto, Porto, Portugal
Nursing School of Coimbra, Coimbra, Portugal
Correspondence:
Luísa Micaela Teixeira-Santos ([email protected])
Search for more papers by this authorWilson Jorge Correia Pinto de Abreu
Center for Health Technology and Services Research, Porto, Portugal
Nursing School of Porto, Porto, Portugal
Search for more papers by this authorFunding: This study is a part of the APT4U2, a PhD project funded by the Portuguese Foundation for Science and Technology (FCT) reference number 2020.06712.BD.
ABSTRACT
Worldwide non-health professionals and volunteers (NHPV) in humanitarian settings assist asylum seekers, and they need to be empowered to recognise and refer people with mental health problems and provide psychosocial support in multicultural contexts. The APT4U2 program, aligned with mental health nurses' competencies, addresses this gap. The aim of this study was to present the development of a standardised training program for NHVP work with young asylum seekers. Following the development phase of the Medical Research Council's Complex Interventions methodology, the study follows the main steps: I – Mapping existing evidence on mental health training programs for NHPV working with asylum seekers and refugees; II – Identifying NHPVs' training needs and experiences and III – Developing the APT4U2 Program. The program underwent validation by eight experts in mental and psychiatric nursing, education, public health and psychology. The APT4U2 Program is prepared for 11 h and consists of three modules and five lessons. The APT4U2 Program is an easy-to-use training program constructed and to be administered by mental health nurses to NHPV who want to work with young asylum seekers. This evidence can guide mental health nurses in training worldwide NHPV who work with asylum seekers.
Conflicts of Interest
The authors declare no conflicts of interest.
Open Research
Data Availability Statement
The data that support the findings of this study are available from the corresponding author upon reasonable request.
Supporting Information
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inm70030-sup-0001-AppendixS1.docxWord 2007 document , 17.1 KB |
Appendix S1. Project APT4U2: validation of the APT4U2 program. |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
References
- Apostolidou, Z. 2016. “The Notion of Professional Identity Among Practitioners Working With Asylum Seekers. A Discursive Analysis of Practitioners' Experience of Clinical Supervision and Working Context in Work With Asylum Seekers.” European Journal of Psychotherapy & Counselling 18, no. 1: 4–18. https://doi.org/10.1080/13642537.2015.1130073.
- Bailey, H., and L. J. Kaplan. 2022. “Volunteerism During Humanitarian Crises: A Practical Guide.” Critical Care 26, no. 1: 111. https://doi.org/10.1186/s13054-022-03984-4.
- Birck, A. 2001. “Secondary Traumatization and Burnout in Professionals Working With Torture Survivors.” Traumatology 7, no. 2: 85–90. https://doi.org/10.1177/153476560100700203.
10.1177/153476560100700203 Google Scholar
- Bleijenberg, N., J. M. de Man-van Ginkel, J. C. A. Trappenburg, et al. 2018. “Increasing Value and Reducing Waste by Optimizing the Development of Complex Interventions: Enriching the Development Phase of the Medical Research Council (MRC) Framework.” International Journal of Nursing Studies 79: 86–93. https://doi.org/10.1016/j.ijnurstu.2017.12.001.
- Bousiou, A. 2020. “From Humanitarian Crisis Management to Prison Island: Implementing the European Asylum Regime at the Border Island of Lesvos 2015–2017.” Journal of Balkan and Near Eastern Studies 22, no. 3: 431–447. https://doi.org/10.1080/19448953.2020.1752560.
- Bundesministerium für Familie Senioren, Frauen und Jugend. 2017. “Engagement in der Flüchtlingshilfe.” https://www.bmfsfj.de/bmfsfj/service/publikationen/engagement-in-der-fluechtlingshilfe-122012.
- Burck, C., and G. Hughes. 2018. “Challenges and Impossibilities of ‘Standing Alongside’ in an Intolerable Context: Learning From Refugees and Volunteers in the Calais Camp.” Clinical Child Psychology and Psychiatry 23, no. 2: 223–237. https://doi.org/10.1177/1359104517742187.
- Campinha-Bacote, J. 2002. “The Process of Cultural Competence in the Delivery of Healthcare Services: A Model of Care.” Journal of Transcultural Nursing 13, no. 3: 181–184. https://doi.org/10.1177/10459602013003003.
- Collins, S., and A. Long. 2003. “Working With the Psychological Effects of Trauma: Consequences for Mental Health-Care Workers – A Literature Review.” Journal of Psychiatric and Mental Health Nursing 10, no. 4: 417–424. https://doi.org/10.1046/j.1365-2850.2003.00620.x.
- Conn, V. S., P. S. Cooper, T. M. Ruppar, and C. L. Russell. 2008. “Searching for the Intervention in Intervention Research Reports.” Journal of Nursing Scholarship 40, no. 1: 52–59.
