007. Факультет охорони здоров`я, соціальної роботи і психології
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Факультет створений у 2023 році.
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Browsing 007. Факультет охорони здоров`я, соціальної роботи і психології by Author "Bogdanov, Sergiy"
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Item A comparative analysis of explanatory models of alcohol misuse in conflict-affected groups in Uganda and Ukraine(2023) Van Der Boor, Catharina; Moore, Quincy; Andersen, Lena Skovgaard; Koss, Kateryna; Roberts, Bayard; May, Carl; Nadkarni, Abhijit; Bogdanov, Sergiy; Tol, Wietse; Fuhr, DanielaObjective: To explore the contextual and interpersonal circumstances that influence AUDs in conflict-affected men in Uganda and Ukraine. Specifically, we investigated context-specific explanatory models of AUDs and the differences and similarities between these two settings.Item Development and Piloting of a Mental Health Prevention and Referral Program for Veterans and Their Families in Ukraine(2023) Nguyen, Amanda J.; Russell, Tara; Skavenski, Stephanie; Bogdanov, Sergiy; Lomakina, Kira; Ivaniuk, Iryna; Aldridge, Luke R.; Bolton, Paul; Murray, Laura; Bass, JudyBackground: While growing evidence exists for the effectiveness of mental health interventions in global mental health, the evidence base for psychosocial supports is lacking despite the need for a broader range of supports that span the prevention–treatment continuum and can be integrated into other service systems. Following rigorous evaluation of the Common Elements Treatment Approach (CETA) in Ukraine, this article describes the development and feasibility testing of CETA Psychosocial Support (CPSS), a brief psychosocial prevention and referral program for Ukrainian veterans and their families. CPSS Development: CPSS development used evidence-based CETA intervention components and was informed by a stakeholder needs analysis incorporating feedback from veterans and their families, literature review, and expert consultations. The program includes psychoeducation, cognitive coping skill development, and a self-assessment tool that identifies participants for potential referral. After initial development of the program, the intervention underwent: (1) initial implementation by skilled providers focused on iterative refinement; (2) additional field-testing of the refined intervention by newly trained providers in real-world conditions; and (3) a formal pilot evaluation with collection of pre-post mental health assessments and implementation ratings using locally validated instruments. Results: Fifteen CPSS providers delivered 14 group sessions to 109 participants (55 veterans, 39 family members, and 15 providers from veterans’ service organizations). After incorporating changes related to content, process, and group dynamics, data from the pilot evaluation suggest the refined CPSS program is an acceptable and potentially effective brief psychosocial prevention and promotion program that can be implemented by trained veteran providers. Forty percent of participants required safety or referral follow-ups. Conclusion: The iterative, inclusive development process resulted in an appropriate program with content and implementation strategies tailored to Ukrainian veterans and their families. Brief psychosocial programs can fit within a larger multitiered mental health and psychosocial continuum of care that supports further referral.Item Development of a non-specialist worker delivered psychological intervention to address alcohol use disorders and psychological distress among conflict-affected populations in Uganda and Ukraine(2025) Nadkarni, Abhijit; Massazza, Alessandro; Tol, Wietse A.; Bogdanov, Sergiy; Andersen, Lena; Moore, Quincy; Roberts, Bayard; Weiss, Helen; Singh, Soumya; Neuman, Melissa; May, Carl; Fuhr, DanielaBackground. Despite the significant burden of alcohol use disorders (AUD), there is a large treatment gap, especially in settings and populations affected by armed conflict. A key barrier to care is the lack of contextually relevant interventions and adequately skilled human resources to deliver them. This paper describes the systematic development of the CHANGE intervention, a potentially scalable psychological intervention for people with co-existing AUD and psychological distress in conflict-affected populations, delivered by non-specialist workers (NSWs). Methods. CHANGE was developed in sequential steps: (1) identifying potential treatment strategies through a metareview and Delphi survey with international experts; (2) in-depth interviews (IDIs) with key stakeholders from the study settings in Uganda and Ukraine; and (3) three consultative workshops with international experts and experts from Uganda and Ukraine to develop a theoretical framework for the intervention informed by outputs of the Delphi and IDIs. Results. In the Delphi survey, experts reached agreement on the acceptability, feasibility and potential effectiveness of the following components: identify high-risk situations, problem solving skills, assessment, handling drinking urges, communication skills, pros and cons of drinking, and identifying high-risk situations. From the IDIs we identified (a) causal attributions for using alcohol e.g., psychosocial stressors; (b) cultural norms related to alcohol consumption such as patriarchal stereotypes; and (c) coping strategies to deal with drinking problems such as distraction. The CHANGE intervention developed through the consultative workshops can be delivered in three sequential phases focussed on assessment, feedback, and information (Phase 1); providing the client with need-based skills for dealing with high-risk situations related to alcohol use (Phase 2), and relapse prevention and management (Phase 3). Conclusions CHANGE is a contextually relevant and potentially scalable treatment for co-existing AUD and psychological distress to be delivered by NSWs to conflict-affected