Trauma-Informed Care for Work with Refugees & Immigrants
|
|
- Angelina Wilkerson
- 5 years ago
- Views:
Transcription
1 1 Trauma-Informed Care for Work with Refugees & Immigrants HYOJIN IM, PH.D. ASSISTANT PROFESSOR VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF SOCIAL WORK 2 nd Annual Symposium Center for Research on Migration & Refugee Integration (CRIMRI) University of Utah
2 Trauma Informed Care (TIC) 2 Trauma has the ability to affect entire communities, destroying the sense of safety in neighborhoods, community, and even broader society.
3 Trauma-Informed Care (TIC) 3 4 R approach Realize the widespread impact of trauma Recognize the signs and symptoms of trauma in others Respond with informed policies, procedures and practices Resist re-traumatization. (SAMHSA, 2013)
4 Epidemiology of Trauma 4 Adverse Childhood Studies (ACEs) study showed 59-64% of the population surveyed reported at least one ACE. Histories of trauma were reported by clients in various care systems: 98% of female offenders 96% of adolescent psychiatric inpatients 93% of homeless mothers 90% of juvenile justice-involved youth 75% of adults in substance abuse treatment 70% of children in foster care
5 Impact of Trauma on Health 5 Health risk behaviors Substance abuse, tabacco use, sexual behaviors, Mortality and chronic health problems Mental disorders
6 Refugee Trauma Events 6 Pre-Migration Exposure to war and social conflicts Torture, SGBV Numerous Human rights violations Multiple losses Witness of tragic death, Being close to death Lack of food/water Migration Forced displacement Human trafficking /smuggling Continuous losses of family and resources Separation Harsh and congested living condition Uncertainty of future Lack of protection (legal & economic) fear of deportation Post-Migration Cultural & language barriers Acculturative stress Lacking cultural orientation Loss of cultural practice & identity Social isolation Intergenerational gaps/conflicts Poverty, racism, discrimination, etc. * Photos courtesy of WFP & UNHCR
7 Effects of Refugee Trauma 7 Refugee communities have high risk of developing common mental disorders A review of 181 surveys showed that, among over 80,000 refugees from 40 countries (Steel et al., 2009): 30.6% reported symptoms of PTSD 30.8% reported symptoms of depression CDC-ORR Study reported 16 suicides in the Bhutanese community in the U.S. between Long term studies show enduring impact of war trauma on mental health among refugees.
8 TIC in work with refugees/immigrants 8 Few studies have been conducted Refugee trauma studies having focused heavily on mental disorders (esp. PTSD and depression) and thus on traumaspecific interventions Refugee trauma studies started from Human Rights Movement for war-affected populations Harvard Program in Refugee Trauma in 1981 The Center for Victims of Torture in 1985 More trauma-specific program and few studies on trauma and health/wellness in refugees
9 Unique needs in TIC for Refugees 9 and Immigrants Role of culture in trauma Nature of trauma Barriers to systems
10 Trauma and Culture: Cross-cutting 10 factors Religion & spirituality Language & styles of communication Geographic location Worldview, values & traditions Heritage & history Perspectives on health, illness & healing practice Family & kinship Gender roles & sexuality Socio-economic status & education Cultural identity & degree of acculturation Immigration & migration history/patterns
11 High Stigma of Trauma and Mental 11 health symptoms Afraid of re-opening the wound Re-traumatization to oneself and their families Believed to bring shame to family Concept of Mental Health? Mental health = metal illness = crazy Concept of mental health services may not exist Counseling = problem-solving, consulting Little concept/utilization (or positive experience) of formal services
12 Trauma Event Services & 12 Healthcare One fear of living in the Thai camp was seeking medical service from hospitals. My uncle who had taken his daughter to the hospital (which was the only time you can leave camp) and brought her back dead a couple of days later. She couldn t have died. She only had a bad headache. Photo courtesy: Guardian
13 Dealing with Trauma Sequelae 13 Suffering in silence Self-Medication or "Self-Treatment" Internalized anger and self-harm Sending people with issues back to home country Chaining or hiding problematic persons Traditional healing Some are harmful and others empowering
14 Cultural Expression of Traumatic Effects 14 Various cultures may use different expressions for traumatic effects: My heart is upside down. I have too much air in the brain. Thinking too much Feeling like a stone Possessed by Jin(i) or evil spirit Feeling pain all over that can t be expressed Cultural concept of distress is useful to avoid stigma and understand culturally appropriate coping and healing methods
15 Example. Somali Cultural Idioms of Distress 15 Im et al. (2017). Cultural Translation of Refugee Trauma: Cultural Idioms of Distress among Somali Refugees in Displacement (Im, in Press)
16 Expectations unmet 16 I was one of those people who thought in the U.S there are walls where you just withdraw money. Instead of money I received an abundance of snow. (A Somali single mother, MN)
17 Post-Migration Trauma & Acculturative Stress 17 It is natural to compare home culture to local culture however this may lead to more stress. Changes in social status, family role change, intergenerational gap in acculturation Loss of cultural practice, identity crisis Discrimination, poverty, family separation, social isolation, etc. Traumatic stress continues
18 Pre-Resettlement & Post- 18 Resettlement Traumas Two decades after resettlement Cambodia refugees reported a high prevalence rate of PTSD and depression due to untreated trauma from the home country (Marshall, Schell, Elliott, Berthold, & Chun, 2005). More devastating impacts of post-migration stressors than pre-migration traumas on mental health outcomes (Bogic, Njoku & Priebe, 2015; Chu, Keller, & Rasmussen, 2013 ; Li, Liddell, & Nickerson, 2016). Each migration stage, including resettlement, has a cumulative negative effect on mental health.
