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Forced Migration and Mental Health by David Ingleby Pdf
Although forced migration is not new in human history it has become, in our time, one of the world's major problems. In the last few decades, armed conflict and political unrest have created vast numbers of asylum seekers, refugees and displaced persons. This has led, in turn to increasing involvement of professional care workers and agencies, both governmental and nongovernmental. While there is no doubt on the part of helping parties that care is necessary, there is considerable debate about the kind of care that is needed. This book presents a critical review of mental health care provisions for people who have had to leave their homeland, and explores the controversies surrounding this topic. Providing fresh perspectives on an age old problem, this book covers humanitarian aid and reconstruction programs as well as service provision in host countries. It is of interest to all those who provide health services, create policy, and initiate legislation for these populations.
Health Policy and Systems Responses to Forced Migration by Kayvan Bozorgmehr,Bayard Roberts,Oliver Razum,Louise Biddle Pdf
Forced migration has yet to be sufficiently addressed from the perspective of health policy and systems research, resulting in limited knowledge on system‐level interventions and policies to improve the health of forced migrants. The contributions within this edited volume seek to rectify this gap in the literature by compiling the existing knowledge on health systems and health policy responses to forced migration with a focus on asylum seekers, refugees, and internally displaced people. It also brings together the work of research communities from the fields of political science, epidemiology, health sciences, economics, psychology, and sociology to push the knowledge frontier of health research in the area of forced migration towards health policy and systems-level interventions, while also framing potential routes for further research in this area. Among the analyses within the chapters: The political economy of health and forced migration in Europe Innovative humanitarian health financing for refugees Understanding the resilience of health systems Health security in the context of forced migration Discrimination as a health systems response to forced migration Health Policy and Systems Responses to Forced Migration offers unique and interdisciplinary theoretical, empirical, and literature-based perspectives that apply a health policy and systems approach to health and healthcare challenges among forced migrants. It will find an engaged audience among policy makers and analysts, international organizations, scholars in academia, think tanks, and students in undergraduate programs or at the graduate level, for policy, practice, and educational purposes.
Refuge and Resilience by Laura Simich,Lisa Andermann Pdf
Taking an interdisciplinary approach and focusing on the social and psychological resources that promote resilience among forced migrants, this book presents theory and evidence about what keeps refugees healthy during resettlement. The book draws on contributions from cultural psychiatry, anthropology, ethics, nursing, psychiatric epidemiology, sociology and social work. Concern about immigrant mental health and social integration in resettlement countries has given rise to public debates that challenge scientists and policy makers to assemble facts and solutions to perceived problems. Since the 1980s, refugee mental health research has been productive but arguably overly-focused on mental disorders and problems rather than solutions. Social science perspectives are not well integrated with medical science and treatment, which is at odds with social reality and underlies inadequacy and fragmentation in policy and service delivery. Research and practice that contribute to positive refugee mental health from Canada and the U.S. show that refugee mental health promotion must take into account social and policy contexts of immigration and health care in addition to medical issues. Despite traumatic experiences, most refugees are not mentally ill in a clinical sense and those who do need medical attention often do not receive appropriate care. As recent studies show, social and cultural determinants of health may play a larger role in refugee health and adaptation outcomes than do biological factors or pre-migration experiences. This book’s goal therefore is to broaden the refugee mental health field with social and cultural perspectives on resilience and mental health.
Forced Migration and Mental Health by David Ingleby Pdf
Although forced migration is not new in human history it has become, in our time, one of the world's major problems. In the last few decades, armed conflict and political unrest have created vast numbers of asylum seekers, refugees and displaced persons. This has led, in turn to increasing involvement of professional care workers and agencies, both governmental and nongovernmental. While there is no doubt on the part of helping parties that care is necessary, there is considerable debate about the kind of care that is needed. This book presents a critical review of mental health care provisions for people who have had to leave their homeland, and explores the controversies surrounding this topic. Providing fresh perspectives on an age old problem, this book covers humanitarian aid and reconstruction programs as well as service provision in host countries. It is of interest to all those who provide health services, create policy, and initiate legislation for these populations.