populations. Effectiveness and cost-effectiveness of CHANGE will be tested in Uganda and Ukraine.Item Explanatory models and coping with alcohol misuse among conflict-affected men in Ukraine(2025) Bogdanov, Sergiy; Koss, Kateryna; Hook, Kimberly; Moore, Quincy; Van Der Boor, Catharina; Massazza, Alessandro; Fuhr, Daniela; Roberts, Bayard; May, Carl; Fedorets, Olha; Bayer, Oxana; Karachevskyy, Andrii; Nadkarni, AbhijitAffecting nearly 10% of men globally, alcohol use disorders (AUDs) represent a significant public health burden. Existing work, including from Ukraine, suggests that living in conflict settings may exacerbate the risk of AUDs. However, there is a dearth of evidence regarding alcohol misuse, as well as knowledge of factors associated with alcohol misuse patterns, in conflict settings. The aim of this qualitative study was to investigate explanatory models of alcohol misuse among conflict-affected men in Ukraine. Purposive and snowball sampling were used to recruit 66 conflict-affected men with alcohol misuse, family members of men who misuse alcohol, community health workers, and mental health and psychosocial support providers from locations across Ukraine. In the group of men who misuse alcohol (n = 25), we recruited individuals with diverse experiences of adversity: 1) internally displaced persons from eastern Ukraine and Crimea displaced after 2014; 2) Ukrainian military veterans or territorial defense volunteers from various regions; and 3) men living 5–15 km from the frontline. Semistructured interviews were conducted in Ukrainian or Russian, and analysed using deductive and inductive analysis. Qualitative data received from each subgroup were analysed separately. The resulting explanatory model represents how Ukrainian conflict-affected men describe causes of alcohol misuse. Participants identified that alcohol misuse among Ukrainian men is often used as "self-treatment" to address mental health symptoms and feelings of demoralization that are exacerbated by a lack of supportive social environments and socioeconomic problems; these behaviours also occur in an environment that deems alcohol misuse to be culturally appropriate. Family members and service providers offered a similar understanding of alcohol misuse as the men themselves. Strategies suggested by conflict-affected men to protect against alcohol misuse included engaging in alternative activities, finding supportive social environments, fear of negative consequences from alcohol misuse and increasing self-awareness and self-control. These findings indicate possible implications for interventions that target alcohol misuse among conflict-affected men, as well as demonstrate a need for developing culturally sensitive interventions that can address this unaddressed public health need.Item Meeting the long-term health needs of Ukrainian refugees(2023) Murphy, Adrianna; Bartovic, Jozef; Bogdanov, Sergiy; Bozorgmehr, Kayvan; Gheorgita, Stela; Habicht, Triin; Richardson, Erica; Azzopardi-Muscat, Natasha; McKee, MartinObjectives: Since Russia's full-scale invasion of Ukraine on 24 February 2022, millions of people have fled the country. Most people have gone to the neighbouring countries of Poland, Slovakia, Hungary, Romania, and Moldova. This vulnerable population has significant healthcare needs. Among the most challenging to address will be chronic non-communicable diseases (NCDs), including mental disorders, as these require long-term, continuous care and access to medicines. Host country health systems are faced with the challenge of ensuring accessible and affordable care for NCDs and mental disorders to this population. Our objectives were to review host country health system experiences and identify priorities for research to inform sustainable health system responses to the health care needs of refugees from Ukraine. Study Design: In-person conference workshop. Methods: A workshop on this subject was held in November 2022 at the European Public Health Conference in Berlin. Results: The workshop included participants from academia and non-governmental organisations, health practitioners, and World Health Organisation regional and country offices. This short communication reports the main conclusions from the workshop. Conclusion: Addressing the challenges and research priorities identified will require international solidarity and co-operation.Item Project: Safe Space: comprehensive psychosocial support to war-affected Ukrainian schools : research report(2023) Bogdanov, Sergiy; Harbar, Kateryna; Bychko, HannaThe "Safe Space" is a comprehensive psychosocial program, specifically aimed at enhancing the resilience of schoolchildren in the aftermath of traumatic events. Its multifaceted approach includes components directed at both children and their immediate social environment, involving parents and teachers. The Safe Space programme has a multi-level structure. This ensures that support is provided to everyone involved at different stages of implementation. Recognizing the dynamic nature of trauma response, the program allows for the integration of new research and methodologies, continuously evolving to meet the ever-changing needs of the community it serves. The model includes training teachers on resilience strengthening at the first level and training school psychologists in the 7-session group intervention with students at second level. Within educational institutions, the program is executed by school psychologists and teachers, who undergo specialized training in Safe Space methodology. Training for psychologists includes 3 days of didactics followed by weekly supervisions. Certification can succeed after conducting at list 2 children’s groups under supervision. Teacher’s training includes 1 day of didactic in the class room followed by 2 monthly online supervisions. Due to the security reasons caused by war all didactically trainings for teachers and school psychologists have happened in online format only.