19 Challenges in TIC for Refugees/Immigrant 19 Language and cultural barriers + transportation + lack of cultural orientation/information Limited resources or systems for adequate assessment and care of trauma-related needs, from screening to referral and to treatment and recovery Lack of awareness and capacity for culturally relevant and responsive services that are trauma-informed High stigma and lack of awareness around trauma and mental health needs in the refugee community Communication breakdown or limited interaction and trust between providers and refugees
20 Example of TIC for Refugee Newcomers 20 System level A multi-tiered Model of Mental Health & Psychosocial Support for Newcomers Program level A Community-Based Program (2-tier intervention): 1. Trauma-informed crosscultural training (Training) 2. Community Wellness Workshop (Intervention)
21 21 Severe mental illness (psychosis, schizophrenia, severe mental illness) Common mental disorders (PTSD, depression, anxiety, somatic pains) Psychosocial functioning Adjustment
22 Multi-Tiered Refugee Mental Health & Psychosocial Support Model 22
23 Tier 1 : Trauma-Informed & Culture- Sensitive Services 23 Tier 1 includes trauma-informed and culture-sensitive care integrated into existing services. Efforts in Tier 1 are to promote social adjustment and integration of refugee populations by building capacity of refugee service providers to recognize and respond to unique needs of refugees.
24 Tier 2: Community-Based Psychosocial Support 24 Tier 2 focuses on psychological distress and social functioning by providing community-based interventions led by competent and experienced refugee community leaders. The community-based interventions aim to increase skills to deal with acculturation stress and other psychosocial needs.
25 Tier 3: Trauma-Focused Treatment Tier 4: Specialized MH Care 25 Tier 3 is designed for targeted groups whose RHS-15 score is 12+. Mental health services at Tier 3 include trauma-focused treatment by mental health professionals. Tier 4 includes intense, specialized care and mental health treatment for refugees with severe mental illness. Due to the acute level of care, not many refugees are treated at VCU SSW Tier 4 level.
26 Ex. Trauma-Informed Wellness Program 26 Richmond (Peer-Based) Training Peer-led Intervention Selfcontained group Capacity Building Psychoeducation on Refugee trauma and MH, Cultural expressions of trauma, Mutual & cross-cultural learning Intervention Peer-led or agency-based intervention grounded to the community Sustainability Self-contained support group in the community and/or intervention embedded to existing agency program Charlottesville (Agency-based) Agencybased Intervention Interactive Training Peer-led community intervention & support Group
27 1. Training Trauma-informed cross-cultural training 27 Intervention Training Sustainable support Trauma-Informed Impacts of refugee trauma and migration on body, mind, spirituality, relationship, family and community Cross-Cultural Cultural understanding of mental health, cultural expectation, mutual learning between host and refugee communities Psychoeducation Psychosocial skills and competency building, coping strategies, self-care, (self-)awareness
28 Highlights of TIC Training 28 Mixed cohort of refugee and immigrant community leaders and professionals in health care Emerging community leaders engaged in learning about and developing strategies to address the impact of trauma and acculturation stress Increased trust and ability to partner across cultural differences to meet community needs Community members better equipped to support and educate members within their community Increased awareness of the impact of trauma, refugee mental health, and cultural adjustment within formal system of care and refugee/immigrant communities
29 Cross-cultural capacity building 29 Mutual learning across agencies, sectors, communities and cultures Mental health knowledge & skills Community Healing Partnership Refugee service experiences (non-mh) Cultural insights from the refugee community
30 2. Intervention Community Wellness Workshop 30 Training Intervention Sustainable support Body Health Healthy eating, access to healthy/cultural foods, body map, nutrition, impact of migration on health, preventive health Mind Health Body-mind linkage, acculturative stress, stress coping, breathing, mindfulness Community Building Helping others, healthy community, building community, bridging communities
31 Building social capital 31 Effectiveness of Peer-Led Intervention Honoring cultural practices Empowering refugee community Building community leadership Holistic and ecological perspective Individual Family - Community Importance of social capital in wellness promotion Expand intervention to include bridging social capital (linking the community to service providers) Body Mind Collective coping
