Resilient Health Care

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Resilient Health Care

Erik Hollnagel,Jeffrey Braithwaite
Resilient Health Care Book PDF

Author : Erik Hollnagel,Jeffrey Braithwaite
Publisher : CRC Press
Page : 254 pages
File Size : 44,9 Mb
Release : 2019-07-23
Category : Medical
ISBN : 9781317065166

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Resilient Health Care by Erik Hollnagel,Jeffrey Braithwaite Pdf

Health care is everywhere under tremendous pressure with regard to efficiency, safety, and economic viability - to say nothing of having to meet various political agendas - and has responded by eagerly adopting techniques that have been useful in other industries, such as quality management, lean production, and high reliability. This has on the whole been met with limited success because health care as a non-trivial and multifaceted system differs significantly from most traditional industries. In order to allow health care systems to perform as expected and required, it is necessary to have concepts and methods that are able to cope with this complexity. Resilience engineering provides that capacity because its focus is on a system’s overall ability to sustain required operations under both expected and unexpected conditions rather than on individual features or qualities. Resilience engineering’s unique approach emphasises the usefulness of performance variability, and that successes and failures have the same aetiology. This book contains contributions from acknowledged international experts in health care, organisational studies and patient safety, as well as resilience engineering. Whereas current safety approaches primarily aim to reduce or eliminate the number of things that go wrong, Resilient Health Care aims to increase and improve the number of things that go right. Just as the WHO argues that health is more than the absence of illness, so does Resilient Health Care argue that safety is more than the absence of risk and accidents. This can be achieved by making use of the concrete experiences of resilience engineering, both conceptually (ways of thinking) and practically (ways of acting).

Resilient Health Care, Volume 3

Jeffrey Braithwaite,Robert L. Wears,Erik Hollnagel
Resilient Health Care Volume 3 Book PDF

Author : Jeffrey Braithwaite,Robert L. Wears,Erik Hollnagel
Publisher : CRC Press
Page : 210 pages
File Size : 47,8 Mb
Release : 2016-10-03
Category : Business & Economics
ISBN : 9781498780575

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Resilient Health Care, Volume 3 by Jeffrey Braithwaite,Robert L. Wears,Erik Hollnagel Pdf

This book is the 3rd volume in the Resilient Health Care series. Resilient health care is a product of both the policy and managerial efforts to organize, fund and improve services, and the clinical care which is delivered directly to patients. This volume continues the lines of thought in the first two books. Where the first volume provided the rationale and basic concepts of RHC and the second teased out the everyday clinical activities which adjust and vary to create safe care, this book will look more closely at the connections between the sharp and blunt ends. Doing so will break new ground, since the systematic study in patient safety to date with few exceptions has been limited.

Working Across Boundaries

Jeffrey Braithwaite,Erik Hollnagel,Garth S Hunte
Working Across Boundaries Book PDF

Author : Jeffrey Braithwaite,Erik Hollnagel,Garth S Hunte
Publisher : CRC Press
Page : 178 pages
File Size : 49,9 Mb
Release : 2019-06-03
Category : Technology & Engineering
ISBN : 9781000007343

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Working Across Boundaries by Jeffrey Braithwaite,Erik Hollnagel,Garth S Hunte Pdf

The book demonstrates how Resilient Health Care principles can enable those on the frontline to work more effectively towards interdisciplinary care by gaining a deeper understanding of the boundaries that exist in everyday clinical settings. This is done by presenting a set of case studies, theoretical chapters and applications that relate experiences, bring forth ideas and illustrate practical solutions. The chapters address many different issues such as resolving conflict, overcoming barriers to patient-flow management, and building connections through negotiation. They represent a range of approaches, rather than a single way of solving the practical problems, and have been written to serve both a scientific and an andragogical purpose. Working Across Boundaries is primarily aimed at people who are directly involved in the running and improvement of health care systems, providing them with practical guidance. It will also be of direct interest to health care professionals in clinical and managerial positions as well as researchers. Presents the latest work of the lauded Resilient Health Care Net group, developing applications of Resilience Engineering to health care, furthering safety thinking and generating applicable solutions that will benefit patient safety worldwide Enables health care professionals to become aware of the boundaries that affect their work so that they are able to use their strengths and overcome their weaknesses Written from a Safety-II perspective, where the purpose is to make sure that as much as possible goes well and the focus therefore is on everyday work rather than on failures. There are at present no other books that adopt this perspective nor which go into the practical details Provides a concise presentation of the state of resilient health care as a science, in terms of major theoretical issues and practical methods and techniques on the overarching and important topics of boundary-crossing and integration of care settings

