How we can bring mental health support to refugees | Essam Daod

Prevoditelj: Ivan Stamenković Recezent: Sanda L

For the last two and a half years,

Posljednje dvije i pol godine,

I'm one of the few, if not the only, child psychiatrist

ja sam jedan od nekoliko, ako ne i jedini dječji psihijatar

operating in refugee camps, shorelines and rescue boats

koji radi u izbjegličkim kampovima, na obali i na spasilačkim brodovima

in Greece and the Mediterranean Sea.

u Grčkoj i na Mediteranu.

And I can say, with great confidence,

I mogu reći, s velikom sigurnošću,

that we are witnessing a mental-health catastrophe

da svjedočimo katastrofi mentalnog zdravlja

that will affect most of us, and it will change our world.

koja će utjecati na većinu nas i promijeniti naš svijet.

I live in Haifa, but nowadays, I spend most of my time abroad.

Živim u Haifi, ali većinom sam u inozemstvu.

During my time on the Greek island of Lesbos

Za vrijeme mog boravka na grčkom otoku Lesbos

and on the rescue boats in the Mediterranean,

i na spasilačkim brodovima u Mediteranu,

thousands of refugee boats arrived to the shoreline,

tisuće izbjegličkih brodova došlo je na obalu,

crowded with more than 1.5 million refugees.

prevozeći više od 1,5 milijuna izbjeglica.

One-fourth of them are children,

Četvrtina njih su djeca

fleeing war and hardship.

koja bježe od rata i nevolja.

Each boat carries different sufferings and traumas

Svaki brod nosi različite traume i patnje

from Syria, Iraq, Afganistan and different countries in Africa.

iz Sirije, Iraka, Afganistana i raznih zemalja Afrike.

In the last three years alone,

Samo u posljednje tri godine,

more than 12,000 refugees lost their lives.

više od 12 000 izbjeglica izgubilo je živote.

And hundreds of thousands lost their souls and their mental health

I stotine tisuća izgubilo je duševno i mentalno zdravlje

due to this cruel and traumatic experience.

zbog ovog okrutnog i traumatičnog iskustva.

I want to tell you about Omar,

Želim vam pričati o Omaru,

a five-year-old Syrian refugee boy

petogodišnjem izbjeglici iz Sirije,

who arrived to the shore on Lesbos on a crowded rubber boat.

koji je stigao na obale Lesbosa u prepunom gumenom čamcu.

Crying, frightened, unable to understand what's happening to him,

Uplakan, preplašen, nije razumio što mu se događa,

he was right on the verge of developing a new trauma.

bio je na rubu razvitka nove traume.

I knew right away that this was a golden hour,

Znao sam odmah da je ovo bio tzv. zlatni sat,

a short period of time in which I could change his story,

kratko razdoblje u kojem mogu izmijeniti njegovu priču.

I could change the story

Mogu izmijeniti priču

that he would tell himself for the rest of his life.

koju će si pričati ostatak svoga života.

I could reframe his memories.

Mogu preoblikovati njegova sjećanja.

I quickly held out my hands and said to his shaking mother in Arabic,

Ispružio sam ruke i rekao njegovoj majci na arapskom,

(Arabic) "Ateeni elwalad o khudi nafas."

(Arapski) "Ateeni elwalad o khudi nafas."

"Give me the boy, and take a breath."

"Daj mi dječaka i udahni."

His mother gave him to me.

Majka mi ga je dala.

Omar looked at me with scared, tearful eyes and said,

Omar me pogledao uplašenim, suznim očima i rekao,

(Arabic) "Ammo (uncle in Arabic), shu hada?"

(Arapski) "Ammo (ujak na arapskom) shu hada?"

"What is this?"

"Što je ovo?"

as he pointed out to the police helicopter hovering above us.

dok je pokazivao na policijski helikopter iznad nas.

"It's a helicopter!

"To je helikopter!

It's here to photograph you with big cameras,

Tu je da bi te uslikao velikim kamerama,

because only the great and the powerful heroes,

jer samo veliki i snažni junaci,

like you, Omar, can cross the sea."

poput tebe, Omare, mogu preći more."

Omar looked at me, stopped crying and asked me,

Omar me pogledao, prestao plakati i pitao me,

(Arabic) "Ana batal?"

(Arapski) "Ana batal?"

"I'm a hero?"

"Ja sam junak?"

I talked to Omar for 15 minutes.

Pričao sam s Omarom 15 minuta.

And I gave his parents some guidance to follow.

