Russian invasion of Ukraine has led to one of the largest refugee crises in recent history. Many internally displaced Ukrainians and refugees will need care for PTSD, anxiety, and depression. Here I will suggest practical steps to reduce long-term impact of trauma and stress on refugees' mental and physical health, and functioning. These include mental health first aid in acute phase of arrival, education of mental health and navigating healthcare system in the host countries. As well, training of manualized trauma-focused therapy and intervention methods in the host countries, focused education for physicians on psychopharmacological interventions for common mental health issues among refugees (PTSD, depression, anxiety), and utilization of videoconferencing for treatment, and consultation and supervision for providers.
Highlights: Many internally displaced Ukrainians and refugees will need care for PTSD, anxiety, and depression to prevent long-term disability and health consequences.There are challenges in receiving the needed care including stigma, lack of awareness by patients and providers, lack of resources, and lack of skills in trauma-focused treatments.In this article, suggestions are made on how to overcome these obstacles, that include mental health first aid upon arrival, education for refugees and those serving them, training providers at different layers, and remote treatment and counselling/supervision services.
La invasión rusa a Ucrania ha provocado una de las mayores crisis de refugiados en la historia actual. Muchos ucranianos desplazados internamente y refugiados necesitarán de atención por TEPT, ansiedad y depresión. Aquí sugeriré pasos prácticos para reducir el impacto a largo plazo del trauma y estrés en la salud mental y física y funcionamiento de los refugiados. Estos incluyen primeros auxilios en la salud mental en la fase aguda de llegada, educación en salud mental y orientación en el sistema de servicios de salud en los países de acogida. Además, capacitación en terapia centrada en trauma manualizada y métodos de intervención en los países de acogida, educación focalizada para los médicos en intervenciones psicofarmacológicas para problemas de salud mental comunes entre los refugiados (TEPT, depresión, ansiedad) y utilización de videoconferencias para el tratamiento y consulta y supervisión para los proveedores.
俄罗斯入侵乌克兰导致了近期历史上最大的难民危机之一。 许多国内流离失所的乌克兰人和难民需要治疗PTSD、焦虑和抑郁。 在这里，我将提出切实可行的步骤，以减少创伤和应激对难民身心健康和功能的长期影响。 其中包括到达急性期的心理健康急救、心理健康教育和引导东道国医保系统。 此外，在东道国培训手动化聚焦创伤治疗和干预方法，对医生进行针对难民中常见心理健康问题（PTSD、抑郁症、焦虑症）心理药理学干预的重点教育，以及利用视频会议进行治疗、咨询和对于提供者的督导。.
Keywords: PTSD; Ukrainian refugees; refugees; war trauma.
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