{"id":1239,"date":"2018-11-10T13:12:51","date_gmt":"2018-11-10T12:12:51","guid":{"rendered":"http:\/\/voxvigor.se\/?p=1239"},"modified":"2018-11-10T13:12:51","modified_gmt":"2018-11-10T12:12:51","slug":"forskare-om-psykisk-ohalsa-bland-ensamkommande-flyktingbarn-vi-var-tafatta","status":"publish","type":"post","link":"https:\/\/voxvigor.se\/bricks-staging\/forskare-om-psykisk-ohalsa-bland-ensamkommande-flyktingbarn-vi-var-tafatta\/","title":{"rendered":"Forskare om psykisk oh\u00e4lsa bland ensamkommande flyktingbarn: \u201dVi var tafatta\u201d"},"content":{"rendered":"

2015 kom \u00f6ver 35\u00a0000 ensamkommande flyktingbarn till Sverige. M\u00e5nga av dem led av psykisk oh\u00e4lsa. Anna Sarkadi, professor i socialmedicin vid Uppsala universitet, anser att det dr\u00f6jde f\u00f6r l\u00e4nge innan de fick r\u00e4tt behandling. <\/strong><\/h2>\n

Anna Sarkadi var inbjuden som f\u00f6rel\u00e4sare p\u00e5 Drogfokus i Uppsala. Det var ett av de f\u00f6redrag som hade tydligast koppling till psykisk oh\u00e4lsa och drogmissbruk. M\u00e5nga av de unga flyktingarna led av posttraumatiskt stressyndrom (PTSD) och andra trauman n\u00e4r de kom till Sverige. Egentligen helt naturligt med tanke p\u00e5 vad de g\u00e5tt igenom, menar Anna Sarkadi.<\/p>\n

_ <\/sup>Det var f\u00f6r j\u00e4kligt med deras t\u00e4nder. M\u00e5nga fick tandv\u00e5rd snabbt. Vi var inte lika bra inom psykisk h\u00e4lsa. Vi fr\u00e5gade tafatt och gjorde inte s\u00e5 mycket.<\/p>\n

L\u00e5ng k\u00f6 till traumav\u00e5rd<\/strong><\/h3>\n

Anna Sarkadi har engagerat sig inom asylh\u00e4lsosjukv\u00e5rden i Uppsala och studerat flera fall i sin egen forskning. Eftersom det kom s\u00e5 m\u00e5nga ensamkommande flyktingar med liknande problem samtidigt fick m\u00e5nga v\u00e4nta p\u00e5 r\u00e4tt v\u00e5rd.<\/p>\n

_ <\/sup>Hur m\u00e5nga erbjuder asyls\u00f6kande traumabehandling?, undrar Anna Sarkadi och till\u00e4gger att R\u00f6da korset erbjuder det men att k\u00f6n dit \u00e4r l\u00e5ng.<\/p>\n

PTSD och beg\u00e4r efter droger<\/strong><\/h3>\n

Anna Sarkadi fann ett h\u00f6gt samband mellan PTSD och droganv\u00e4ndande i den grupp ensamkommande som hon och hennes kollegor studerade. M\u00e5nga \u00e4gnade sig \u00e5t sj\u00e4lvskadebeteende och uppvisade sj\u00e4lvmordsben\u00e4genheter.<\/p>\n

_ <\/sup>Det var trauma p\u00e5 trauma. N\u00e5gon hade blivit misshandlad av gr\u00e4nsvakter. M\u00e5nga hade minnen som pl\u00e5gade dem som de \u00e5terupplevde.<\/p>\n

Hj\u00e4rtklappning, s\u00f6mnproblem, r\u00e4dsla och undvikande av jobbiga milj\u00f6er och situationer var ocks\u00e5 vanligt i gruppen, som v\u00e4nde sig till asylh\u00e4lsosjukv\u00e5rden.<\/p>\n

