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In this time of large-scale global migration at levels unrivalled since World War II, primary care practitioners are providing the first line of care to economic immigrants and refugees. In doing so, they face daily the considerable challenges that this heterogenic group brings in terms of communication, culture, and legal status as well as physical and mental health. This accessible book has been carefully crafted to enable primary health care professionals to develop the skills and competencies required to deliver appropriate services to this diverse group of patients and, in turn, to ensure equity in health care for all. Key features: Highly practical focus, with clinical cases, learning objectives, concept and ‘What this Means in Practice’ boxes, and ‘Practical Tools for Meeting the Patient’ sections Covers widely applicable themes in health care including health literacy, communication, the cultures and sub-cultures of systems Fully referenced, combining policy, academic literature and practical advice with a broad international scope Prestigious author team with chapters written by international contributors with in-depth subject expertise curated by expert editors Endorsed and supported by the WONCA Special Interest Group on Migrant Care, International Health and Travel Medicine The book satisfies the urgent need for a hands-on guide to support and help general practitioners and other members of the primary health care team improve their provision of care not only to immigrants, but to other vulnerable groups and the whole society.
Since 1965 the foreign-born population of the United States has swelled from 9.6 million or 5 percent of the population to 45 million or 14 percent in 2015. Today, about one-quarter of the U.S. population consists of immigrants or the children of immigrants. Given the sizable representation of immigrants in the U.S. population, their health is a major influence on the health of the population as a whole. On average, immigrants are healthier than native-born Americans. Yet, immigrants also are subject to the systematic marginalization and discrimination that often lead to the creation of health disparities. To explore the link between immigration and health disparities, the Roundtable on the Promotion of Health Equity held a workshop in Oakland, California, on November 28, 2017. This summary of that workshop highlights the presentations and discussions of the workshop.
Human migration is a global phenomenon and is on the increase. It occurs as a result of 'push' factors (asylum, natural disaster), or as a result of 'pull' factors (seeking economic or educational improvement). Whatever the cause of the relocation, the outcome requires individuals to adjust to their new surroundings and cope with the stresses involved, and as a result, there is considerable potential for disruption to mental health. This volume explores all aspects of migration, on all scales, and its effect on mental health. It covers migration in the widest sense and does not limit itself to refugee studies. It covers issues specific to the elderly and the young, as well as providing practical tips for clinicians on how to improve their own cultural competence in the work setting. The book will be of interest to all mental health professionals and those involved in establishing health and social policy.
The increasing number of refugees, asylum seekers, and irregular migrants poses a challenge for mental health services in Europe. This review found that these groups are exposed to risk factors for mental disorders before, during, and after migration. The prevalence of psychotic, mood, and substance-use disorders in these groups varies but overall resembles that in the host populations. Refugees and asylum seekers, however, have higher rates of post-traumatic stress disorder. Poor socioeconomic conditions are associated with increased rates of depression five years after resettlement. Refugees, asylum seekers, and irregular migrants encounter barriers to accessing mental health care. Good practice for mental health care includes promoting social integration, developing outreach services, coordinating health care, providing information on entitlements and available services, and training professionals to work with these groups. These actions require resources and organizational flexibility.
This book provides a framework to guide mental health providers who work with refugees and immigrants. Nearly 70 million people today are refugees or forcibly-displaced migrants. More than half of them are children suffering from the effects of dislocation and violence. The authors describe the unique needs and challenges of serving these populations, and offer concrete steps for providing evidence-based, culturally-responsive care. Using the socioecological model, the authors conceptualize the developing child as living within concentric circles that include family, school, neighborhood, and society, embedded within a cultural context. Mental health providers identify and provide targeted support to combat disruptions within any or all of these ecological layers. Chapters examine the complex ways in which culture impacts the refugee experience, barriers to engagement in mental health practice and strategies for overcoming them, assessment, collaborative and integrated mental health interventions, and efforts to increase resilience in children, families, and communities. The book is an essential guide for mental health providers, and all who seek to help children in need.
There is increasing interest in the scientific literature on immigrant health and its impact on disease transmission, disease prevention, health promotion, well-being on an individual and population level, health policy, and the cost of managing all these issues on an individual, institutional, national, and global level. The need for accurate and up-to-date information is particularly acute due to the increasing numbers of immigrants and refugees worldwide as the result of natural disasters, political turmoil, the growing numbers of immigrants to magnet countries, and the increasing costs of associated health care that are being felt by governments around the world. Format and Scope: The first portion of the encyclopedia contains chapters that are approximately 25 to 40 manuscript pages in length. Each overview chapter includes a list of references and suggested readings for cross referencing within the encyclopedia. The opening chapters are: Immigration in the Global Context, Immigration Processes and Health in the U.S.: A Brief History, Alternative and Complementary Medicine, Culture-Specific Diagnoses, Health Determinants, Occupational and Environmental Health, Methodological Issues in Immigrant Health Research, Ethical Issues in Research with Immigrants and Refugees, Ethical Issues in the Clinical Context. The second portion of the book consists of alphabetical entries that relate to the health of immigrants. Entries are interdisciplinary and are drawn from the following fields of study: anthropology, demographics, history, law, linguistics, medicine, population studies, psychology, religion, and sociology. Each entry is followed by a listing of suggested readings and suggested resources, and also links to related terms within the whole book. Outstanding Features The book adopts a biopsychosocial-historical approach to the topics covered in the chapters and the entries. Each entry includes suggested readings and suggested resources. The chapters and entries are written graduate level that is accessible to all academics, researchers, and professionals from diverse backgrounds. We consider the audience for the entries to be well educated, but a non expert in this area. The primary focus of the book is on the immigrant populations in and immigration to magnet countries. References are made to worldwide trends and issues arising globally. In addition to the comprehensive subject coverage the text also offers diverse perspectives. The editors themselves reflect the multidisciplinary nature of the topics, with expertise in psychiatry, law, epidemiology, anthropology, and social work. Authors similarly reflect diverse disciplines.