The effect of an integrated care intervention of multidisciplinary mental health treatment and employment services for trauma-affected refugees: study protocol for a randomised controlled trial
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
Standard
The effect of an integrated care intervention of multidisciplinary mental health treatment and employment services for trauma-affected refugees : study protocol for a randomised controlled trial. / Bruhn, Maja; Laugesen, Henriette; Kromann-Larsen, Matilde; Trevino, Cathrine Selnes; Eplov, Lene; Hjorthoj, Carsten; Carlsson, Jessica.
I: Trials, Bind 23, Nr. 1, 859, 2022.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - The effect of an integrated care intervention of multidisciplinary mental health treatment and employment services for trauma-affected refugees
T2 - study protocol for a randomised controlled trial
AU - Bruhn, Maja
AU - Laugesen, Henriette
AU - Kromann-Larsen, Matilde
AU - Trevino, Cathrine Selnes
AU - Eplov, Lene
AU - Hjorthoj, Carsten
AU - Carlsson, Jessica
PY - 2022
Y1 - 2022
N2 - Background: The complexity of past trauma and ongoing post-migration stressors challenges the existing mental health treatment for trauma-affected refugees. Therefore, interventions are needed to accommodate these complex challenges in mental health treatment. This study examines the effect of an add-on integrated care intervention compared to treatment as usual (TAU) for trauma-affected refugees in a randomised controlled trial (RCT).Methods: The study is carried out at a Danish outpatient clinic and will include 197 treatment-seeking refugees with post-traumatic stress disorder (PTSD) who are unemployed and affiliated with municipal employment services. Mental health TAU comprises 10 sessions with a medical doctor (pharmacological treatment and psychoeducation) and 16-20 sessions with a psychologist (manual-based cognitive behavioural therapy) for a period of 8 to 12 months. The add-on intervention strengthens coordination between mental health treatment and employment interventions with three cross-sectoral collaborative meetings during the mental health treatment. The integrated care intervention draws attention to the bidirectional impact of mental health problems and post-migration stressors and focuses on cross-sectoral shared plans. The primary outcome is functioning, measured by WHODAS 2.0, the interviewer-administered 12-item version, with secondary outcomes measuring quality of life, mental health symptoms, and post-migration stressors.Discussion: The RCT is novel in intervention design for trauma-affected refugees and will bring forward new perspectives and knowledge of integrated care interventions for trauma-affected refugees. The integrated care intervention is expected to reduce post-migration stressors that negatively affect the treatment of trauma-related mental health problems, thereby improving preconditions for enhanced treatment outcomes. The intervention builds on existing practices in the Danish healthcare and employment sectors, which ensures high scalability and sustainability for future practices.
AB - Background: The complexity of past trauma and ongoing post-migration stressors challenges the existing mental health treatment for trauma-affected refugees. Therefore, interventions are needed to accommodate these complex challenges in mental health treatment. This study examines the effect of an add-on integrated care intervention compared to treatment as usual (TAU) for trauma-affected refugees in a randomised controlled trial (RCT).Methods: The study is carried out at a Danish outpatient clinic and will include 197 treatment-seeking refugees with post-traumatic stress disorder (PTSD) who are unemployed and affiliated with municipal employment services. Mental health TAU comprises 10 sessions with a medical doctor (pharmacological treatment and psychoeducation) and 16-20 sessions with a psychologist (manual-based cognitive behavioural therapy) for a period of 8 to 12 months. The add-on intervention strengthens coordination between mental health treatment and employment interventions with three cross-sectoral collaborative meetings during the mental health treatment. The integrated care intervention draws attention to the bidirectional impact of mental health problems and post-migration stressors and focuses on cross-sectoral shared plans. The primary outcome is functioning, measured by WHODAS 2.0, the interviewer-administered 12-item version, with secondary outcomes measuring quality of life, mental health symptoms, and post-migration stressors.Discussion: The RCT is novel in intervention design for trauma-affected refugees and will bring forward new perspectives and knowledge of integrated care interventions for trauma-affected refugees. The integrated care intervention is expected to reduce post-migration stressors that negatively affect the treatment of trauma-related mental health problems, thereby improving preconditions for enhanced treatment outcomes. The intervention builds on existing practices in the Danish healthcare and employment sectors, which ensures high scalability and sustainability for future practices.
KW - Refugee
KW - Trauma
KW - Post-traumatic stress disorder
KW - PTSD
KW - Cross-sectoral
KW - Integrated care
KW - Post-migration stressors
KW - Ongoing stressors
KW - Randomised controlled trial
KW - POSTTRAUMATIC-STRESS-DISORDER
KW - ASYLUM-SEEKERS
KW - RESETTLEMENT
KW - DEPRESSION
KW - CONFLICT
KW - THERAPY
KW - ANXIETY
KW - TORTURE
KW - IMPACT
KW - SCALE
U2 - 10.1186/s13063-022-06774-z
DO - 10.1186/s13063-022-06774-z
M3 - Journal article
C2 - 36209104
VL - 23
JO - Trials
JF - Trials
SN - 1745-6215
IS - 1
M1 - 859
ER -
ID: 322638992