_ <\/sup>Det \u00e4r viktigt att behandla undvikande genom att exponeras f\u00f6r det som ger \u00e5ngest. Som behandlare \u00e4r det viktigt att du g\u00f6r det, annars kan du utveckla ett medberoende, s\u00e4ger Anna Sarkadi.<\/p>\n

Behandling i grupp<\/strong><\/h3>\n

Anna Sarkadi tog sj\u00e4lv ett uppdrag som gode man \u00e5t ett ensamkommande flyktingbarn. Hon genomgick \u00e4ven en utbildning i traumamedveten omsorg. Hon anv\u00e4nde sig sedan av metoden Teaching recovery techniques, en gruppbaserad metod som tillkom under kriget i Bosnien p\u00e5 90-talet och som minskar deltagarnas posttraumatiska stressymtom.<\/p>\n

_ <\/sup>Barnen fick veta att de inte var galna. De hade reagerat normalt p\u00e5 en jobbig situation, s\u00e4ger Anna Sarkadi.<\/p>\n

Behandlingen innebar en kombination av att bearbeta minnesbilder, l\u00e4ra sig avslappning och exponeras f\u00f6r det som utl\u00f6ser r\u00e4dsla och obehag f\u00f6r att p\u00e5 s\u00e5 s\u00e4tt komma \u00f6ver \u00e5ngesten.<\/p>\n

_ <\/sup>M\u00e5nga deltagare upplevde att de kunde koncentrera sig i skolan igen och skaffa v\u00e4nner, s\u00e4ger Sarkadi.<\/p>\n

F\u00e4rre med depression<\/strong><\/h3>\n

84 procent av deltagarna hade m\u00e5ttlig eller sv\u00e5r depression innan behandlingen. 45 procent hade tankar p\u00e5 sj\u00e4lvmord. Tre till sex m\u00e5nader senare gjordes en uppf\u00f6ljning. Sarkadi fick tag p\u00e5 56 procent av ungdomarna som var med i behandlingen. Klart f\u00e4rre hade depression efter \u00e4n innan behandlingen.<\/p>\n

_ <\/sup>\u00a0Trots f\u00f6rb\u00e4ttring verkade det som att de beh\u00f6ll sina symptom, s\u00e4ger Anna Sarkadi och till\u00e4gger att f\u00f6rb\u00e4ttringar i psykisk h\u00e4lsa minskar risken f\u00f6r droganv\u00e4ndande.<\/p>\n

F\u00f6r dem som fick avslag p\u00e5 sin asylsans\u00f6kan f\u00f6rs\u00e4mrades den psykiska h\u00e4lsan igen, till\u00e4gger Anna Sarkadi. Ett antal av dem har g\u00e5tt under jorden f\u00f6r att undvika att gripas av polis och skickas tillbaka till sitt hemland. Den gruppen syns inte i statistiken.<\/p>\n

D\u00e5 f\u00e4rre ensamkommande flyktingbarn kommer till Sverige har mottagande, \u00a0v\u00e5rd och behandling f\u00f6r\u00e4ndrats. Till exempel har m\u00e5nga HVB-hem lagts ner. M\u00e5nga flyktingar som kom 2015 som ensamkommande och \u00e4r kvar i Sverige jobbar eller studerar. Och behovet av st\u00f6d finns kvar \u00e4ven f\u00f6r dem som f\u00e5tt hj\u00e4lp med sin trauma.<\/p>\n

_ <\/sup>Jag tror p\u00e5 elevh\u00e4lsan, s\u00e4ger Anna Sarkadi.<\/p>\n

_ <\/sup>Och vi har \u00e4ven st\u00f6dboenden kvar, s\u00e4ger en i publiken och f\u00f6rklarar att det \u00e4r en slags efterf\u00f6ljare till HVB-hemmen.<\/p>\n

 <\/p>\n

Text: Thomas Gustafsson<\/p>\n

Foto: Tua Lilja<\/p>\n","protected":false},"excerpt":{"rendered":"

2015 kom rekordm\u00e5nga ensamkommande flyktingbarn till Sverige. M\u00e5nga av dem led av psykisk oh\u00e4lsa. 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