Implementation and Maintenance of a Community-Based Intervention for Refugee Youth Reporting Symptoms of Post-Traumatic Stress: Lessons from Successful Sites
2020
Elin Lampa | Anna Sarkadi | Georgina Warner
Over the last few years there have been attempts to scale-up Teaching Recovery Techniques (TRT), a community-based group intervention for refugee youth reporting symptoms of post-traumatic stress, across Sweden using the distribution network pathway model. This implementation model allows for quick spread, but only for a low level of control at local sites. This study explores factors and agents that have facilitated the implementation and maintenance of the community-based intervention in successful sites. Seven semi-structured interviews were conducted with personnel from &ldquo:successful&rdquo: community sites, defined as having conducted at least two groups and maintaining full delivery. Data were analyzed using content analysis to identify a theme and categories. The main theme &ldquo:Active networking and collaboration&rdquo: was key to successful maintenance of community-based delivery. Categories included &ldquo:Going to where the potential recipients are&rdquo:, relating to the importance of networks, and &ldquo:Resource availability and management for maintenance&rdquo:, relating to the challenges due to the lack of a lead organization supplying necessary funds and support for maintenance. Additionally, &ldquo:Careful integration of the interpreter&rdquo: underlined that interpreters were essential co-facilitators of the intervention. Although the interviewed professionals represented successful sites, they remained dependent on informal networks and collaboration for successful maintenance of community-based delivery.
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