Resilience in Healthcare Leadership

Alan Belasen, PhD
Resilience in Healthcare Leadership Book PDF

Author : Alan Belasen, PhD
Publisher : CRC Press
Page : 208 pages
File Size : 48,9 Mb
Release : 2022-01-20
Category : Business & Economics
ISBN : 9781000520637

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Resilience in Healthcare Leadership by Alan Belasen, PhD Pdf

The COVID-19 Pandemic has been an ultimate challenge for leadership resiliency. Resilient leaders are thoughtful and deliberate. They balance logic and emotion, ego and humility. They lead through compassionate empathy by focusing on the ‘how’, not only the ‘what’. They use their influence to drive positive change, diversity and inclusion, and create an equitable community. Most books on resilient leadership appear to focus on spirituality and tools to grow an “unshakable core of calm, strength, and happiness” or “bounce back without getting stuck in the toxic emotions of guilt, false guilt, anger, and bitterness”. These books are very similar to handbooks focusing on mental toughness and providing guides for overcoming adversity and managing negative emotions. This book, however, defines resilience as a critical competency of high-performing leaders. Leaders must cultivate resilience in themselves and foster it throughout their organizations and multidisciplinary teams in order to adapt and succeed. Resilience in Healthcare Leadership is differentiated by offering practical strategies and self-assessment instruments for identifying strengths and weaknesses and for developing and sustaining the performance of resilient leaders. The book will also focus on best practices to help build a talent pipeline and develop resilient care team leaders to effectively manage the challenges of disruptive environments. Whether senior or mid-level manager the reader will learn to apply knowledge and skills to initiate cultural change, assess strengths and weaknesses, align leadership roles with organizational goals, and position themselves to become a resilient leader. The reader will also learn how to identify message strategies consistent with stakeholders’ needs, resolve conflicts, lead multidisciplinary teams, and realize the impact of resilient leadership in influencing outcomes. Takeaways and tools are included to guide progressive learning and leadership development and build a strong succession pipeline, to help organizations become more prepared to respond to challenges facing healthcare leaders in the future.

Implementation Science

Per Nilsen
Implementation Science Book PDF

Author : Per Nilsen
Publisher : Taylor & Francis
Page : 381 pages
File Size : 51,5 Mb
Release : 2024-05-13
Category : Medical
ISBN : 9781040016237

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Implementation Science by Per Nilsen Pdf

This core textbook introduces the key concepts, theories, models and frameworks used in implementation science, and supports readers applying them in research projects. The first part of the book focuses on the theory of implementation science, providing a discussion of its emergence from the evidence-based practice movement and its connections to related topics such as innovation research. It includes chapters looking at a wide range of theories, methods and frameworks currently used in implementation science, and a chapter focusing on suitable theories that could be imported from other fields. The first part also addresses strategies and outcomes of implementation and discusses how researchers can build causal pathways adapted to their study. The second part of the book focuses squarely on putting the theory of implementation science to work in practice, with chapters discussing research methods used in the field and how to select the most appropriate approach. This section also features several chapters presenting in-depth case studies of specific applications. This multidisciplinary text is an essential resource for graduate students from a range of healthcare backgrounds taking courses on implementation science, as well as researchers from medicine, nursing, public health, allied health, economics, political science, sociology and engineering.

