The Psychiatric Evaluation And Treatment Of Refugees
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The Psychiatric Evaluation and Treatment of Refugees by J. David Kinzie, M.D,George A. Keepers, M.D. Pdf
"The Psychiatric Evaluation and Treatment of Refugees is a cutting-edge volume of contributions that help mental health professionals better understand the outcomes and solutions for the complicated mix of trauma and immigration with culture and worldview found in the treatment of refugee patients. Written by experts in cross-cultural psychiatry, the book holds a balance between up-to-date science and the collective experiential wisdom of the Intercultural Psychiatric Program at the Oregon Health & Science University, providing a key reference for psychiatrists and other mental health professionals working in cross-cultural trauma. The editors and authors of this volume have contributed to an understanding of the blend of necessary science/evidence and compassion that gives mental health providers insight as to how to understand and treat these often traumatized patients"--
Child, Adolescent and Family Refugee Mental Health by Suzan J. Song,Peter Ventevogel Pdf
More than half of the 25.9 million refugees in the world are under the age of 18 and the mental health of these children and adolescents constitutes a growing global public health priority. Refugee children and their families are at increased risk to develop mental health problems, but they often face major challenges in accessing adequate treatment and mental health professionals frequently feel ill-equipped to assist this group. Refugees are faced with a plethora of issues including the ambiguous loss of loved ones, psychological trauma related to past experiences of violence and atrocities, the complexities of daily life as a refugee, and the challenges to adapt to new systems of care and support. Refugees’ life circumstances all too often undermine their agency, asthey face discrimination, stigma, and social isolation or exclusion. Refugees are frequently disconnected from the usual family and community supports that they once had, which creates additional mental distress. As parents struggle with these changes, their children often find it even more difficult to adapt and connect with them. This all leads to increased prevalence of mental health conditions among refugees. Humanitarian policies recommend family-centered interventions that are multi-sectoral,multi-disciplinary, and focus on optimizing resource utilization. Over the last decade, a considerable body of research has emerged around socio-ecological models of mental health, family and community approaches, and resilience and strengths-based theories, but these insights are insufficiently incorporated in the practice of mental health care for refugee children. Clinicians often struggle to grasp the common unique stressors that families face and are not familiar with working with families as units for intervention. Using culturally and contextually informed assessment methods and family-oriented management approaches not only help individual children or adolescents, but also their families. This book aims to provide an overview of the latest theoretical insights from research on sociocultural aspects of mental health and connect these with clinical insights from practical mental health care provision. Using strengths-based, resiliency-oriented and family-centered approaches can enrich clinical practice in refugee mental health, but clinicians need to translate the emerging evidence into concrete steps and interventions. This requires additional skills for the assessment and management of mental health conditions in refugee children and families. The chapters in this book are written by a diverse group of authors using global, multi-disciplinary approaches. The chapters provide examples from various contexts including refugees who are displaced to neighboring countries, refugees ‘on the move’, and refugees and asylum seekers in resettlement settings. This book is therefore a unique resource for clinicians, researchers and policy makers working on mental health issues of refugee children and adolescents around the world.
Asylum medicine, a field encompassing medical forensic evaluations of asylum seekers, is an emerging discipline in healthcare. In a time of record global displacement due to human rights violations, conflict and persecution, interest in the medical and psychological evaluation of individuals subjected to torture and other ill-treatment is high. Health professionals are uniquely qualified to use their skills to make contributions to a group of vulnerable individuals fleeing danger and death in their home countries. Health professionals involved in asylum medicine perform medical and psychological forensic evaluations of asylum seekers. Their educational background prepares them to examine and describe physical and emotional scars related to trauma, and further training allows them to assess these scars in the context of persecution, describe them in a medical-legal affidavit and support these findings with testimony. Providers of asylum medicine are often involved in advocacy, as many governments become increasingly hostile to asylum seekers. Books on human rights exist, but there is no authoritative text of asylum medicine. This book presents a comprehensive overview of asylum medicine, with emphasis on the historical and legal background of asylum law, best practices for performing asylum examinations, challenges of examining detained asylum seekers, education of trainees and advocacy. Written by experts in the field, Asylum Medicine: A Clinician's Guide is a first of its kind resource for health care providers who practice asylum medicine.