- Conn, V. S., M. J. Rantz, D. D. Wipke-Tevis, and M. L. Maas. 2001. “Designing Effective Nursing Interventions.” Research in Nursing & Health 24, no. 5: 433–442.
- Craig, P., P. Dieppe, S. Macintyre, S. Michie, I. Nazareth, and M. Petticrew. 2008. “Developing and Evaluating Complex Interventions: The New Medical Research Council Guidance.” BMJ 337: a1655. https://doi.org/10.1136/bmj.a1655.
- European Economic and Social Committee. 2017. “How Civil Society Organisations Assist Refugees and Migrants in the EU.” https://www.eesc.europa.eu/en/our-work/publications-other-work/publications/how-civil-society-organisations-assist-refugees-and-migrants-eu.
- European Parliament. 2022. “A Welcoming Europe? Evolution of the Number of Asylum Seekers and Refugees in the EU.” https://www.europarl.europa.eu/infographic/welcoming-europe/index_en.html.
- Figley, C. 1995. “ Compassion Fatigue as Secondary Traumatic Stress Disorder: An Overview.” In Compassion Fatigue: Coping With Secondary Traumatic Stress Disorder in Those Who Treat the Traumatized, edited by C. Figley, 1st ed., 1–20. Routledge.
- Frontex. 2024. “Significant Rise in Irregular Border Crossings in 2023, Highest Since 2016.” https://www.frontex.europa.eu/media-centre/news/news-release/significant-rise-in-irregular-border-crossings-in-2023-highest-since-2016-C0gGpm.
- Giger, J. N., and R. E. Davidhizar. 1999. Transcultural Nursing. 4th ed. Mosby.
- Gkionakis, N. 2016. “The Refugee Crisis in Greece.” Intervention 14, no. 1: 73–79. https://doi.org/10.1097/WTF.0000000000000104.
10.1097/WTF.0000000000000104 Google Scholar
- Grimm, T., E. Georgiadou, A. Silbermann, K. Junker, W. Nisslbeck, and Y. Erim. 2017. “Distress, Main Burdens, Engagement Motivators and Needs of Fulltime and Volunteer Refugee Aid Workers.” Psychotherapie, Psychosomatik, Medizinische Psychologie 67, no. 8: 345–351. https://doi.org/10.1055/s-0043-100096.
- Grubiša, I. 2022. “From Prison to Refuge and Back: The Interplay of Imprisonment and Creating a Sense of Home in the Reception Center for Asylum Seekers.” Journal of Borderlands Studies 38, no. 2: 211–228. https://doi.org/10.1080/08865655.2022.2031255.
- Guhan, R., and H. Liebling-Kalifani. 2011. “The Experiences of Staff Working With Refugees and Asylum Seekers in the United Kingdom: A Grounded Theory Exploration.” Journal of Immigrant & Refugee Studies 9, no. 3: 205–228. https://doi.org/10.1080/15562948.2011.592804.
10.1080/15562948.2011.592804 Google Scholar
- Hardeman, W., S. Sutton, S. Griffin, et al. 2005. “A Causal Modelling Approach to the Development of Theory-Based Behaviour Change Programmes for Trial Evaluation.” Health Education Research 20, no. 6: 676–687.
- ICN. 2009. ICN on Displaced Persons: A Global Challenge. International Council of Nurses. https://www.icn.ch/sites/default/files/inline-files/ICN_Disaster-Comp-Report_WEB_final.pdf.
- ICN. 2015. Nurses Are Key to Healthcare for Refugees and Migrants. Press Information. International Council of Nurses. http://www.icn.ch/images/stories/documents/news/press_releases/2015_PR_24_Refugee_Migrant_healthcare.pdf.
- Meleis, A. 2010. Transitions Theory: Middle Range and Situation Specific Theories in Research and Practice. Springer Publishing Company.
- Möhler, R., S. Köpke, and G. Meyer. 2015. “Criteria for Reporting the Development and Evaluation of Complex Interventions in Healthcare: Revised Guideline (Credeci 2).” Trials 16, no. 1: 204. https://doi.org/10.1186/s13063-015-0709-y.
- Muraleedharan, V., and T. Bryer. 2020. “Refugee Crisis and the Role of NGO Lobbying.” Public Policy and Administration 19, no. 1: 22–34. https://doi.org/10.5755/j01.ppaa.19.1.25148.
10.5755/j01.ppaa.19.1.25148 Google Scholar
- Namutebi, L., O. Nakyazze, A. Bamuwayira, A. Huber, and S. Krasniqi. 2021. “Life in the Camps Makes You Sick. Results of a Photovoice Project With Refugees in Munich, Germany.” European Journal of Public Health 31, no. Supplement_3: 395. https://doi.org/10.1093/eurpub/ckab164.395.
