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Refugee mental illness

Lucy Cj White, Max Cooper, David Lawrence
No abstract text is available yet for this article.
January 2019: British Journal of General Practice: the Journal of the Royal College of General Practitioners
Christie Nicole Godsmark, James Irlam, Frances van der Merwe, Mark New, Hanna-Andrea Rother
INTRODUCTION: The intersection of health and climate change is often absent or under-represented in sub-national government strategies. This analysis of the literature, using a new methodological framework, highlights priority focus areas for a sub-national government response to health and climate change, using the Western Cape (WC) province of South Africa as a case study. METHODS: A methodological framework was created to conduct a review of priority focus areas relevant for sub-national governments...
December 17, 2018: Environment International
Cécile Rousseau, Rochelle Frounfelker
Background: The objective of this article is to present an overview of the burden, spectrum of diseases, and risk factors for mental illness among subgroups of migrants, namely immigrants, refugees, and individuals with precarious legal status. This expert review summarizes some of the implications for primary care services in migrant receiving countries in the global North. Methods: A broad literature review was conducted on the epidemiology of mental health disorder in migrants and refugee and on the available evidence on mental health services for this population focusing on key issues for primary care practitioners in high income countries...
December 18, 2018: Journal of Travel Medicine
Johanna G Winkler, Eva J Brandl, H Joachim Bretz, Andreas Heinz, Meryam Schouler-Ocak
BACKGROUND: The aim of this study was to assess asylum seekers' views on their legal situations, asylum procedures and living conditions, and the relationship of these factors towards psychological stress. METHODS: 650 asylum seekers in Berlin received a questionnaire. RESULTS: 76,3 % (N = 496) completed the questionnaires in full. According to psychological test criteria, 74,6 % (N = 370) of these respondents indicated symptoms of mental disorders...
December 12, 2018: Psychiatrische Praxis
Wejdan Shahin, Ieva Stupans, Gerard Kennedy
OBJECTIVE: To evaluate beliefs, and attitudes about health of refugees with chronic conditions such as diabetes mellitus type 2, hypertension, chronic obstructive pulmonary disease, and posttraumatic stress disorder and the consequent effects on self-care in comparison to resident populations. DESIGN: A systematic review methodology was used. PubMed, Embase, PsycINFO and CINAHL databases were searched for relevant articles. The main terms analysed were health beliefs, chronic conditions and refugee populations...
December 11, 2018: Ethnicity & Health
Elena Jirovsky, Kathryn Hoffmann, Elisabeth Anne-Sophie Mayrhuber, Enkeleint Aggelos Mechili, Agapi Angelaki, Dimitra Sifaki-Pistolla, Elena Petelos, Maria van den Muijsenbergh, Tessa van Loenen, Michel Dückers, László Róbert Kolozsvári, Imre Rurik, Danica Rotar Pavlič, Diana Castro Sandoval, Giulia Borgioli, Maria José Caldés Pinilla, Dean Ajduković, Pim De Graaf, Nadja van Ginneken, Christopher Dowrick, Christos Lionis
BACKGROUND: The ongoing refugee crisis has revealed the need for enhancing primary health care (PHC) professionals' skills and training. OBJECTIVES: The aim was to strengthen PHC professionals in European countries in the provision of high-quality care for refugees and migrants by offering a concise modular training that was based on the needs of the refugees and PHC professionals as shown by prior research in the EUR-HUMAN project. METHODS: We developed, piloted, and evaluated an online capacity building course of 8 stand-alone modules containing information about acute health issues of refugees, legal issues, provider-patient communication and cultural aspects of health and illness, mental health, sexual and reproductive health, child health, chronic diseases, health promotion, and prevention...
2018: Global Health Action
Clare Killikelly, Susanna Bauer, Andreas Maercker
Background: Prolonged grief disorder (PGD) is a new mental health disorder that will be recognized by the World Health Organization's disorder classification, the ICD-11, in 2018. Current assessment measures of PGD are largely based on North American and European conceptualizations of grief (etic i.e., from the perspective of the observer). However, research is emerging from communities outside of the Global North, in particular, conflict-exposed communities, exploring local models (emic i.e., from within the cultural group), assessment measures and symptoms of grief...