Forced Migration and Social Trauma by Andreas Hamburger,Camellia Hancheva,Saime Özcürümez,Carmen Scher,Biljana Stankovic,Slavica Tutnjevic Pdf
Forced Migration and Social Trauma addresses the topic of social trauma and migration by bringing together a broad range of interdisciplinary and international contributors, comprising refugee care practitioners, trauma researchers, sociologists and specialists in public policy from all along the Balkan refugee route into Europe. It gives the essence of a moderated dialogue between psychologists and psychoanalysts, sociologists, public policy and refugee care experts. Migration is connected to social trauma and cannot be handled without being aware of this context. The way refugees are treated in the transit or target countries is often determined by the socio-traumatic history of these countries. Social trauma can be collectively committed and perpetuated, leaving transgenerational traces in posttraumatic and attachment disorders, uprootedness and loss of social and political confidence. Media and cultural artefacts like press, TV and the internet influence collective coping as well as traumatic perpetuation. This book shows how xenophobia in the refugee receiving or transit countries can be caused by projection rather than by experience, and that the way refugees are received and regarded in a country may be connected to the country’s cultural‐traumatic history. Refugees, who are often individually and collectively traumatised, experience multiple re-enactments; however, such retraumatisations between refugees and receiving populations or institutions often remain unaddressed. The split between welcoming and hostile attitudes sometimes leads to unconscious institutional defences, such as lack of cooperation between medical, psychotherapeutic, humanitarian and legal institutions. An interdisciplinary and international exchange on migration and social trauma is necessary on all levels – this book gives convincing examples of this dialogue. Forced Migration and Social Trauma will be of great interest to all who are involved in the modern issues of refuge and migration.
Migration and Mental Health by Dinesh Bhugra,Susham Gupta Pdf
Human migration is a global phenomenon and is on the increase. It occurs as a result of 'push' factors (asylum, natural disaster), or as a result of 'pull' factors (seeking economic or educational improvement). Whatever the cause of the relocation, the outcome requires individuals to adjust to their new surroundings and cope with the stresses involved, and as a result, there is considerable potential for disruption to mental health. This volume explores all aspects of migration, on all scales, and its effect on mental health. It covers migration in the widest sense and does not limit itself to refugee studies. It covers issues specific to the elderly and the young, as well as providing practical tips for clinicians on how to improve their own cultural competence in the work setting. The book will be of interest to all mental health professionals and those involved in establishing health and social policy.
Forced Migration and Human Security in the Eastern Orthodox World by Lucian N. Leustean Pdf
The conflict in Eastern Ukraine and the European refugee crisis have led to a dramatic increase in forced displacement across Europe. Fleeing war and violence, millions of refugees and internally displaced people face the social and political cultures of the predominantly Christian Orthodox countries in the post-Soviet space and Southeastern Europe. This book examines the ambivalence of Orthodox churches and other religious communities, some of which have provided support to migrants and displaced populations while others have condemned their arrival. How have religious communities and state institutions engaged with forced migration? How has forced migration impacted upon religious practices, values and political structures in the region? In which ways do Orthodox churches promote human security in relation to violence and ‘the other’? The book explores these questions by bringing together an international team of scholars to examine extensive material in the former Soviet states (Ukraine, Russia, Georgia and Belarus), Southeastern Europe (Turkey, Greece, Serbia, Bulgaria and Romania), Western Europe and the United States.