Healthy, Resilient, and Sustainable Communities After Disasters

Institute of Medicine,Board on Health Sciences Policy,Committee on Post-Disaster Recovery of a Community's Public Health, Medical, and Social Services
Healthy Resilient and Sustainable Communities After Disasters Book PDF

Author : Institute of Medicine,Board on Health Sciences Policy,Committee on Post-Disaster Recovery of a Community's Public Health, Medical, and Social Services
Publisher : National Academies Press
Page : 535 pages
File Size : 44,7 Mb
Release : 2015-09-10
Category : Medical
ISBN : 9780309316224

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Healthy, Resilient, and Sustainable Communities After Disasters by Institute of Medicine,Board on Health Sciences Policy,Committee on Post-Disaster Recovery of a Community's Public Health, Medical, and Social Services Pdf

In the devastation that follows a major disaster, there is a need for multiple sectors to unite and devote new resources to support the rebuilding of infrastructure, the provision of health and social services, the restoration of care delivery systems, and other critical recovery needs. In some cases, billions of dollars from public, private and charitable sources are invested to help communities recover. National rhetoric often characterizes these efforts as a "return to normal." But for many American communities, pre-disaster conditions are far from optimal. Large segments of the U.S. population suffer from preventable health problems, experience inequitable access to services, and rely on overburdened health systems. A return to pre-event conditions in such cases may be short-sighted given the high costs - both economic and social - of poor health. Instead, it is important to understand that the disaster recovery process offers a series of unique and valuable opportunities to improve on the status quo. Capitalizing on these opportunities can advance the long-term health, resilience, and sustainability of communities - thereby better preparing them for future challenges. Healthy, Resilient, and Sustainable Communities After Disasters identifies and recommends recovery practices and novel programs most likely to impact overall community public health and contribute to resiliency for future incidents. This book makes the case that disaster recovery should be guided by a healthy community vision, where health considerations are integrated into all aspects of recovery planning before and after a disaster, and funding streams are leveraged in a coordinated manner and applied to health improvement priorities in order to meet human recovery needs and create healthy built and natural environments. The conceptual framework presented in Healthy, Resilient, and Sustainable Communities After Disasters lays the groundwork to achieve this goal and provides operational guidance for multiple sectors involved in community planning and disaster recovery. Healthy, Resilient, and Sustainable Communities After Disasters calls for actions at multiple levels to facilitate recovery strategies that optimize community health. With a shared healthy community vision, strategic planning that prioritizes health, and coordinated implementation, disaster recovery can result in a communities that are healthier, more livable places for current and future generations to grow and thrive - communities that are better prepared for future adversities.

Resilient Health Care, Volume 2

Robert L. Wears,Erik Hollnagel
Resilient Health Care Volume 2 Book PDF

Author : Robert L. Wears,Erik Hollnagel
Publisher : CRC Press
Page : 349 pages
File Size : 50,5 Mb
Release : 2017-03-02
Category : Political Science
ISBN : 9781317065135

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Resilient Health Care, Volume 2 by Robert L. Wears,Erik Hollnagel Pdf

Health systems everywhere are expected to meet increasing public and political demands for accessible, high-quality care. Policy-makers, managers, and clinicians use their best efforts to improve efficiency, safety, quality, and economic viability. One solution has been to mimic approaches that have been shown to work in other domains, such as quality management, lean production, and high reliability. In the enthusiasm for such solutions, scant attention has been paid to the fact that health care as a multifaceted system differs significantly from most traditional industries. Solutions based on linear thinking in engineered systems do not work well in complicated, multi-stakeholder non-engineered systems, of which health care is a leading example. A prerequisite for improving health care and making it more resilient is that the nature of everyday clinical work be well understood. Yet the focus of the majority of policy or management solutions, as well as that of accreditation and regulation, is work as it ought to be (also known as ’work-as-imagined’). The aim of policy-makers and managers, whether the priority is safety, quality, or efficiency, is therefore to make everyday clinical work - or work-as-done - comply with work-as-imagined. This fails to recognise that this normative conception of work is often oversimplified, incomplete, and outdated. There is therefore an urgent need to better understand everyday clinical work as it is done. Despite the common focus on deviations and failures, it is undeniable that clinical work goes right far more often than it goes wrong, and that we only can make it better if we understand how this happens. This second volume of Resilient Health Care continues the line of thinking of the first book, but takes it further through a range of chapters from leading international thinkers on resilience and health care. Where the first book provided the rationale and basic concepts of RHC, the Resilience of Everyday Clinical Work b