32 Together, we learned about 32 container gardening, nutrition, & healing. Afghan & Congolese Groups Container gardening embedded to 8 sessions of Community Wellness Workshops
33 Wellness through empowerment 33 Critical understanding of two cultures Self-efficacy and confidence Empowerment Collective problemsolving
34 Charlottesvill 34 e
35 Resilience 35
36 Healing Partnership 36 Building a partnership among compassionate community stakeholders helps enhance the community s capacity to address the numerous challenges refugees/immigrants face when making a new home in the U.S. Virginia Healing Partnership
37 37 THANK YOU Contact: Hyojin Im
Trump's entry ban on refugees will increase human vulnerability and insecurity, expert says 31 March 2017, by Brian Mcneill
Trump's entry ban on refugees will increase human vulnerability and insecurity, expert says 31 March 2017, by Brian Mcneill Trump's travel ban recently with VCU News. As someone who has worked with refugees
More informationSUPPORTING REFUGEE CHILDREN DURING PRE-MIGRATION, IN TRANSIT AND POST-MIGRATION
SUPPORTING REFUGEE CHILDREN DURING PRE-MIGRATION, IN TRANSIT AND POST-MIGRATION HOW CAN WE HELP? Nilufer Okumus The aim of this guide is to increase awareness on how refugee children are affected psychologically
More informationRobert Smith California State University, Long Beach May 2015
Robert Smith California State University, Long Beach May 2015 The period between April 1975- January 1979, the war left many Cambodian survivors fleeing their homes to seek refuge in surrounding Southeast
More informationAn Overview of Refugee Mental Health: A Federal Perspective
An Overview of Refugee Mental Health: A Federal Perspective Johns Hopkins School of Public Health Department of Mental Health Baltimore, MD Wednesday February 7, 2018 Timothy Kelly, MA, MSW Division of
More informationTRAUMA AND RESILIENCE: SUPPORTING IMMIGRANT CHILDREN, THEIR FAMILIES, COLLABORATION AND OUR COMMUNITIES THROUGH
TRAUMA AND RESILIENCE: SUPPORTING IMMIGRANT CHILDREN, THEIR FAMILIES, AND OUR COMMUNITIES THROUGH COLLABORATION PLEASE STAND BY WHILE WE TEST THE AV SYSTEM WITH OUR SPEAKERS Dial-in: 866-740-1260; Access
More informationADDRESSING THE MENTAL HEALTH NEEDS OF REFUGEE CHILDREN
ADDRESSING THE MENTAL HEALTH NEEDS OF REFUGEE CHILDREN AHMET ÖZASLAN The aim of this guide is to increase awareness on the complex mental health needs of refugee children among caregivers, charities, teachers
More informationSupporting Immigrants Mental Health & Wellness in these Times. Presented by: Cathi Tillman, LSW Corinne Guest, LSW
Supporting Immigrants Mental Health & Wellness in these Times Presented by: Cathi Tillman, LSW Corinne Guest, LSW La Puerta Abierta/The Open Door (LPA) works to ensure access to holistic, culturally and
More informationDelivering Culturally Sensitive Traumainformed Services to Former Refugees
Delivering Culturally Sensitive Traumainformed Services to Former Refugees 4.3.18 Presenting At First Things First Sarah Holliday Stella Kiarie A Five Part Look at Identifying Needs, Approaches and Resources
More informationUnaccompanied Migrant Children
Unaccompanied Migrant Children Unaccompanied Migrant Children 1 (UMC) are children or adolescents who travel across country borders without a legal guardian and without legal immigration documents. As
More informationWomen and Displacement
Women and Displacement Sanaz Sohrabizadeh, PhD Assistant Professor Department of Health in Disasters and Emerencies School of Health, Safety and Environment Shahid Beheshti University of Medical Sciences
More informationSomali Refugee Women: Empowerment of Self-Sufficiency Program
Published in the Newsletter of the ARIZONA DEPARTMENT OF HEALTH SERVICES (AHDC): Somali American United Council plans a wide range of training on US Healthcare, parenting skills and guidance for proper
More informationWorking with Refugee Populations Services for Older Refugee Program (SORP)
Working with Refugee Populations Services for Older Refugee Program (SORP) Senior Action Council June 2018 1 Who is a Refugee? Refugees are those persons of special humanitarian concern who have fled their
More informationCornelius Katona ISTM Rome October 2018
Cornelius Katona www.helenbamber.org ISTM Rome October 2018 Outline The migrant crisis a UK perspective The range of experiences and adversities consequent on human rights abuse The importance of post-migration
More informationOverview on Children of Immigrants
Supporting Young Children & Families Impacted by Immigration Policies September 27, 2017 Hannah Matthews, Director, Child Care and Early Education, CLASP Dr. Michael McNeil, Seattle Children s Hospital
More informationThe biopsychosocial- spiritual model of health and illness can be explained with the following model:
Task Four Marisa Schlenker Due Date: June 23, 2015 To begin this task, I will focus on the definition of illness, as it is important to understand the concept before designing a program integrating sport.