An Uncertain Safety by Thomas Wenzel,Boris Drožđek Pdf
This book addresses the psychosocial and medical issues of forced migration due to war, major disasters and political as well as climate changes. The topics are discussed in the context of public health and linked to organizational, legal and practical strategies that can offer guidance to professionals, as well as governmental and non-governmental organizations. Both internal and international displacement present substantial challenges that require new solutions and integrated approaches. Issues covered include an overview of current health challenges in the new refugee crises: medicine and mental health in disaster areas, long-term displacement and mental health, integration of legal, medical, social and health economic issues, children and unaccompanied minors, ethical challenges in service provision, short and long-term issues in host countries, models of crises intervention, critical issues, such as suicide prevention, new basic and “minimal” intervention models adapted to limited resources in psychosocial and mental health care, rebuilding of health care in post-disaster/conflict countries, training and burn-out prevention. The book was developed in collaboration with the World Psychiatric Association, and is endorsed by Fabio Grandi (UN High Commissioner for Refugees), Manfred Nowak (former UN Special Rapporteur for Torture), and Jorge Aroche (President of IRCT).
Author : Kenneth E. Miller,Lisa M. Rasco Publisher : Taylor & Francis Page : 435 pages File Size : 54,5 Mb Release : 2004-05-20 Category : Medical ISBN : 9781135636678
The Mental Health of Refugees by Kenneth E. Miller,Lisa M. Rasco Pdf
It is estimated that at least 33 million people around the world have been displaced from their homes by war or persecution. Numerous studies have documented high rates of psychological distress among these survivors of extreme violence and forced migration, yet very few have access to clinic-based mental health care. In any case, clinic-based services cannot adequately address the constellation of displacement-related stressors that affect refugees daily, whether in a new region of their homeland or a new country--stressors such as social isolation, the loss of previously valued social roles, poverty and a lack of employment opportunities, and difficulties obtaining education and medical care. Additionally, many refugees from non-western societies find western methods of psychiatric and psychological healing culturally alien or stigmatizing, and therefore underutilize such services. This book brings together an international group of experts on the mental health of refugees who have pioneered a new approach to healing the psychological wounds of war and forced migration. Their work is guided by an ecological model, which, in contrast to the prevailing medical model of psychiatry and clinical psychology, emphasizes the development of culturally grounded mental health interventions in non-stigmatized community settings. The ecological model also prioritizes synergy with natural community resources to promote adaptation, prevention over treatment, the active involvement of community members in all phases of the intervention process, and the empowerment of marginalized communities to address their own mental health needs. Drawing on their expertise in community psychology, prevention science, anthropology, social psychology, social psychiatry, public health and child development, the authors present a variety of highly innovative, culturally grounded interventions designed to improve the mental health and psychosocial well-being of communities that have survived the nightmares of political repression, civil war, and genocide. They discuss the various conceptions of well-being and distress that have informed their projects, their own integrations of western and indigenous approaches to understanding and relieving psychological distress, and in several instances their creative use of well-trained paraprofessionals. They examine with remarkable candor the challenges they have faced in carrying out their work in extraordinarily demanding conditions. An extended introductory chapter reviews and analyzes what we know about the impact of political violence and exile on mental health, and lays out the ecological model in rich theoretical and empirical context. The first of two concluding chapters addresses the critical and often-neglected issue of the evaluation of community-based interventions in conflict and post-conflict settings; the second sums up the implications of the achievements and limitations of the programs described, poses questions that must be answered, such as "How adequate is the PTSD construct in capturing the nature of refugee trauma?", and suggests numerous directions for future research and practice. The Mental Health of Refugees: Ecological Approaches to Healing and Adaptation is an essential reference for all professionals who seek to serve members of this vulnerable population, for those who train and supervise them, and for program administrators and policymakers concerned with refugee well-being. It is also an excellent resource for graduate courses in public mental health, community psychology and psychiatry, refugee and immigrant studies, psychological trauma, medical anthropology, and ethnopolitical violence.