Delivering Resilient Health Care

Erik Hollnagel,Jeffrey Braithwaite,Robert L. Wears
Delivering Resilient Health Care Book PDF

Author : Erik Hollnagel,Jeffrey Braithwaite,Robert L. Wears
Publisher : Routledge
Page : 240 pages
File Size : 53,8 Mb
Release : 2018-09-03
Category : Technology & Engineering
ISBN : 9780429891526

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Delivering Resilient Health Care by Erik Hollnagel,Jeffrey Braithwaite,Robert L. Wears Pdf

Health care is under tremendous pressure regarding efficiency, safety, and economic viability. It has responded by adopting techniques that have been useful in other industries, such as quality management, lean production, and high reliability – although with limited, and all-too-often disappointing, results. The Resilient Health Care Network (RHCN) has worked since 2011 to facilitate the interaction and collaboration among practitioners and researchers interested in applying concepts from resilience engineering to health care and patient safety. This has met with considerable success, not least because the focus from the start was on developing concrete ways to complement a Safety-I perspective with a Safety-II perspective. Building on previous volumes, Delivering Resilient Health Care presents documented experiences and practical guidance on how to bring Resilient Health Care into practice. It provides concrete advice on how to prepare a study, how to choose the right data, how to collect it, how to analyse the data, and how to interpret the results. This fourth book in the Resilient Healthcare series contains contributions from international experts in health care, organisational studies and patient safety, as well as resilience engineering. This book provides a practical guide for delivering resilient healthcare, particularly for clinicians on the frontline of care unsure how to incorporate resilience into their everyday work, managers coordinating care, and for policymakers hoping to steer the system in the right direction. Other groups – patients, the media, and researchers – will also find much of interest here.

Safety-I and Safety-II

Erik Hollnagel
Safety I and Safety II Book PDF

Author : Erik Hollnagel
Publisher : CRC Press
Page : 167 pages
File Size : 48,8 Mb
Release : 2018-04-17
Category : Technology & Engineering
ISBN : 9781317059790

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Safety-I and Safety-II by Erik Hollnagel Pdf

Safety has traditionally been defined as a condition where the number of adverse outcomes was as low as possible (Safety-I). From a Safety-I perspective, the purpose of safety management is to make sure that the number of accidents and incidents is kept as low as possible, or as low as is reasonably practicable. This means that safety management must start from the manifestations of the absence of safety and that - paradoxically - safety is measured by counting the number of cases where it fails rather than by the number of cases where it succeeds. This unavoidably leads to a reactive approach based on responding to what goes wrong or what is identified as a risk - as something that could go wrong. Focusing on what goes right, rather than on what goes wrong, changes the definition of safety from ’avoiding that something goes wrong’ to ’ensuring that everything goes right’. More precisely, Safety-II is the ability to succeed under varying conditions, so that the number of intended and acceptable outcomes is as high as possible. From a Safety-II perspective, the purpose of safety management is to ensure that as much as possible goes right, in the sense that everyday work achieves its objectives. This means that safety is managed by what it achieves (successes, things that go right), and that likewise it is measured by counting the number of cases where things go right. In order to do this, safety management cannot only be reactive, it must also be proactive. But it must be proactive with regard to how actions succeed, to everyday acceptable performance, rather than with regard to how they can fail, as traditional risk analysis does. This book analyses and explains the principles behind both approaches and uses this to consider the past and future of safety management practices. The analysis makes use of common examples and cases from domains such as aviation, nuclear power production, process management and health care. The final chapters explain the theoret