More informationRefugee Mental Health: Program Challenges Amy Greensfelder Monica L. Vargas, MSPH, MBA Amber Gray, MPH, LCPP
Refugee Mental Health: Program Challenges Amy Greensfelder Monica L. Vargas, MSPH, MBA Amber Gray, MPH, LCPP National Symposium: Connecting Leaders, Impacting Communities & Sustaining Programs: Strengthening
More informationUnaccompanied Immigrant Youth in Alameda County: Building Communities of Support
Unaccompanied Immigrant Youth in Alameda County: Building Communities of Support Jasmine Gonzalez, UIY Senior Clinical Case Manager Center for Healthy Schools and Communities Alameda County Health Care
More informationFamily Violence in CALD Communities: Understanding and responding
Family Violence in CALD Communities: Understanding and responding About intouch A state-wide family violence organisation dedicated to the development and implementation of a number of culturally sensitive
More informationThe Refugee Experience
The Refugee Experience Presentation by CAPT John J. Tuskan, Jr., USPHS Refugee Mental Health Program SAMHSA/CMHS ACF/ORR Charlotte, NC April 17, 2008 ORR Refugee Health Team Health & Mental Health Technical
More informationImmigrant Health in the US
Immigrant Health in the US Marietta Vázquez, M.D., FAAP Associate Professor Pediatrics Yale University School of Medicine Director, Yale Pediatric Global Health Track Director, Yale Children s Hispanic
More informationYoung people from migrant and refugee backgrounds
National Youth Settlement Framework: Young people from migrant and refugee backgrounds Introduction This resource has been developed as a supplement to the MYAN Australia s National Youth Settlement Framework
More informationLyn Morland, MSW, MA, Director Bridging Refugee Youth & Children s Services (BRYCS)
BRYCS Photo/Courtesy of CSS Anchorage Lyn Morland, MSW, MA, Director Bridging Refugee Youth & Children s Services (BRYCS) Heidi Ellis, PhD Children s Hospital Boston and Harvard Medical School Refugee
More informationBEGINNING ANEW: Refugees and Asylum Seekers
BEGINNING ANEW: Refugees and Asylum Seekers OBJECTIVES Refugee v. Asylum Seeker Psychological Effects on These Groups Potential Benefits of Group Counseling & Community Based Counseling Refugee Defined
More informationAcute health problems, public health measures and administration procedures during arrival/transit phase
Acute health problems, public health measures and administration procedures during arrival/transit phase Who is Médecins Sans Frontières (MSF)? MSF was founded by a group of doctors and journalists in
More informationProviding access to Healthcare for Refugees arriving in the UK Dr Peter Gough, Doctors of the World UK
Providing access to Healthcare for Refugees arriving in the UK Dr Peter Gough, Doctors of the World UK MÉDECINS DU MONDE PROVIDING ACCESS TO HEALTHCARE FOR EXCLUDED PEOPLE ALL OVER THE WORLD 400 programmes
More informationACEs and the Migrant Population
ACEs and the Migrant Population A tough decision After making the decision to migrate to the US, immigrant parents and their children must next decide how best to migrate. Although approximately 80% of
More informationTrauma and Immigrant Families
Trauma and Immigrant Families Family Detention Poster, Detention Watch Network - www.detentionwatchnetwork.org Laura Valdéz, Chief Program Officer East Bay Agency for Children May 23, 2017 Early Childhood
More informationSurvivor Informed Sex Trafficking Research: African American Girls & Women. Thema Bryant-Davis, PhD Pepperdine University
Survivor Informed Sex Trafficking Research: African American Girls & Women Thema Bryant-Davis, PhD Pepperdine University tbryant@pepperdine.edu Defining Sex Trafficking Sex trafficking is the use of force,
More informationIMMIGRANT IDENTITY: MIND AND MOTIVATIONS OF FOREIGN-BORN STUDENTS. Usha Tummala-Narra, Ph.D. Lynch School of Education Boston College
IMMIGRANT IDENTITY: MIND AND MOTIVATIONS OF FOREIGN-BORN STUDENTS Usha Tummala-Narra, Ph.D. Lynch School of Education Boston College Historical Overview 38.5 million foreign-born individuals in U.S. U.S.
More informationTHE MENTAL HEALTH OF IMMIGRANTS: RECENT FINDINGS FROM THE OSLO HEALTH STUDY
THE MENTAL HEALTH OF IMMIGRANTS: RECENT FINDINGS FROM THE OSLO HEALTH STUDY Edvard Hauff, MD; PhD Professor and Head, Institute of Psychiatry, University of Oslo Content Background: Immigration in Norway,
More informationEffect of immigration on health outcomes among abused Chinese women
Effect of immigration on health outcomes among abused Chinese women Agnes Tiwari, PhD, RN, FAAN Professor and Head School of Nursing The University of Hong Kong Member of the Expert Panel on Violence Prevention,
More informationA Conversation about the Dadaab Refugee Camps
A Conversation about the Dadaab Refugee Camps Curt Goering, executive director, and Paul Orieny, PhD, LMFT, international services clinical advisor, participated in a live Facebook chat in June 2013 about
More informationWHAT S AT STAKE: IMMIGRANT MENTAL HEALTH
WHAT S AT STAKE: IMMIGRANT MENTAL HEALTH Betzabel Estudillo Senior Policy Manager, Health and Public Benefits California Immigrant Policy Center April 10, 2018 ABOUT THE CALIFORNIA IMMIGRANT POLICY CENTER
More informationMind de Gap! Annual Forum 2012 of the European RC/RC Network for Psychosocial Support. Resilience and Communication. Paris, October 2012
Support and Psychosocial Annual Forum 2012 of the European RC/RC Network for Psychosocial Support Resilience and Communication. Mind de Gap! Paris, 26-28 October 2012 The Psychosocial impacts of migration
More informationIt s Not Taken : Realities of Domestic Trafficking Among Foster Youth
It s Not Taken : Realities of Domestic Trafficking Among Foster Youth Nadine Finigan-Carr, Ph.D. Amelia Rubenstein, L.C.S.W UMB SSW: Child Sex Trafficking Victims Initiative Workshop Objectives Participants
More informationVULNERABILITY SCREENING TOOL
VULNERABILITY SCREENING TOOL Identifying and addressing vulnerability: a tool for asylum and migration systems This tool was jointly developed by UNHCR and the IDC, with the support of the Oak Foundation.
