title: [Psychotherapeutic treatment of accompanied and unaccompanied minor refugees and asylum seekers with trauma-related disorders in Germany].
abstract: BACKGROUND
  Germany is one of the most important host countries for minor refugees and asylum seekers in Europe. The number of children who leave their home country has significantly risen worldwide in recent years; a further rise is to be expected due to the increasing number of crisis zones. A literature review demonstrates the state of research on traumatization, post-traumatic stress disorders and psychotherapy in minor refugees and asylum seekers.
  Many minor refugees and asylum seekers have made mainly interpersonal traumatic experiences within their home country or during their flight and develop simple or complex post-traumatic stress disorders. Left untreated, there is a risk of chronification.
  The psychotherapeutic treatment of minor refugees and asylum seekers in Germany takes place primarily in specialized psychosocial treatment centers. For an involvement of therapists in private practices, a reduction of organizational barriers as well as evidence-based treatment methods for interpreter-aided psychotherapy of minor refugees and asylum seekers that also consider their developmental state, are still lacking.
  
  
  CONCLUSIONS
  In research, as well as in practice, there is further need for an early and systematic identification and treatment of minor refugees and asylum seekers with post-traumatic stress disorders or high risk of disease in Germany.
authors.affiliation: Poliklinik und Institut für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland. fmetzner@uke.de.
authors.forename: Franka
authors.initials: F
authors.lastname: Metzner
authors.affiliation: Flüchtlingsambulanz für Kinder und Jugendliche, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland.
authors.forename: Cornelia
authors.initials: C
authors.lastname: Reher
authors.affiliation: Abteilung Familie und Familienpolitik, Deutsches Jugendinstitut, München, Deutschland.
authors.forename: Heinz
authors.initials: H
authors.lastname: Kindler
authors.affiliation: Poliklinik und Institut für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland.
authors.forename: Silke
authors.initials: S
authors.lastname: Pawils
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003130:Combat Disorders / Q000523:psychology* / Q000628:therapy*; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D033242:Minors; D020380:Needs Assessment; D015995:Prevalence; D011613:Psychotherapy / Q000706:statistics & numerical data*; D012036:Refugees / Q000523:psychology* / Q000706:statistics & numerical data; D012307:Risk Factors; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology* / Q000628:therapy*; D014600:Utilization Review; D035862:Vulnerable Populations / Q000523:psychology / Q000706:statistics & numerical data
keywords: Asylum seekers; Depression; Interpreter-aided psychotherapy; Minor refugees; Trauma