Mental Health of Refugees and Asylum Seekers by Dinesh Bhugra,Thomas K. J. Craig,Kamaldeep Bhui Pdf
This comprehensive reference book provides both background information and practical, clinical advice on all areas of nutrition for the cancer patient at all stages of their disease trajectory.
Author : Kenneth E. Miller,Lisa M. Rasco Publisher : Taylor & Francis Page : 435 pages File Size : 47,5 Mb Release : 2004-05-20 Category : Medical ISBN : 9781135636678
Refugee Mental Health by Stephan Zipfel,Monique C. Pfaltz,Ulrich Schnyder Pdf
The focus of this Research Topic is on research that aims to understand the relationships between pre-migration stressors and potentially traumatic experiences, post-migration living difficulties, and mental health in refugees of both sexes throughout the lifespan. We know very little about how concepts of assessing and treating mental health conditions actually work when applied to traumatized refugee populations from different cultures (e.g., the Yazidis people from northern Iraq). Moreover, there is also a great need to better understand the relationship between mental health and refugees’ integration in their host countries’ societies (acquiring language skills, fitness for work, economic independence, private life, etc.). This Research Topic will also focus on the issue of culture—the extent to which concepts of mental health care can translate and be implemented in different social, economic, and cultural settings around the world.
Refugees arrive in the United States from different parts of the world and their numbers increase every year. Refugees undergo a medical screening soon after arrival, as recommended by the U.S. Department of State, and it is often primary care practitioners or psychiatrists who usually evaluate these patients at this first visit. Though physicians receive a variable amount of training in cross-cultural medicine, virtually none is in the area of refugee evaluations. Refugee evaluations are different from routine patient evaluations in several significant ways: 1) They are new immigrants from countries where the disease epidemiology is different from the U.S.; 2) Certain infectious disease processes need to be ruled out upon arrival to prevent the spread of communicable diseases; 3) The prevalence of mental health disorders in refugees is higher than the local population; 4) The medical and psychiatric health problems of refugees are often caused or affected by their past experience with trauma and their current acculturation difficulties; and 5) Significant cultural barriers can arise in the accurate evaluation and treatment of these refugees. Books on refugee health usually are written from ecological and public health perspectives and address generic refugee population issues. There are very few clinical textbooks, and most focus only on mental health. Refugee Health Care is a practical guide providing focused information for busy primary care practitioners, and many of the recommendations in the book apply to all immigrants. This concise pocketbook reviews medical and psychiatric conditions that are essential to know in the evaluation and treatment of refugees.
Mental Health of Refugees by Paul M.G. Emmelkamp Pdf
The book provides a comprehensive review of mental health in refugees by discussing its multiple dimensions, and analyzing epidemiology, etiology, and culturally adapted assessment and treatment. Key topics include why certain refugees cope successfully with traumatic experiences while others do not, and the biological, psychological, and social processes underlying posttraumatic stress disorder, common mental disorders, substance abuse and personality disorders. The text examines topics such as complexities of diagnosis, treatment, and recovery for refugees. Furthermore, the roles of culture, social support, and mental health workers in the process of overcoming mental health problems in refugees are discussed. Together, the chapters provide an in-depth examination of the current understood causes, and impacts of mental health problems and treatment of refugees to inform future work in the field. The book gives its readers a solid basis for understanding mental health problems of refugees and sets out to present practitioners with a state-of-the-art summary of all the latest developments and practical guidance. Furthermore, this book provides the practitioner with instructions on how culturally adapted treatments can be used not only with adults, but also with children and young people to help the practitioner to prepare for working with this difficult client group. Drawing from a range of different fields of study, this text will appeal to readers across psychological, mental health, medical, and academic disciplines.