More information10/28/2018. Human Trafficking It IS in your hospital. Elements of Human Trafficking: Force Fraud Coercion. Definition: Human Trafficking
https://vimeo.com/118671401 Human Trafficking It IS in your hospital Heather Waleski BSN, RN, SANE-A Forensic Program Union Charlotte Metropolitan Human Trafficking Task Force Heather.Waleski@atriumhealth.org
More informationHealth Education, Advocacy, Linkage Because Human Trafficking is a Public Health Issue HEALTrafficking.org PO Box Los Angeles, CA 90031
HEAL Trafficking submits this information in response to the Request for Information for the 2018 Trafficking in Persons Report, Public Notice: 10237, Federal Register, Vol. 82, No. 246, December 26, 2017.
More informationThe Emotional Health Needs of Undocumented Students
The Emotional Health Needs of Undocumented Students Dra. Aurora Chang, PhD Assistant Professor of Education, Loyola University Chicago Padraic Stanley, MSW Youth Development Coordinator and Counselor,
More informationFramework for Supporting Children from Refugee Backgrounds
Framework for Supporting Children from Refugee Backgrounds 1. Rationale 1 2. A Life Fully Lived 2 3. School Context 2 4. Background 2 4.1 Definition 2 4.2 The Refugee Experience 3 4.3 The Settlement Experience
More informationAfrican Refugee Students. Yatta Kanu University of Manitoba
Fostering Educational Success for African Refugee Students Yatta Kanu University of Manitoba Research Problem 8,190 refugee immigrants between 1998 and 2005 Half were school aged population (0-24 years)
More informationThe Mental Health Service Requirements in Ireland for Asylum Seekers, Refugees and Migrants from Conflict Zones.
The Mental Health Service Requirements in Ireland for Asylum Seekers, Refugees and Migrants from Conflict Zones. Position Paper EAP/01/17 approved by Council March 2017 THE MENTAL HEALTH SERVICE REQUIREMENTS
More informationService Provision Mapping Tool: Urban Refugee Response
WOMEN S REFUGEE COMMISSION Service Provision Mapping Tool: Urban Refugee Response Mapping humanitarian and host community organizations relevant to GBV prevention and GBV risk mitigation Introduction Today,
More informationSTORIES OF ADAPTATION
TRAUMA- INFORMED CULTURAL COMPETENCY KAREN B. K. CHAN @KarenBKChan FluidExchange.org STORIES OF ADAPTATION Conscious / Unconscious Helpful / Unhelpful 1 TRAUMA- INFORMED LENS Ø How we understand trauma
More informationSupporting Children s Recovery: Systemic and Holistic work with Refugee Children, Families and Schools. Dr. Esme Dark
Supporting Children s Recovery: Systemic and Holistic work with Refugee Children, Families and Schools Dr. Esme Dark The Child Adolescent and Family Programme (CAF) The CAF programme was set up to provide
More informationPRESENTED BY: UNIVERSITY OF NEW MEXICO REFUGEE WELL-BEING PROJECT
REFUGEE WELL-BEING IN NEW MEXICO A PROFILE OF REFUGEES FROM AFGHANISTAN, BURUNDI, DEMOCRATIC REPUBLIC OF CONGO, IRAQ, RWANDA & SYRIA RESETTLED FROM 2013-2016 PRESENTED BY: UNIVERSITY OF NEW MEXICO REFUGEE
More informationAmanda Gopal, LCSW. At A Glance. Clinical Considerations and Interventions for Survivors of Sex Trafficking
Clinical Considerations and Interventions for Survivors of Sex Trafficking September 13, 2013 13 th Annual Children s Cove Conference Amanda Gopal, LCSW agopal421@gmail.com 864-915-8884 Amanda Gopal, LCSW
More informationMigration and Health. Medical and humanitarian assistance for people on the move, MSF experience and challenges
Migration and Health. Medical and humanitarian assistance for people on the move, MSF experience and challenges Apostolos Veizis,M.D Director of the Medical Support Unit apostolos.veizis@athens.msf.org
More informationHealth Effects of Immigrant Detention & Deportation
Health Effects of Immigrant Detention & Deportation Betzabel Estudillo Health Policy Manager California Immigrant Policy Center Presentation adapted from Health Effects of Immigration Detention and Deportation
More informationRefugee Health in Pennsylvania
Refugee Health in Pennsylvania Jun Yang, Ph.D. Epidemiologist and State Refugee Health Coordinator Division of Infectious Disease Epidemiology Bureau of Epidemiology PA Department of Health August 17,
More informationTOOLS FOR ASSESSING PSYCHOLOGICAL DISTRESS
TOOLS FOR ASSESSING PSYCHOLOGICAL DISTRESS IENE 6 Contemporary large migration waves into Europe: Enabling health workers to provide psychological support to migrants and refugees and develop strategies
More informationCURRICULUM VITAE. Rupa M. Khetarpal, LCSW
CURRICULUM VITAE Rupa M. Khetarpal, LCSW rkhetarpal@ssw.rutgers.edu Assistant Professor of Teaching School of Social Work Rutgers University 390 George Street, Suite 408 New Brunswick, NJ 08901 Program
More informationTeaching the Refugee Newcomer Student
Teaching the Refugee Newcomer Student Welcome Objectives: EXPLORE REFUGEE/IMMIGRANT INTAKE IDENTIFY & MITIGATE KEY SYMPTOMS OF TRAUMATIC STRESS IN THE SCHOOL SETTING Hello! Louise El Yaafouri (Kreuzer)
More information2016 second quarter report. 689 Massachusetts Avenue Cambridge, MA
2016 second quarter report 689 Massachusetts Avenue Cambridge, MA 02139 info@refugepoint.org www.refugepoint.org At the Annual Tripartite Consultations on Resettlement in Geneva in June, RefugePoint s
More informationTHE PSYCHOLOGICAL EFFECTS OF CURRENT IMMIGRATION POLICY AND SENTIMENT. Usha Tummala-Narra, Ph.D. Lynch School of Education Boston College
THE PSYCHOLOGICAL EFFECTS OF CURRENT IMMIGRATION POLICY AND SENTIMENT Usha Tummala-Narra, Ph.D. Lynch School of Education Boston College Pre-Migration Context Consider reasons for why people migrate (e.g.
