The experience of working with refugees: counsellors in primary care (original) (raw)
Related papers
Public Health, 2006
This paper aims to provide a framework for primary health care services to meet the recognized health needs of refugees and asylum seekers that can be used in planning and evaluating services for this group. Review: Primary care services for refugees and asylum seekers are reviewed and presented in terms of a tripartite framework of gateway, core and ancillary services. Gateway services facilitate entry into primary care by identifying unregistered patients and carrying out health assessments. They are typically undertaken by nurse-led outreach services and specialist health visitors. Core services provide full registration and may be provided by dedicated practices or by mainstream practices, with or without additional support. Ancillary services are those that supplement and support core services' ability to meet the additional health needs of this group. They include language and information services, close links with community-based organizations, specialist mental health services and services for survivors of torture and organized violence, as well as targeted health promotion and training of health workers. Conclusions: The framework can be used for education and training, planning and commissioning, and to provide criteria for comparison and evaluation. The paper suggests that a lack of published evaluations and reports about interventions for refugees and asylum seekers constrains further policy development that could build on the strengths of such interventions. It also stresses the importance of ancillary services to successful mainstream provision.
Providing Care for Refugee Patients: Challenges and Barriers : A literature review
2018
The aim of this study is to review the literature regarding the challenges and barriers facing nurses when providing care for refugees arriving to new destination, and to review solutions and remedies to overcome these barriers. Before answering the research questions, this study will present statistical figures regarding refugees, and it will explore common health problems associated with refugees and asylum seekers. Additionally this study will also provide guidelines for nurses to provide culturally congruent care by using Leininger's Culture Care Diversity and Universality theory. This study is a qualitative literature review, academic articles were collected through academic database search engines like Cinahl (EBSCO), Pubmed, and Google scholar. The research questions of this study are 1) What types of challenges and barriers nurses face when providing care for refugees? 2) What challenges and barriers refugees face when receiving care from nurses in the host country? 3) How to overcome common barriers and challenges when providing care for refugees? The articles chosen for this study were analyzed by inductive qualitative method. The findings of this study identified language, cultural differences, referral process, lack of training and guidance, quality of care, health literacy, and lack of information, as major barriers for nurses and refugees during their healthcare encounters. Solutions and remedies suggested by both, care providers and refugees to overcome these barriers are the use of skillful interpreters, training and guidance, and connecting between services and sectors. This study also provided nurses with guidelines to use Leininger's three action modes in order to provide culturally competent care for refugees.
An Urgent Human Health Dilemma Facing Refugees and their Host Caregivers?
Journal of Human Health Research, 2018
The continuous waves of refugees from Africa and the Middle East to Europe present major inter¬cultural challenges to European health professionals and to society at large. A recent workshop in Sicily brought together local physicians, nurses, psychologists and managers of governmental agencies, along with representatives from Lebanon, Israel, Iraq, Iran, Sudan, Tunisia, Jordan and the European Society of Medical Oncology (ESMO) to develop training programs aimed at formulating dialogue between regional professionals and refugees. A major barrier refugees face is a lack of verbal and cultural communication, which hinders their smooth absorption into the new society. Cultural mediators who speak Arabic and Italian and understand the refugees' faith, tradition and beliefs are vital to successfully build bridges of trust between caregivers and refugees. Most asylum seekers experience anxiety, fear, and depression upon arrival in Europe. To achieve trust, all workshop participants a...
Refugees, their situation and treatment needs
International Journal of Applied Psychoanalytic Studies, 2018
The number of displaced persons today is the highest since World War II. Flight has become increasingly dangerous and refugees are now in poorer health conditions. Severe traumatization happens in their home-countries but atrocities under flight is increasing, including torture, trafficking and death. It has become increasingly difficult to reach Western countries and those who come now meet difficult conditions with poor living conditions and growing xenophobia. There are unmet treatment needs in the refugee population and lack of early preventive measures. Many severely traumatized will also need qualified psychotherapy. This article presents a psychoanalytic view on traumatization and describes specific features of psychoanalytic therapy with severely traumatized refugees. A case example is presented to illustrate how the analyst inevitably becomes involved in traumatization related mental scenarios and how this involvement may provoke countertransference enactment. It is demonstrated how this may be solved in the therapeutic process and facilitate integration of traumatic experiences and loss.