Resilient Health Care, Volume 3

Jeffrey Braithwaite,Robert L. Wears,Erik Hollnagel
Resilient Health Care Volume 3 Book PDF

Author : Jeffrey Braithwaite,Robert L. Wears,Erik Hollnagel
Publisher : CRC Press
Page : 233 pages
File Size : 46,7 Mb
Release : 2016-10-03
Category : Business & Economics
ISBN : 9781315349589

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Resilient Health Care, Volume 3 by Jeffrey Braithwaite,Robert L. Wears,Erik Hollnagel Pdf

This book is the 3rd volume in the Resilient Health Care series. Resilient health care is a product of both the policy and managerial efforts to organize, fund and improve services, and the clinical care which is delivered directly to patients. This volume continues the lines of thought in the first two books. Where the first volume provided the rationale and basic concepts of RHC and the second teased out the everyday clinical activities which adjust and vary to create safe care, this book will look more closely at the connections between the sharp and blunt ends. Doing so will break new ground, since the systematic study in patient safety to date with few exceptions has been limited.

Moral Resilience

Cynda Hylton Rushton
Moral Resilience Book PDF

Author : Cynda Hylton Rushton
Publisher : Oxford University Press
Page : 304 pages
File Size : 53,9 Mb
Release : 2018-10-02
Category : Medical
ISBN : 9780190619299

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Moral Resilience by Cynda Hylton Rushton Pdf

Suffering is an unavoidable reality in health care. Not only are patients and families suffering but also the clinicians who care for them. Commonly the suffering experienced by clinicians is moral in nature, in part a reflection of the increasing complexity of health care, their roles within it, and the expanding range of available interventions. Moral suffering is the anguish that occurs when the burdens of treatment appear to outweigh the benefits; scarce human and material resources must be allocated; informed consent is incomplete or inadequate; or there are disagreements about goals of treatment among patients, families or clinicians. Each is a source of moral adversity that challenges clinicians' integrity: the inner harmony that arises when their essential values and commitments are aligned with their choices and actions. If moral suffering is unrelieved it can lead to disengagement, burnout, and undermine the quality of clinical care. The most studied response to moral adversity is moral distress. The sources and sequelae of moral distress, one type of moral suffering, have been documented among clinicians across specialties. It is vital to shift the focus to solutions and to expanded individual and system strategies that mitigate the detrimental effects of moral suffering. Moral resilience, the capacity of an individual to restore or sustain integrity in response to moral adversity, offers a path forward. It encompasses capacities aimed at developing self-regulation and self-awareness, buoyancy, moral efficacy, self-stewardship and ultimately personal and relational integrity. Clinicians and healthcare organizations must work together to transform moral suffering by cultivating the individual capacities for moral resilience and designing a new architecture to support ethical practice. Used worldwide for scalable and sustainable change, the Conscious Full Spectrum approach, offers a method to solve problems to support integrity, shift patterns that undermine moral resilience and ethical practice, and source the inner potential of clinicians and leaders to produce meaningful and sustainable results that benefit all.

The Resilient Practitioner

Thomas M. Skovholt,Michelle Trotter-Mathison
The Resilient Practitioner Book PDF

Author : Thomas M. Skovholt,Michelle Trotter-Mathison
Publisher : Routledge
Page : 241 pages
File Size : 52,6 Mb
Release : 2014-04-08
Category : Psychology
ISBN : 9781135858001

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The Resilient Practitioner by Thomas M. Skovholt,Michelle Trotter-Mathison Pdf

Therapists and other helping professionals, such as teachers, doctors and nurses, social workers, and clergy, work in highly demanding fields and can suffer from burnout, compassion fatigue, and secondary stress. This happens when they give more attention to their clients’ well being than their own. Both students and practitioners in these fields will find this book an essential guide to striking an optimal balance between self-care and other-care. The authors describe the joys and hazards of the work, the long road from novice to senior practitioner, the essence of burnout, ways to maintain the professional and personal self, methods experts use to maintain vitality, and a self-care action plan. Vivid real-life examples and self-reflection questions will engage and motivate readers to think about their own work and ways to enhance their own resilience. Eloquently written and supported by extensive research, helping professionals will find this a valuable resource both when a novice and when an experienced practitioner.