I dao sam njegovim roditeljima neke naputke za dalje.

This short psychological intervention

Ova kratka psihološka intervencija

decreases the prevalence of post-traumatic stress disorder

smanjuje rasprostranjenost posttraumatskog stresnog poremećaja

and other mental health issues in the future,

i ostalih budućih problema s mentalnim zdravljem,

preparing Omar to get an education,

pripremajući Omara za obrazovanje,

join the workforce, raise a family and beyond.

pridruživanje radnoj snazi, zasnivanje obitelji i drugo.

How?

Kako?

By stimulating the good memories that will be stored in the amygdala,

Stimulirajući dobra sjećanja koja će biti pohranjena u amigdali,

the emotional storage of the human brain.

emocionalnom spremištu mozga.

These memories will fight the traumatic ones,

Ova sjećanja borit će se s traumatičnima

if they are reactivated in the future.

ako su ponovno aktivirana u budućnosti.

To Omar, the smell of the sea will not just remind him

Za Omara, miris mora neće ga podsjećati samo

of his traumatic journey from Syria.

na njegov traumatični put iz Sirije.

Because to Omar, this story is now a story of bravery.

Jer za Omara, to je sada priča o hrabrosti.

This is the power of the golden hour,

Ovo je moć "zlatnog sata",

which can reframe the trauma and establish a new narrative.

koji može preobličiti traumu i uspostaviti novu priču.

But Omar is only one out of more than 350,000 children

Ali Omar je samo jedno od više od 350 000 djece

without the proper mental health support in this crisis alone.

bez prave podrške mentalnom zdravlju samo u ovoj krizi.

Three hundred and fifty thousand children and me.

350 000 djece i ja.

We need mental health professionals

Trebamo profesionalce za mentalno zdravlje

to join rescue teams during times of active crisis.

koji će se pridružiti timovima za vrijeme aktivnih kriza.

This is why my wife and I and friends co-founded "Humanity Crew."

Zato smo moja žena, moji prijatelji i ja osnovali "Humanity Crew."

One of the few aid organizations in the world

Jednu od nekolicine organizacija u svijetu

that specializes in providing psychosocial aid

koja se specijalizira za pružanje psihološke pomoći

and first-response mental health interventions

i prve pomoći u intervencijama vezanim uz mentalno zdravlje

to refugees and displaced populations.

izbjeglicama i preseljenim zajednicama.

To provide them with a suitable intervention,

Kako bismo im pružili odgovarajuću intervenciju,

we create the four-step approach, a psychosocial work plan

stvaramo pristup od četiri koraka, psihosocijalni radni plan

that follows the refugees on each step of their journey.

koji prati izbjeglice na svakom koraku njihova putovanja.

Starting inside the sea, on the rescue boats,

Počinje na moru, na brodovima za spašavanje,

as mental health lifeguards.

kao spasioci za mentalno zdravlje.

Later in the camps, hospitals and through our online clinic

Kasnije u kampovima, bolnicama i kroz našu online kliniku

that breaks down borders and overcomes languages.

koja ruši granice i svladava jezike.

And ending in the asylum countries, helping them integrate.

I završava u zemljama azila, pomažući im da se integriraju.

Since our first mission in 2015,

Od naše prve misije 2015.

"Humanity Crew" had 194 delegations

"Humanity Crew" imao je 194 delegacije

of qualified, trained volunteers and therapists.

kvalificiranih, treniranih volontera i terapeuta.

We have provided 26,000 hours of mental health support

Pružili smo više od 26 000 sati pomoći za mentalno zdravlje

to over 10,000 refugees.

preko 10 000 izbjeglica.

We can all do something to prevent this mental health catastrophe.

Svi možemo učiniti nešto kako bismo spriječili ovu katastrofu.

We need to acknowledge that first aid is not just needed for the body,

Trebamo prihvatiti da prva pomoć nije potrebna samo tijelu,

but it has also to include the mind, the soul.

već treba uključivati um i dušu.

The impact on the soul is hardly visible,

Utjecaj na dušu je jedva vidljiv,

but the damage can be there for life.

ali šteta može biti doživotna.

Let's not forget that what distinguishes us humans from machines

Ne zaboravimo da je ono što razlikuje ljude od strojeva

is the beautiful and the delicate soul within us.

naša prekrasna i osjetljiva duša u nama.

Let's try harder to save more Omars.

Potrudimo se spasiti više Omara.

Thank you.

Hvala vam.

(Applause)

(Pljesak)

(Cheers)

(Povici)

(Applause)

(Pljesak)