More informationWomen living without legal immigration status: Health consequences and barriers to healthcare
Women living without legal immigration status: Health consequences and barriers to healthcare Research on Healthcare for the Undocumented and Uninsured: Systems, Policies, Practices and their Consequences.
More informationHUMAN TRAFFICKING FOR HEALTHCARE 101. Swedish Pediatric Specialty Care Jan 26,2018
HUMAN TRAFFICKING FOR HEALTHCARE 101 Swedish Pediatric Specialty Care Jan 26,2018 1 AGENDA 1. Introduction to Human Trafficking 2. How to Identify Human Trafficking 3. Creating a Safe Environment 4. Practical
More informationDeveloping support for Young Carers from asylum-seeking and refugee families
Developing support for Young Carers from asylum-seeking and refugee families Jen Kenward Experience of Care Lead, NHS England @JenKenward International Carers Conference October 2017 An introduction to
More informationUnderstanding the issues most important to refugee and asylum seeker youth in the Asia Pacific region
Understanding the issues most important to refugee and asylum seeker youth in the Asia Pacific region June 2016 This briefing paper has been prepared by the Asia Pacific Refugee Rights Network (APRRN),
More informationTorture, Trauma, Psychosocial Impact and Mental Health:
CERTIFICATE COURSE Torture, Trauma, Psychosocial Impact and Mental Health: Meeting the Needs of War and Torture Survivors Triumph Over Torture Visit Us Online At: www.ccvt.org Course Objectives This course
More informationSituation for Children in Syria and Neighbouring Countries
Situation for Children in Syria and Neighbouring Countries 1. CONTEXT The Syrian crisis continues to deteriorate leading to significant human tragedy within Syria itself and also in the context of its
More informationThe Refugee Experience: Involving Pre-migration, In Transit, and Post migration Issues in Social Services
St. Catherine University University of St. Thomas Master of Social Work Clinical Research Papers School of Social Work 5-2014 The Refugee Experience: Involving Pre-migration, In Transit, and Post migration
More informationTHE ASYLUM-SEEKER AND REFUGEE EXPERIENCE: AN INTERPRETATIVE PHENOMENOLOGICAL ANALYSIS OF INTERVIEW DATA BY USING ARTEFACTS
THE ASYLUM-SEEKER AND REFUGEE EXPERIENCE: AN INTERPRETATIVE PHENOMENOLOGICAL ANALYSIS OF INTERVIEW DATA BY USING ARTEFACTS Glenn Williams 1 (presenting), John Allan 2, Divine Charura 2, Elliot Cohen 2,
More informationSPECIAL REPORT ON FOLLOW-UP VISIT TO THE TEMPORARY TRANSIT CENTER TABANOVCE
SPECIAL REPORT ON FOLLOW-UP VISIT TO THE TEMPORARY TRANSIT CENTER TABANOVCE Skopje, 28.09.2016 Timeframe, Methodology and Purpose of the Visit The Ombudsman - National Preventive Mechanism (NPM) performed
More informationTOOLKIT. RESPONDING to REFUGEES AND. DISPLACED PERSONS in EUROPE. FOR CHURCHES and INDIVIDUALS
TOOLKIT FOR CHURCHES and INDIVIDUALS RESPONDING to REFUGEES AND DISPLACED PERSONS in EUROPE YOUR COMPASSION for and interest in assisting refugee families and individuals fleeing war and persecution are
More informationTHE MENTAL HEALTH OF REFUGEES LIVING IN THE US
THE MENTAL HEALTH OF REFUGEES LIVING IN THE US Catalina López-Quintero. Department of Epidemiology and Biostatistics, Michigan State University Yehuda Neumark. Braun School of Public Health. Hebrew University-Hadassah
More informationChildhood Migration and Well-being: A Framework for Understanding the Opportunities and Challenges
Childhood Migration and Well-being: A Framework for Understanding the Opportunities and Challenges Krista M. Perreira, PhD Presented at the 17 th Annual Summer Public Health Research Videoconference on
More informationMENTAL HEALTH AND RESILIENCE IN AANHPI HEALTH CENTERS SEPTEMBER 19TH, 2017
MENTAL HEALTH AND RESILIENCE IN AANHPI HEALTH CENTERS SEPTEMBER 19TH, 2017 Heather Skrabak Associate Director of Policy and Advocacy Association of Asian Pacific Community Health Organizations DJ Ida,
More informationYOUTH JUSTICE INNOVATION FUND PROPOSAL FROM LIFE WITHOUT BARRIERS
