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Contribution title 2803 - Psychopathology, service utilization and treatment of young refugees: risk factors and prognosis based on a follow-up study
Contribution code PS03-77 (P)
Authors
  1. Ilhem Elkochairi RFSM - Reseau fribourgeois de sante mentale Presenter
  2. Rebeca Monte Alto
  3. Nicole Bigler Secteur de psychiatrie et de psychothérapie pour enfants et adolescents (SPPEA), Réseau Fribourgeois de Santé Mentale, Fribourg, Switzerland
  4. Angelo Bernardon Klinik für Kinder- und Jugendpsychiatrie und Psychotherapie; PDAG
  5. Maria Karyoti Réseau Fribourgeois de Santé mentale
Form of presentation Poster
Topic
  • Psychotherapy
  • Transition
Abstract Abstract
Background
The purpose of this study is to investigate the common and specific features of young refugees in order to adapt our psychiatric care offer.
Method
Our project is a longitudinal observational study (Ethics application in process). Data from female and male refugee patients, aged between 5 and 20 years, with various clinical presentations, seen as outpatients in the Centre for Child and Adolescent Psychiatry, Fribourg, Switzerland, between 2015 and 2017, will be analysed on the basis of medical records. CIM-10 Classification is used for diagnosis and treatment is mainly based on psychotherapy. Medication and/or Eye Movement Desensitisation and Retreatment might also be added when necessary.
Results
The anamnestic assessments so far show specific combinations of risk factors shared by our young refugees, such as familial tearing, traumatic experience before and during migration, resettlement stresses, social isolation, cultural transplantation and frequent inability to seek for psychological help. The main diagnoses seem to be post-traumatic stress disorder, depression, anxiety and developmental delay. The major need expressed until now by young refugees is to retrieve human links they lost due to their forced migration. They crave for connecting with close family members who stayed in the country of origine and with people who live in the hosting country (similar culture's fellows, other family members or local people).
Conclusions
Young refugees have fled for their survival but it seems that their attachment need is even more crucial than vital needs. The compound situation of young refugees requires a global care which implies a close collaboration between different professionals where preventive measures should take a large place.
Key words
Young refugees, psychopathology, treatment, risk factors, prognosis.