There has been an increasing number of applications from unaccompanied asylum-seeking children (UASC) in the United Kingdom in recent years. It is well-known that this population is at high-risk of developing mental health disorders, which require early detection and intervention to facilitate successful integration. This paper describes the introduction of mental health screening for unaccompanied asylum-seeking children in a National Health Service (NHS) outpatient clinic in central London. This follows the results of a two-year retrospective analysis of the health needs of the population in our clinic, which identified a high incidence of disturbance to mood and sleep. We describe the selection process for a culturally appropriate and validated screening tool, piloting the Refugee Health Screener (RHS) tool with 20 UASC in clinic, and using preliminary findings to inform a more targeted referral to community Child and Adolescent Mental Health Services (CAMHS). We conclude that implementation of the RHS-13 is feasible for widespread mental health screening for UASC in an NHS setting, and provide suggestions for future research directions within this field.

Keywords: Asylum-seeker; adolescents; mental health; refugee; screening.

近年来，英国越来越多的无人陪伴寻求庇护的儿童（UASC）提交了申请。众所周知，这一群体有较高的心理健康问题风险，需要早期发现和干预以促进顺利融合。本文描述了在伦敦市中心的一家国民健康服务（NHS）门诊诊所为无人陪伴寻求庇护的儿童引入心理健康筛查的过程。这基于我们诊所对人口健康需求进行的两年回顾性分析结果，该结果显示情绪和睡眠障碍发生率较高。文中介绍了选择合适且经过验证的文化适应筛选工具的过程，在诊所中使用难民健康筛查器（RHS）工具对20名UASC进行了试点，并利用初步发现来指导向社区儿童及青少年心理健康服务（CAMHS）进行更针对性的转介。我们得出结论，实施RHS-13在NHS环境中为UASC开展广泛的心理健康筛查是可行的，并提供了未来研究方向的建议。

关键词：寻求庇护者；青少年；心理健康；难民；筛查。