1. THE WAY THE PROGRAM IS DESIGNED TO BE AN EFFECTIVE SOLUTION FOR A FACTOR LINKED TO HIGH RE-OFFENDING RATES, WHAT THE FACTOR IS AND HOW IT RELATES TO HIGH RE-OFFENDING RATES 1.1 About the program To
More informationCHRONIC DISEASE IN VULNERABLE IMMIGRANT POPULATIONS. A growing concern
CHRONIC DISEASE IN VULNERABLE IMMIGRANT POPULATIONS A growing concern Presenter Disclosure Presenter: Nicole Nitti MD CCFP(EM)FCFP, AKM Relationships to commercial interests: No commercial interests Disclosure
More informationThe Slave Next Door: What Psychologists in New Jersey Need to Know About Human Trafficking
The Slave Next Door: What Psychologists in New Jersey Need to Know About Human Trafficking Susan Neigher, Ph.D. and Jennifer Amaya, Director of Outreach and Prevention, Visions and Pathways Presentation
More informationJustice for Immigrants Webinar
Justice for Immigrants Webinar Family Separation at the Border May 30, 2018 Agenda & Speakers Introduction Timeline of Key Events Zero-Tolerance Policy Separation A Growing Practice Trends Seen by USCCB
More informationSurendra Bir Adhikari, Ph.D. MedSoc, MA, Mental Health Administrator; PI-Health Disparities & Equity
Surendra Bir Adhikari, Ph.D. MedSoc, MA, Mental Health Administrator; PI-Health Disparities & Equity Behavioral health (trauma, suicidal ideation) and substance abuse issues that refugees experience (e.g.,
More informationJune 2018 (expected), University of Chicago, School of Social Service Administration, Chicago, IL
Mary E. Bunn 1258 W. Rosedale Avenue,, 60660, mbunn@uchicago.edu EDUCATION Ph.D. June 2018 (expected), University of Chicago, School of Social Service Administration, Chicago, IL Proposed Dissertation
More informationLondon & Middlesex Local Immigration Partnership: Community Capacity and Perceptions of the LMLIP
Community Capacity and Perceptions of the LMLIP 1 London & Middlesex Local Immigration Partnership: Community Capacity and Perceptions of the LMLIP Prepared by: Amanda DeVaul-Fetters, Kelly Barnes, and
More informationBarriers to mental health treatment for refugees in Maine : an exploratory study
Smith ScholarWorks Theses, Dissertations, and Projects 2017 Barriers to mental health treatment for refugees in Maine : an exploratory study Hayley Fitzgerald Follow this and additional works at: https://scholarworks.smith.edu/theses
More informationTorture, Trauma, Psychosocial Impact and Mental Health:
CERTIFICATE COURSE Torture, Trauma, Psychosocial Impact and Mental Health: Meeting the Needs of War and Torture Survivors WHERE HER TORTURE ENDED, WE BEGAN Visit Us Online At: www.ccvt.org Course Objectives
More informationMy heart is in two places: ontological security, emotions and the health of African refugee women in Tasmania.
My heart is in two places: ontological security, emotions and the health of African refugee women in Tasmania. by Helen Elizabeth Hutchinson Bachelor of Arts (Honours) Master of Arts (Sociology) Submitted
More informationCommercial sexual exploitation of American Indian women and girls
University of Nebraska - Lincoln DigitalCommons@University of Nebraska - Lincoln First Annual Interdisciplinary Conference on Human Trafficking, 2009 Interdisciplinary Conference on Human Trafficking at
More informationBroken Families, Broken Souls: The Impact of the U.S. Immigration System on Children and Families
Broken Families, Broken Souls: The Impact of the U.S. Immigration System on Children and Families Thursday, January 18, 2018 Rev. HéctorJ. Hernández Marcial Nancy Córdova Angela Whitenhill, LCSW WHAT IS
More informationThe aim of humanitarian action is to address the
Gender and in Humanitarian Action The aim of humanitarian action is to address the needs and rights of people affected by armed conflict or natural disaster. This includes ensuring their safety and well-being,
More informationImmigrant & Refugee Medicine
Immigrant & Refugee Medicine Mark Troyer, MD, MPH Assistant Professor General Internal Medicine The Ohio State University Wexner Medical Center Agenda Major categories of Immigration Refugee origin countries
More informationTraining The Next Generation Of Refugee Service Providers Melodie Kinet, M.P.H., M.B.A. Richard Mollica, M.D., M.A.R. Hawthorne Smith, Ph.d.