A Refugee Group’s Mental Health and Social Care .pdf
Refugee movement has become a massive problem for all developing countries and international organizations. According to The United Nations Human Rights Council , millions of individuals today are forced to escape their homeland on the score of war, discrimination, conflict or other forms of persecution. For these individuals, fleeing their country can be their only chance to survive, to save their lives and live in better conditions . The aim of this study is to examine the basic literature on Kurdish refugees and their specific mental health and social care issues. In this regard, this study will be divided into four parts. The first part will explain the meaning of refugee and also refugees that come to Britain. The second part will give a brief overview of the recent history of Kurdish Refugee migration to Britain. In the third part, the researchers will explore mental health and social care issues of Kurdish refugees. The fourth section will focus on how Kurdish refugees' requests can be addressed by social and medical services.
Care for Refugee Patients : Challenges and Barriers
2018
The aim of this study is to review the literature regarding the challenges and barriers facing nurses when providing care for refugees arriving to new destination, and to review solutions and remedies to overcome these barriers. Before answering the research questions, this study will present statistical figures regarding refugees, and it will explore common health problems associated with refugees and asylum seekers. Additionally this study will also provide guidelines for nurses to provide culturally congruent care by using Leininger’s Culture Care Diversity and Universality theory. This study is a qualitative literature review, academic articles were collected through academic database search engines like Cinahl (EBSCO), Pubmed, and Google scholar. The research questions of this study are 1) What types of challenges and barriers nurses face when providing care for refugees? 2) What challenges and barriers refugees face when receiving care from nurses in the host country? 3) How t...
A Helping Hand Out of the River: Refugee Perspectives for Provider Engagement
Journal of Patient-Centered Research and Reviews, 2023
Journal of Patient-Centered Research and Reviews (JPCRR) is an open access, peer-reviewed medical journal focused on disseminating scholarly works devoted to improving patient-centered care practices, health outcomes, and the patient experience. aah.org/jpcrr 231 Original Research A refugee is defined as someone who has been forcibly displaced from their home due to a "wellfounded fear of being persecuted for reasons of race, religion, nationality, membership of a particular social group or political opinion," requiring international protection. 1 The number of individuals who constitute this population has increased since 2011, with a reported 94.7 million people worldwide in 2021. 2 Refugee populations are exposed to numerous traumatic experiences, including war-torn environments; living in refugee camps for extended periods of time in which sexual violence, theft, and unsafe living conditions are common; isolation; being "othered" and experiencing discrimination. 3 In addition, they face many postmigration stressors when settled (eg, poverty, separation from loved ones, new culture, language, systemic racism). 4,5 Presenting symptoms in this population are often related to posttraumatic stress-nightmares, somatic symptoms, flashbacks, hypervigilance, memory deficits, 6 anxiety, depression-all of which can disrupt quality of life. Additionally, refugees often deal with chronic physical health problems (eg, diabetes, cardiovascular disease, musculoskeletal problems) 7 at higher rates than the general population. 8,9 To support refugees' needs, a community-focused lens can help identify appropriate services to enhance care, including preventive services, psychoeducation, and increased accessibility. The American Psychological Association states that the ability to develop therapeutic relationships with refugees is an essential aspect of clinical expertise. 10 Practitioners
Working with refugees and asylum seekers
Psychiatry, 2009
This is not an article about a psychiatric condition, but rather one about a particular population of people, some of whom may present with special needs whereas others may have no psychiatric problems at all. This article begins with the legal definition of a refugee, an account of the scale of the problem worldwide and in the UK, and proceeds to consider mental health and cultural implications. Assessment and diagnosis should be undertaken in the usual way, but there may be a need to learn more about diverse cultural backgrounds and to work with interpreters in assessment and treatment. In the intervention, a phased approach is often appropriate, engaging different professionals at different stages of treatment.
A Refugee Group’s Mental Health and Social Care
Refugee movement has become a massive problem for all developing countries and international organizations. According to The United Nations Human Rights Council (UNHCR, 2010), millions of individuals today are forced to escape their homeland on the score of war, discrimination, conflict or other forms of persecution. For these individuals, fleeing their country can be their only chance to survive, to save their lives and live in better conditions (McKay, 2008). The aim of this study is to examine the basic literature on Kurdish refugees and their specific mental health and social care issues. In this regard, this study will be divided into four parts. The first part will explain the meaning of refugee and also refugees that come to Britain. The second part will give a brief overview of the recent history of Kurdish Refugee migration to Britain. In the third part, the researchers will explore mental health and social care issues of Kurdish refugees. The fourth section will focus on how Kurdish refugees’ requests can be addressed by social and medical services. Keywords: Refugee, Kurdish, Social Care, Britain
2014
This reading list is produced by The King's Fund Information and Library Service. The items on this list are selected only from items held by the Information and Library Service or are freely available on the Internet. It does not aim to be comprehensive, or to be a 'recommended reading list'-but to give an indication of the sorts of resources The King's Fund can make available on this topic.