2018: Frontiers in Psychology
Natasha Ruth Saunders, Peter J Gill, Laura Holder, Simone Vigod, Paul Kurdyak, Sima Gandhi, Astrid Guttmann
BACKGROUND: Emergency department visits as a first point of contact for people with mental illness may reflect poor access to timely outpatient mental health care. We sought to determine the extent to which immigrants use the emergency department as an entryway into mental health services. METHODS: We used linked health and demographic administrative data sets to design a population-based cohort study. We included youth (aged 10-24 yr) with an incident mental health emergency department visit from 2010 to 2014 in Ontario, Canada ( n = 118 851)...
October 9, 2018: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
Cindy C Sangalang, David Becerra, Felicia M Mitchell, Stephanie Lechuga-Peña, Kristina Lopez, Isok Kim
Numerous studies describe mental health effects of pre-migration trauma and post-resettlement stress among refugees, yet less research examines these associations with non-refugee immigrants. Additionally, few studies assess the prevalence and impact of traumatic experiences after settlement in a new country. Using a U.S.-based representative sample of Asian (n = 1637) and Latino (n = 1620) refugees and immigrants, we investigated how traumatic events prior to and after migration, and post-migration stressors, are associated with mental illness and distress...
September 22, 2018: Journal of Immigrant and Minority Health
Jin-Won Noh, Jong-Min Woo, Hyunchun Park, Sun Jae Jung, Yejin Lee, Young Dae Kwon
Background: The purpose of this study was to explore the level of mental health knowledge among North Korean refugees residing in South Korea and to analyze the factors related to their attitude towards people with mental disorders. Methods: The survey was conducted on 150 people and the analysis included results from 138 participants in 2013. A multiple linear regression analysis was conducted to analyze the factors related to the attitude towards people with mental illness...
July 2018: Iranian Journal of Public Health
Bukola Salami, Jordana Salma, Kathleen Hegadoren
Immigrant and refugee populations experience life stressors due to difficult migration journeys and challenges in leaving one country and adapting to another. These life stressors result in adverse mental health outcomes when coupled with a lack of adequate support-enhancing resources. One area of support is access to and use of mental health services to prevent and address mental health concerns. Immigrant service providers in Canada support the integration and overall well-being of newcomers. This study focuses on immigrant service providers' perceptions of access to and use of mental health services for immigrants and refugees in Alberta...
July 9, 2018: International Journal of Mental Health Nursing
Wudeneh Mulugeta, Hong Xue, Myron Glick, Jungwon Min, Michael F Noe, Youfa Wang
INTRODUCTION: Limited is known about mental illness and non-communicable diseases (NCDs) and their risk factors among refugees. These were studied using data collected from a refugee population in Buffalo, NY. METHODS: Longitudinal data collected on 1055 adults (> 18 years) at a large refugee health center in Buffalo, NY, during 2004-2014 were used. Main outcomes were hypertension, diabetes, tobacco use, obesity, overweight/obesity, and mental illness. Risk factors were assessed using multivariate regression models...
May 21, 2018: Journal of Racial and Ethnic Health Disparities
Laura F Goodman, Guy W Jensen, Joseph M Galante, Diana L Farmer, Stephanie Taché
BACKGROUND: Over one million asylum seekers were registered in Germany in 2016, most from Syria and Afghanistan. The Refugee Convention guarantees access to healthcare, however delivery mechanisms remain heterogeneous. There is an urgent need for more data describing the health conditions of asylum seekers to guide best practices for healthcare delivery. In this study, we describe the state of health of asylum seekers presenting to a multi-specialty primary care refugee clinic. METHODS: Demographic and medical diagnosis data were extracted from the electronic medical records of patients seen at the ambulatory refugee clinic in Dresden, Germany between 15 September 2015 and 31 December 2016...
May 16, 2018: BMC Family Practice
Zeina Chemali, Hannah Smati, Kelsey Johnson, Christina P C Borba, Gregory L Fricchione
Humanitarian aid workers caring for Syrian refugees face major stressors as they attend to refugees' needs on the field. Without adequate psychosocial support, evidence has shown that fieldworkers experience high burnout and turnover as well as long-term poor mental health. Unfortunately, scarce training in this regard leaves them ill-equipped to care for themselves and practice resilience while handling trauma in the field. This paper highlights our reflection on working with mindfulness programs during humanitarian crises, specifically how our program, Stress Management and Relaxation Response Training (SMART), has helped over time fieldworkers and the community they cared for...