Training The Next Generation Of Refugee Service Providers Melodie Kinet, M.P.H., M.B.A. Richard Mollica, M.D., M.A.R. Hawthorne Smith, Ph.d. National Symposium: Connecting Leaders, Impacting Communities
More informationDetainee/Former Detainee Assessment and Referral Form
Detainee/Former Detainee Assessment and Referral Form Referral Details Referring agency Referral date Detention Visit (Yes/No) Centre/Facility Name/Location Telephone assessment (Yes/No) Worker contact
More information2019 PROFESSIONAL AND ORGANISATIONAL DEVELOPMENT PROGRAM
AND ORGANISATIONAL Photo: Founda on House Supporting and enhancing the skills and knowledge of individuals, organisations and systems providing services to people who are of refugee background. https://www.foundationhouse.org.au
More informationIden%fying & Managing The Red Flags of Opioid Misuse
Turning Low Outcome Patients Into High Outcome Success Stories Stephen F. Grinstead, Dr. AD, LMFT, ACRPS Dr. Stephen F. Grinstead Ø Co-Founder & Chief Clinical Officer A Healing Place The Estates Ø Developer
More informationBest Practices for Social Work with Refugees and Immigrants Chapter Reading Questions. Chapter 1: Introduction
Best Practices for Social Work with Refugees and Immigrants Chapter Reading Questions Chapter 1: Introduction 1. Describe three things that you learned or were surprised by in Chapter 1. 2. What was new
More informationHealth conditions in the occupied Palestinian territory, including east Jerusalem, and in the occupied Syrian Golan
SIXTY-FOURTH WORLD HEALTH ASSEMBLY A64/INF.DOC./3 Provisional agenda item 15 12 May 2011 Health conditions in the occupied Palestinian territory, including east Jerusalem, and in the occupied Syrian Golan
More informationMedical and humanitarian assistance for people on the move, experience and challenges
Medical and humanitarian assistance for people on the move, experience and challenges Apostolos Veizis,M.D Head of SOMA apostolos.veizis@athens.msf.org Iro Evlampidou, MSF, Refugee crisis in Europe:
More informationCHILDREN DON T IMMIGRATE, THEY FLEE MINAL GIRI, MD, FAAP CHAIR, REFUGEE IMMIGRANT CHILD HEALTH INITIATIVE 8 TH ANNUAL ABC CONFERENCE
CHILDREN DON T IMMIGRATE, THEY FLEE MINAL GIRI, MD, FAAP CHAIR, REFUGEE IMMIGRANT CHILD HEALTH INITIATIVE 8 TH ANNUAL ABC CONFERENCE DISCLOSURE I declare that neither I, or my immediate family, have a
More informationONE DAY OUR FAMILY WILL BE REUNITED
UNIT 250 10709 107 AVENUE NW EDMONTON, AB T5H 2X3 780 666 6154; 403 800 2301 info@tataccalusa Institutelusa.com CANADA REFUFEE FAMILY REUNIFICATION IN THE Ottawa, Ontario April 22, 2017 ONE DAY OUR FAMILY
More informationIndigenous Problem Solving for Healing A Tribal Community Court
Indigenous Problem Solving for Healing A Tribal Community Court Center for Court Innovation and Colorado River Indian Tribes Community Court Copyright @2017 The Model Red Hook Community Justice Center
More informationVulnerable groups in Immigration Detention: Mental Health
Archway Resource Centre, 1b Waterlow Road, London N19 5NJ www.aviddetention.org.uk/enquiries@aviddetention.org.uk 0207 281 0533/07900 196 131 Vulnerable groups in Immigration Detention: Mental Health About
More informationCaribbean Joint Statement on Gender Equality and the Post 2015 and SIDS Agenda
Caribbean Joint Statement on Gender Equality and the Post 2015 and SIDS Agenda Caribbean Joint Statement on Gender Equality and the Post 2015 and SIDS Agenda 1 Preamble As the Millennium Development Goals
More informationHomelessness and Domestic Violence
Homelessness and Domestic Violence Tailoring services to meet the needs of women who are homeless and fleeing domestic violence. Introduction... 2 Domestic violence: A possible pathway into homelessness...
More informationAddressing the diverse stresses impacting Syrian Refugees: Challenges, Opportunities and Tools
Addressing the diverse stresses impacting Syrian Refugees: Challenges, Opportunities and Tools About Us - In School Settlement Program CONNECT SETTLE INTEGRATE The ISSP provides settlement information
More informationEpidemic: Suicide in Indian Country
10/8/15 sgcoe.org Epidemic: Suicide in Indian Country Jacqueline S. Gray, Ph.D. Seven G enerations Center of Excellence in Native B ehavioral Health Center for R ural Health University of North Dakota
More information2011 HIGH LEVEL MEETING ON YOUTH General Assembly United Nations New York July 2011
2011 HIGH LEVEL MEETING ON YOUTH General Assembly United Nations New York 25-26 July 2011 Thematic panel 2: Challenges to youth development and opportunities for poverty eradication, employment and sustainable
More informationPreferred Communities Intensive Case Management (ICM) MINNESOTA COUNCIL OF CHURCHES REFUGEE SERVICES SARA LIEN, MSW, LISW MARY KELSO, MSW
Preferred Communities Intensive Case Management (ICM) MINNESOTA COUNCIL OF CHURCHES REFUGEE SERVICES SARA LIEN, MSW, LISW MARY KELSO, MSW Program Overview Preferred Communities Programs from the Office
More informationSex Trafficking, Exploitation & Safe Harbor Training
Sex Trafficking, Exploitation & Safe Harbor Training Objectives Define sex trafficking in Minnesota Understand the dynamics, risk factors, and signs Review Minnesota s response Understand Minnesota s Safe
More information