Psychosocial Wellness of Refugees by Frederick L. Ahearn Pdf
In recent years, scholars in the fields of refugee studies and forced migration have extended their areas of interest and research into the phenomenon of displacement, human response to it, and ways to intervene to assist those affected, increasingly focusing on the emotional and social impact of displacement on refugees and their adjustment to the traumatic experiences. In the process, the positive concept of "psychosocial wellness" was developed as discussed in this volume. In it noted scholars address the strengths and limitations of their investigations, citing examples from their work with refugees from Afghanistan, Cambodia, Vietnam, Palestine, Cuba, Nicaragua, Haiti, Eastern Europe, Bosnia, and Chile. The authors discuss how they define "psychosocial wellness," as well as the issues of sample selection, measurement, reliability and validity, refugee narratives and "voices," and the ability to generalize findings and apply these to other populations. The key question that has guided many of these investigations and underlies the premise of this book is "what happens to an ordinary person who has experienced an extraordinary event?" This volume also highlights the fact that those involved in such research must also deal with their own emotional responses as they hear victims tell of killing, torture, humiliation, and dispossesion. The volume will therefore appeal to practitioners of psychology, psychiatry, social work, nursing, and anthropology. However, its breadth and the evaluation of the strengths and disadvantages of both qualitative and quantitative methods also make it an excellent text for students.
Trauma and Resilience Among Displaced Populations by Gail Theisen-Womersley Pdf
This open access book provides an enriched understanding of historical, collective, cultural, and identity-related trauma, emphasising the social and political location of human subjects. It therefore presents a socio-ecological perspective on trauma, rather than viewing displaced individuals as traumatised “passive victims”. The vastness of the phenomenon of trauma among displaced populations has led it to become a critical and timely area of inquiry, and this book is an important addition to the literature. It gives an overview of theoretical frameworks related to trauma and migration—exploring factors of risk and resilience, prevalence rates of PTSD, and conceptualisations of trauma beyond psychiatric diagnoses; conceptualises experiences of trauma from a sociocultural perspective (including collective trauma, collective aspirations, and collective resilience); and provides applications for professionals working with displaced populations in complex institutional, legal, and humanitarian settings. It includes case studies based on the author’s own 10-year experience working in emergency contexts with displaced populations in 11 countries across the world. This book presents unique data collected by the author herself, including interviews with survivors of ISIS attacks, with an asylum seeker in Switzerland who set himself alight in protest against asylum procedures, and women from the Murle tribe affected by the conflict in South Sudan who experienced an episode of mass fainting spells. This is an important resource for academics and professionals working in the field of trauma studies and with traumatised groups and individuals.
Forced Migration, Gender and Wellbeing by Selma Porobić,Brad K. Blitz Pdf
Reflecting on three decades of post-conflict recovery in the Balkans, this incisive book investigates the long-term effects of war displacement on women across Bosnia and Herzegovina, Serbia, and Kosovo. Selma Porobić and Brad K. Blitz draw upon four different research streams produced by a large, cross-national, and multidisciplinary team of contributors to compare the experiences of different categories of war-uprooted and/or women forced migrants.
This book provides an overview of recent trends in the management of trauma and post-traumatic stress disorders that may ensue from distressing experiences associated with the process of migration. Although the symptoms induced by trauma are common to all cultures, their specific meaning and the strategies used to deal with them may be culture-specific. Consequently, cultural factors can play an important role in the diagnosis and treatment of individuals with psychological reactions to extreme stress. This role is examined in detail, with an emphasis on the need for therapists to bear in mind that different cultures often have different concepts of health and disease and that cross-cultural communication is therefore essential in ensuring effective care of the immigrant patient. The therapist’s own intercultural skills are highlighted as being an important factor in the success of any treatment and specific care contexts and the global perspective are also discussed.
Health in Diversity – Diversity in Health by Katharina Crepaz,Ulrich Becker,Elisabeth Wacker Pdf
European public discourse often frames (forced) migration solely as a security issue and ignores the implications of societal diversity for health, quality-of-life and well-being, in both Africa and Europe. The present volume offers an interdisciplinary and international look at the relationship between refugees, diversity, and health, including health care policies, socio-political framework conditions, environmental factors, the situation in refugee camps, quality-of-life approaches and economical perspectives.