2018: Conflict and Health
Genevieve L Fair, Mark F Harris, Mitchell M Smith
BACKGROUND AND AIM: Transition of asylum seekers from special-purpose health services to mainstream primary care is both necessary and difficult. This study explores the issues encountered by asylum seekers undergoing this transition in Sydney, Australia. METHODS: Qualitative semistructured interviews were conducted with nine asylum seeker patients and nine staff working in the sector. RESULTS: Asylum seekers faced significant challenges in the transition to mainstream primary care...
March 15, 2018: Public Health Research & Practice
Jason M Nagata, Sejal Hathi, B Jane Ferguson, Michele J Hindin, Sachiyo Yoshida, David A Ross
Background: In order to clarify priorities and stimulate research in adolescent health in low- and middle-income countries (LMICs), the World Health Organization (WHO) conducted two priority-setting exercises based on the Child Health and Nutrition Research Initiative (CHNRI) methodology related to 1) adolescent sexual and reproductive health and 2) eight areas of adolescent health including communicable diseases prevention and management, injuries and violence, mental health, non-communicable diseases management, nutrition, physical activity, substance use, and health policy...
June 2018: Journal of Global Health
Marie Norredam, Laura Nellums, Runa Schmidt Nielsen, Stine Byberg, Jørgen Holm Petersen
One in four asylum applicants in Europe are children, and 23% of whom are unaccompanied and may be at increased risk of mental illness. This study contributes to the limited evidence base by comparing the incidence of psychiatric disorders among unaccompanied and accompanied refugee children. We linked a cohort of refugee children who obtained right of residency in Denmark between 01 January 1993 and 31 December 2010 to the Danish Psychiatric Central Register, and calculated incidence rates per 100,000 person years and incidence rate ratios of overall psychiatric disorder, psychotic disorders, affective disorders, and neurotic disorders for accompanied and unaccompanied minors using Poisson regression...
April 2018: European Child & Adolescent Psychiatry
Jenny Jesuthasan, Ekin Sönmez, Ingar Abels, Christine Kurmeyer, Jana Gutermann, Renate Kimbel, Antje Krüger, Guenter Niklewski, Kneginja Richter, Ulrich Stangier, Anja Wollny, Ulrike Zier, Sabine Oertelt-Prigione, Meryam Shouler-Ocak
BACKGROUND: The year 2016 has marked the highest number of displaced people worldwide on record. A large number of these refugees are women, yet little is known about their specific situation and the hurdles they have to face during their journey. Herein, we investigated whether sociodemographic characteristics and traumatic experiences in the home country and during the flight affected the quality of life of refugee women arriving in Germany in 2015-2016. METHODS: Six hundred sixty-three women from six countries (Afghanistan, Syria, Iran, Iraq, Somalia, and Eritrea) living in shared reception facilities in five distinct German regions were interviewed by native speakers using a structured questionnaire...
February 1, 2018: BMC Medicine
Petter Tinghög, Andreas Malm, Charlotta Arwidson, Erika Sigvardsdotter, Andreas Lundin, Fredrik Saboonchi
OBJECTIVES: To estimate the prevalence of and associations between anxiety, depression, post-traumatic stress disorder (PTSD), low subjective well-being (SWB), potential traumas and postmigration stress among refugees from Syria resettled in Sweden. DESIGN: A cross-sectional and population-based questionnaire study based on a known and complete sample frame. The survey included multiple measures of mental ill health and factors of particular relevance for refugees...
December 29, 2017: BMJ Open
Lindokuhle Thela, Andrew Tomita, Varsha Maharaj, Mpho Mhlongo, Jonathan K Burns
There are few studies on the role of migration within sub-Saharan Africa and its relation to the development of mental illness. We investigated post-resettlement adaptation and mental health challenges of African refugees/migrants in Durban, South Africa. We interviewed 335 African help-seeking refugees/migrants for anxiety, depression (25-item Hopkins Symptom Checklist) and post-traumatic stress symptoms (30-item Harvard Trauma Questionnaire). Socio-demographic and migration history, focusing on post-migration circumstances and experiences of discrimination in the host country, were obtained...
October 2017: Transcultural Psychiatry
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