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We live in an age of constantly shifting populations, as immigrants and refugees seek a safe haven from war, famine and poverty. The healthcare of these dispossessed people is now a stark challenge not only in zones of conflict but in those wealthier countries that have offered sanctuary. The book is based on the authors' combined forty-plus years of work as clinicians and teachers in refugee and immigrant health. It is written with clinicians and students in mind and is thus practical, yet theory-based, so it can be used in the field and as a teaching text. It bridges physical health (highlighting infectious disease risks), mental health, and spiritual issues; and encompasses population-specific information on history of immigration, culture and social relations, communications, religions, pregnancy and childbirth, end-of-life issues, and health screening. It also details health beliefs and practices of 30 cultures from more than 40 countries.
As North America's ethnic populations increase, health care and social service workers are recognizing that in order to provide culturally sensitive and effective treatment programs they must be more aware of the particular needs of their ethnic patients. This newly revised edition of Cross-Cultural Caring: A Handbook for Health Professionals describes Vietnamese, Cambodian and Laotian, Chinese, Japanese, Iranian, South Asian, and Central American ethno-cultural groups. It stresses the need to understand both the cultural beliefs and the daily life concerns facing immigrants, such as work, income, child-rearing, and aging, all of which impinge on health.
Key Features: Bridges the gap between existing academic literature on refugee health and guidelines for health management in humanitarian emergencies Helps to develop an integrated approach to healthcare provision, allowing healthcare professionals and humanitarians to adapt their specialist knowledge for use in forced migration contexts and with refugees. Recognizes the complex and interconnected needs in displacement scenarios and identifies holistic and systems-based approaches. Covers public health theory, applied public health and clinical aspects of forced migration.
Refugee health is growing as an academic medical discipline. More and more health care providers are coming together to exchange research information, educational curricula and social policies related to refugee health. The number of practitioners attending the annual North American Refugee Healthcare Conference has doubled since 2014. Refugees arrive in the United States from different parts of the world. Refugees undergo a medical screening soon after arrival, as recommended by the U.S. Department of State, and it is usually primary care practitioners who usually evaluate these patients at this first visit. Psychiatrists and other specialists may also evaluate them soon after arrival.Though physicians receive a variable amount of training in cross-cultural medicine, virtually none is in the area of refugee evaluations. There are several major ways that the field has changed. U.S. refugee policies and refugee admission numbers have changed dramatically in the past four years as has the epidemiology of medical conditions because the demographics of refugees have changed. The CDC guidelines for domestic screening have also been modified significantly as some of the screening tests are no longer recommended. Protocols have also been updated for presumptive treatment received by refugees before departure to the United States of other countries. A new chapter on end of life care for refugees has been added to the book. Now fully revised and expanded, this second edition reflects the many changes that have occurred in the field of refugee health since 2014. Refugee Health Care remains the definitive resource for primary care physicians and mental health practitioners who see and evaluate refugees. It is also relevant for medical, nursing and public health students involved with refugee health as well as resettlement agency workers and public health officials overseeing refugee care
"This newly revised edition of Cross-Cultural Caring: A Handbook for Health Professionals looks at Vietnamese, Cambodian and Laotian, Chinese, Japanese, Iranian, South Asian, and Central American ethno-cultural groups. It stresses the need to understand both the cultural beliefs and the daily life concerns facing immigrants, such as work, income, child-rearing, and aging, all of which impinge on health." "This long-awaited new edition provides up-to-date statistics and fresh analysis, responding to changing trends in immigration. Additional material includes a new chapter addressing the special circumstances of refugees; short real-life stories of immigrants' and refugees' experiences; and a thorough, easy-to-use index." --Résumé de l'éditeur.
The papers in this volume were originally presented at a symposium organized by the Committee for Health Rights in Central America (CHRICA). They were later presented at the 21st Congress of the Interamerican Psychological Society which met in Havana, Cuba, in the summer of 1987. The book contains four papers. The first is entitled 'From dirty war to psychological war: The case of El Salvador.' The author examines war and democracy in El Salvador. The thesis is that the psychological war now being developed by the armed forces of El Salvador is a legacy of the 'dirty war' that went on from 1980 to 1983. In order to show how the current psychological war is the expression of the old 'dirty war', the author contrasts three essential elements of dirty war and psychological war: their objectives, their methods, and the psychological consequences they produce. The second paper deals with 'Refugees without sanctuary: Salvadorans in the United States'. The paper challenges the American court's methodology for assessing fear, and its conclusions regarding well-founded fear. With clinical data drawn from a sample of refugees in the United States, the paper argues that under conditions of low-intensity warfare as they exist today in El Salvador fears of persecution are indeed well-founded. The paper also looks at the psychological ramifications of a massive denial of political asylum to a refugee population that has suffered traumatic abuse at home and fails to find sanctuary abroad. Case studies are given of victims and their psychological disorders. The third paper deals with 'Political reality and psychological damage'. It considers three levels of exile: time, space, and identity. The object of the paper is to present the use of testimony as a therapeutic tool and a case study is given. The last paper in this volume deals with 'Returning from exile: One more violent experience'. The author stresses the various difficulties in returning to one's country of origin with Chile as the example. Special reference is made to the conducive setting of group therapy to help people returning from exile feel part of the collective whole.
Tells the story of the 20th-century Central American migration, and how domestic and foreign policy interests shaped the asylum policies of Mexico, the United States, and Canada.
Here is the first comprehensive cross-disciplinary work to examine the current health situation of our immigrants, successfully integrating the vast literature of diverse fields -- epidemiology, health services research, anthropology, law, medicine, social work, health promotion, and bioethics -- to explore the richness and diversity of the immigrant population from a culturally-sensitive perspective. This unequalled resource examines methodological issues, issues in clinical care and research, health and disease in specific immigrant populations, patterns of specific diseases in immigrant groups in the US, and conclusive insight towards the future. Complete with 73 illustrations, this singular book is the blueprint for where we must go in the future.
The handbook aims to encourage health services to become more accessible and responsive to the needs of refugee consumers, and to link in, where appropriate, with other provider agencies.