STARC-SUD – Adaptation of a Transdiagnostic Intervention for Refugees With Substance Use Disorders

[Background] Refugees often suffer from multiple mental health problems, which transdiagnostic interventions can address. STARC (Skills-Training of Affect Regulation – A Culture-sensitive Approach) is a culturally sensitive transdiagnostic group intervention that has been developed for refugees to i...

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Main Authors: Annett Lotzin, Jutta Lindert, Theresa Koch, Alexandra Liedl, Ingo Schäfer
Format: Article
Language:English
Published: PsychOpen GOLD/ Leibniz Institute for Psychology 2021-11-01
Series:Clinical Psychology in Europe
Subjects:
Online Access:https://cpe.psychopen.eu/index.php/cpe/article/view/5329
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author Annett Lotzin
Jutta Lindert
Theresa Koch
Alexandra Liedl
Ingo Schäfer
author_facet Annett Lotzin
Jutta Lindert
Theresa Koch
Alexandra Liedl
Ingo Schäfer
author_sort Annett Lotzin
collection DOAJ
description [Background] Refugees often suffer from multiple mental health problems, which transdiagnostic interventions can address. STARC (Skills-Training of Affect Regulation – A Culture-sensitive Approach) is a culturally sensitive transdiagnostic group intervention that has been developed for refugees to improve affect regulation. In refugees with substance use disorders (SUD), the consideration of SUD-specific elements might improve the acceptance and effectiveness of such an intervention. We aimed to adapt the STARC program for refugees with SUD in a culturally sensitive way. [Method] The conceptual framework of Heim and Kohrt (2019) was used to culturally sensitively adapt the STARC program to the needs of Syrian refugees with SUD. The results of five focus group discussions with refugees on cultural concepts of SUD and their treatment informed the adaption. An expert group suggested adaptions and decided by consensus on their implementation. Two pilot groups were conducted with the adapted STARC-SUD program. Interviews with the therapists of these pilot groups informed further adaption. [Results] The concepts related to SUD identified in focus groups and therapists’ interviews that differed from Western concepts were integrated into the STARC intervention. [Discussion] Further studies should assess the acceptance and effectiveness of the culturally sensitive STARC-SUD program for refugees with SUD.
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spelling doaj.art-7fca4bfc88f24b34aa32202073edf1822023-01-02T17:09:09ZengPsychOpen GOLD/ Leibniz Institute for PsychologyClinical Psychology in Europe2625-34102021-11-013Special Issue10.32872/cpe.5329cpe.5329STARC-SUD – Adaptation of a Transdiagnostic Intervention for Refugees With Substance Use DisordersAnnett Lotzin0Jutta Lindert1Theresa Koch2Alexandra Liedl3Ingo Schäfer4Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, University of Hamburg, Hamburg, GermanyUniversity of Applied Sciences, Emden / Leer, Emden, GermanyRefugio München, Munich, GermanyRefugio München, Munich, GermanyDepartment of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, University of Hamburg, Hamburg, Germany[Background] Refugees often suffer from multiple mental health problems, which transdiagnostic interventions can address. STARC (Skills-Training of Affect Regulation – A Culture-sensitive Approach) is a culturally sensitive transdiagnostic group intervention that has been developed for refugees to improve affect regulation. In refugees with substance use disorders (SUD), the consideration of SUD-specific elements might improve the acceptance and effectiveness of such an intervention. We aimed to adapt the STARC program for refugees with SUD in a culturally sensitive way. [Method] The conceptual framework of Heim and Kohrt (2019) was used to culturally sensitively adapt the STARC program to the needs of Syrian refugees with SUD. The results of five focus group discussions with refugees on cultural concepts of SUD and their treatment informed the adaption. An expert group suggested adaptions and decided by consensus on their implementation. Two pilot groups were conducted with the adapted STARC-SUD program. Interviews with the therapists of these pilot groups informed further adaption. [Results] The concepts related to SUD identified in focus groups and therapists’ interviews that differed from Western concepts were integrated into the STARC intervention. [Discussion] Further studies should assess the acceptance and effectiveness of the culturally sensitive STARC-SUD program for refugees with SUD.https://cpe.psychopen.eu/index.php/cpe/article/view/5329emotion regulationaffect regulationsubstance use disordersaddictionrefugeesgroup treatmentcultural adaptionformative research
spellingShingle Annett Lotzin
Jutta Lindert
Theresa Koch
Alexandra Liedl
Ingo Schäfer
STARC-SUD – Adaptation of a Transdiagnostic Intervention for Refugees With Substance Use Disorders
Clinical Psychology in Europe
emotion regulation
affect regulation
substance use disorders
addiction
refugees
group treatment
cultural adaption
formative research
title STARC-SUD – Adaptation of a Transdiagnostic Intervention for Refugees With Substance Use Disorders
title_full STARC-SUD – Adaptation of a Transdiagnostic Intervention for Refugees With Substance Use Disorders
title_fullStr STARC-SUD – Adaptation of a Transdiagnostic Intervention for Refugees With Substance Use Disorders
title_full_unstemmed STARC-SUD – Adaptation of a Transdiagnostic Intervention for Refugees With Substance Use Disorders
title_short STARC-SUD – Adaptation of a Transdiagnostic Intervention for Refugees With Substance Use Disorders
title_sort starc sud adaptation of a transdiagnostic intervention for refugees with substance use disorders
topic emotion regulation
affect regulation
substance use disorders
addiction
refugees
group treatment
cultural adaption
formative research
url https://cpe.psychopen.eu/index.php/cpe/article/view/5329
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