10.1093/eurpub/ckab164.395 Google Scholar
- Ordem dos Enfermeiros. 2011. Regulamento do Perfil de Competências do Enfermeiro de Cuidados Gerais. Ordem dos Enfermeiros. https://www.ordemenfermeiros.pt/media/8910/divulgar-regulamento-do-perfil_vf.pdf.
- Petticrew, M., E. Rehfuess, J. Noyes, et al. 2013. “Synthesizing Evidence on Complex Interventions: How Meta-Analytical, Qualitative, and Mixed-Method Approaches Can Contribute.” Journal of Clinical Epidemiology 66, no. 11: 1230–1243. https://doi.org/10.1016/j.jclinepi.2013.06.005.
- Püttker, K., T. Thomsen, and A.-K. Bockmann. 2015. “Sekundäre Traumatisierung Bei Traumatherapeutinnen.” Zeitschrift für Klinische Psychologie und Psychotherapie 44, no. 4: 254–265. https://doi.org/10.1026/1616-3443/a000332.
- Richards, D. A., and R. I. Hallberg. 2015. Complex Interventions in Health: An Overview of Research Methods. Routledge.
10.4324/9780203794982 Google Scholar
- Teixeira-Santos, L. 2018. “A Saúde Mental De Crianças Em Campos De Refugiados: Um Estudo Exploratório em Enfermagem de Saúde Mental (dissertation). ESEnfC, Coimbra.” https://www.rcaap.pt/detail.jsp?id=oai:repositorio.esenfc.pt:8499.
- Teixeira-Santos, L., E. Bobrowicz-Campos, and W. Abreu. 2024. “How Can We Help? A Training Needs Assessment for Non-Health Professionals and Volunteers Working With Asylum Seekers and Refugees.” Journal of Public Health. https://doi.org/10.1007/s10389-024-02216-z.
10.1007/s10389-024-02216-z Google Scholar
- Teixeira-Santos, L., E. Bobrowicz-Campos, L. Sousa, and W. Abreu. 2024. “Preparing Volunteers to Work With Asylum Seekers and Refugees: Conceptual and Psychometric Considerations of New Inventory Assessing Training Needs [Manuscript Submitted for Publication].”
- Teixeira-Santos, L., and A. Monteiro. 2018. “Mental Health of Children in a Refugee campMental Health of Children Resident in a Refugee Camp: An Exploratory Study in Mental Health and Psychiatric Nursing.” In International Conference in Nursing – Conference Proceedings, London United Kingdom Sep 27–28, 2018, 02 (9) Part XVI (pp. 1961–1963). https://www.researchgate.net/publication/380668059.
- Teixeira-Santos, L., F. Ventura, L. Teixeira, D. Cardoso, and W. Abreu. 2022. “Mental Health Training Programs for Non-Health Professionals and Volunteers Working With Asylum Seekers and Refugees: A Scoping Review Protocol.” Nursing Reports (Pavia, Italy) 12, no. 1: 90–99. https://doi.org/10.3390/nursrep12010010.
- Teixeira-Santos, L. M., F. I. Ventura, J. A. Santos, I. F. Almeida, and W. C. Abreu. 2023. “Mental Health Training Programs for Non-health Professionals and Volunteers Working With Asylum-Seekers and Refugees: Scoping Review.” Revista da Escola de Enfermagem da USP 57: e20220447. https://doi.org/10.1590/1980-220x-reeusp-2022-0447en.
- UNHCR. 2021. “Strengthening Mental Health and Psychosocial Support in 2021 (PDF).” https://www.unhcr.org/media/strengthening-mental-health-and-psychosocial-support-2021-pdf.
- UNHCR. 2023. “UNHCR's Grandi: 110 Million Displaced is an Indictment on Our World.” https://www.unhcr.org/news/stories/unhcr-s-grandi-110-million-displaced-indictment-our-world.
- UNICEF. 1989. A Convenção Sobre os Direitos da Criança. UNICEF. http://www.unicef.pt/docs/pdf_publicacoes/convencao_direitos_crianca2004.pdf.
- United Nations. 2017a. “UN Competencies for the Future-UN Careers.” https://careers.un.org/lbw/attachments/competencies_booklet_en.pdf.
- United Nations. 2017b. “Module 3: Individual Peacekeeping Personnel.” https://resourcehub01.blob.core.windows.net/training-files/Training%20Materials/003%20CPTM-EN/003-114%20FINAL%20Lesson%203.1%20050517.pdf.
- van Meijel, B., C. Gamel, B. van Swieten-Duijfjes, and M. H. F. Grypdonck. 2004. “The Development of Evidence-Based Nursing Interventions: Methodological Considerations.” Journal of Advanced Nursing 48, no. 1: 84–92. https://doi.org/10.1111/j.1365-2648.2004.03171.x.
- WHO. 1999. “Programming for Adolescent Health and Development.” https://iris.who.int/bitstream/handle/10665/42149/WHO_TRS_886_(p1-p144).pdf?sequence=1.