Broken Spirits by John P. Wilson,Boris Drozdek Pdf
Mental health problems among asylum seekers and refugees are becoming a public issue, but awareness of this problem among the mental health community is relatively low. Although advances have been made in the provision of innovative mental health services for asylum seekers and refuges with PTSD, they are not systemized, and not widely known to professionals in the field. A publication offering practical guidelines for the treatment of torture victims and political refugees does not exist. Broken Spirits aims to bring together the works of the most respected mental health professionals - from the U.S. and abroad - and make available the most current knowledge on complex PTSD, forced migration and cultural sensitivity in diagnosis and treatment.
Therapeutic Care for Refugees by Renos K. Papadopoulos Pdf
This volume addresses the complexities involved in attending to the mental health of refugees. It covers theory and research as well as clinical and field applications, emphasising the psychotherapeutic perspective. It explores the delicate balance between accepting the resilience of refugees whilst not neglecting their psychological needs, within a framework that avoids pathologising their condition. Moreover, it deals with the difficulties in delineating the various relevant intersecting perspectives to the refugee reality, e.g. psychological, socio-political, legal, organisational and ethical. The book introduces important considerations about the actual psychotherapy with refugees (in individual, family and group settings) but in addition, it encourages the introduction of therapeutic elements to all types of work with refugees. Thus, it argues for the necessity of approaching every facet of the refugee experience from a therapeutic perspective; this is why the title refers to therapeutic care rather than to psychotherapy.
Mental Health of Refugee and Conflict-Affected Populations by Nexhmedin Morina,Angela Nickerson Pdf
This book provides an overview of theoretical, empirical, and clinical conceptualizations of mental health following exposure to human rights violations (HRV). There are currently hundreds of millions of individuals affected by war and conflict across the globe, and over 68 million people who are forcibly displaced. The field of refugee and post-conflict mental health is growing exponentially, as researchers investigate the factors that impact on psychological disorders in these populations, and design and evaluate new treatments to reduce psychological distress. This volume will be a substantial contribution to the literature on mental health in refugee and post-conflict populations, as it details the state of the evidence regarding the mental health of war survivors living in areas of former conflict as well as refugees and asylum-seekers.
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.
Seeking Asylum and Mental Health by Chris Maloney,Julia Nelki,Alison Summers Pdf
People seeking asylum face unique challenges and frequently experience mental health problems. Effective support requires an understanding of their mental health needs in the broader context of their lives, cultures and extreme experiences. This book provides practical guidance for professionals and services working with people seeking asylum in mental health, social care, legal, government. managerial and commissioning roles. With authors from a wide range of professional backgrounds, the book is enriched by accounts from people with first hand experience of the asylum system itself. It considers the challenges and dilemmas faced by all involved, including clients, clinicians and service planners, with a wealth of practical information about how to assess and understand strengths and needs, avoid inappropriate conclusions and discrimination, consider treatment options, and write records and reports. The authors emphasise that effective support depends on reflection, humanity and compassion. The book is a must-have resource for professionals working with those who have to seek asylum.
Mental Health of Refugees by World Health Organization Pdf
A guide to the recognition and management of mental health problems in refugees and other displaced persons. Prepared by WHO in collaboration with the Office of the United Nations High Commissioner for Refugees, the manual responds to growing awareness that the trauma, terror, loss and bereavement experienced by refugees can pose serious threats to their mental health. With this concern in mind, the manual aims to help non-specialist relief workers become alert to common mental health problems and competent in their management, whether involving simple relaxation exercises or referral to a medical specialist. The first training unit explains the basic principles of effective communication and sets out the steps to follow when developing a treatment plan. In view of the stress commonly experienced by refugees, the second unit describes several simple exercises that can help people relax, sleep better, and cope with stress. Functional complaints are covered in unit three, which includes advice on the difficult question of when to give medicines. Unit four provides a detailed guide to the recognition and management of common mental disorders. The most extensive chapter describes the special needs of refugee children, explains how to recognize their distinct mental health problems, and discusses the most appropriate types of help according to four age groups. Subsequent units offer guidance on the types of mental disorders that can be safely treated by traditional healers, and explain how to recognize and manage alcohol and other drug problems. The remaining units outline approaches for helping people who have experienced torture, other violence, or rape.