Climate Change and the Health Sector

Alexander Thomas,K. Srinath Reddy,Divya Alexander,Poornima Prabhakaran
Climate Change and the Health Sector Book PDF

Author : Alexander Thomas,K. Srinath Reddy,Divya Alexander,Poornima Prabhakaran
Publisher : Taylor & Francis
Page : 242 pages
File Size : 55,6 Mb
Release : 2021-11-22
Category : Social Science
ISBN : 9781000511833

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Climate Change and the Health Sector by Alexander Thomas,K. Srinath Reddy,Divya Alexander,Poornima Prabhakaran Pdf

The health sector is known to be one of the major contributors towards the greenhouse gas emissions causing the climate crisis, the greatest health threat of the 21st century. This volume positions the health sector as a leader in the fight against climate change and explores the role of the health system in climate policy action. It delivers an overview of the linkages between climate change and the health sector, with chapters on the impact of climate change on health, its connection to pandemics, and its effects on food, nutrition and air quality, while examining gendered and other vulnerabilities. It delves into the different operational aspects of the health sector in India and details how each one can become climate-smart to reduce the health sector’s overall carbon footprint, by looking at sustainable procurement, green and resilient healthcare infrastructure, and the management of transportation, energy, water, waste, chemicals, pharmaceuticals and plastics in healthcare. Well supplemented with rigorous case studies, the book will be indispensable for students, teachers, and researchers of environmental studies, health sciences and climate change. It will be useful for healthcare workers, public health officials, healthcare leaders, policy planners and those interested in climate resilience and preparedness in the health sector. The Open Access version of this book, available at http://www.taylorfrancis.com, has been made available under a Creative Commons Attribution-Non Commercial-No Derivatives 4.0 license.

The Resilient Physician

John D. Kelly IV
The Resilient Physician Book PDF

Author : John D. Kelly IV
Publisher : Springer
Page : 110 pages
File Size : 47,5 Mb
Release : 2017-08-27
Category : Medical
ISBN : 9783319612201

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The Resilient Physician by John D. Kelly IV Pdf

Written by a veteran clinician for medical practitioners of all disciplines and levels of experience, this concise pocket guide presents a frank discussion about facilitating resiliency in the face of the personal and professional challenges of a medical career. Furthermore, it provides proven techniques and suggestions for stress management aimed at the maintenance of a more successful practice and peaceful life. First defining and elucidating the problems of stress plaguing the field, including burnout, substance abuse and suicide, the bulk of the book presents and discusses ways to combat and master the everyday stress of the "medical marriage," such as engaging in mindfulness training, learning to forgive oneself and others, listening to your own body, utilizing time away from medicine, and performing simple acts of kindness and gratitude. Issues surrounding the inevitability of mistakes, the pursuit of perfectionism, happiness and success are then examined and reflected upon, as are stress management considerations from other cultures and literary sources. Equal parts personal and practical, The Resilient Physician is a must-have for any clinician or medical professional seeking better understanding and outcomes when handling the constant demands of this high-stress - but ultimately rewarding - career.

Refuge and Resilience

Laura Simich,Lisa Andermann
Refuge and Resilience Book PDF

Author : Laura Simich,Lisa Andermann
Publisher : Springer
Page : 226 pages
File Size : 49,9 Mb
Release : 2014-06-05
Category : Social Science
ISBN : 9789400779235

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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.