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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.
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.
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.
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
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.
This salient volume surveys the state of access to primary care and preventive health services by migrants, refugees, and asylum seekers across Europe. Experts in public health and allied fields identify obstacles to healthcare interventions for migrants, including costs, legal status, health-related behaviors and beliefs, and cultural and language barriers. The book includes the latest data concerning access to specific preventive services (e.g., vaccinations, colorectal screenings), specific issues of women and sexual minorities, and the potential for health promotion in prevention. Best practices for improving access are outlined as a basis for public health and policy directives toward reducing health disparities between migrant and native populations. Among the topics covered: Access to medical examination for prevention among migrants Access and barriers to infant vaccinations, female cancer screening and colorectal screening among migrant populations Provision and policy gap between the primary and preventive care required by and the care provided to LGBTQ+ migrants, refugees, and asylum seekers. Health related lifestyles and intermediate health conditions of migrants. Quality of primary healthcare and preventive health services provided to migrants Adaptations of primary health care for migrants Access to primary health care and policies on migration and health at a time of economic crisis Dedicated to bridging research and policy gaps in this vital area, Primary Care Access and Preventive Health Services of Migrants is intended for an international audience of academics, researchers, policymakers, and practitioners in public health and related disciplines.
Immigrant Medicine is the first comprehensive guide to caring for immigrant and refugee patient populations. Edited by two of the best-known contributors to the growing canon of information about immigrant medicine, and written by a geographically diverse collection of experts, this book synthesizes the most practical and clinically relevant information and presents it in an easy-to-access format. An invaluable resource for front-line clinicians and other healthcare professionals, public health officials, and policy makers, Immigrant Medicine is destined to become the benchmark reference in this emerging field. Features expert guidance on data collection, legal, interpretive and social adjustment issues, as well as best practices in caring for immigrants to help you confidently manage all aspects of immigrant medicine. Includes detailed discussions on major depression, post traumatic stress disorder, and issues related to torture so you can effectively diagnose and treat common psychiatric issues. Covers international and new-arrival screening and immunizations offering you invaluable advice. Presents a templated diseases/disorders section with discussions on tuberculosis, hepatitis B, and common parasites that helps you easily manage the diseases and syndromes you are likely to encounter. Provides boxed features and tables, differential diagnoses, and treatment algorithms to help you absorb information at a glance.
This book addresses the psychosocial and medical issues of forced migration due to war, major disasters and political as well as climate changes. The topics are discussed in the context of public health and linked to organizational, legal and practical strategies that can offer guidance to professionals, as well as governmental and non-governmental organizations. Both internal and international displacement present substantial challenges that require new solutions and integrated approaches. Issues covered include an overview of current health challenges in the new refugee crises: medicine and mental health in disaster areas, long-term displacement and mental health, integration of legal, medical, social and health economic issues, children and unaccompanied minors, ethical challenges in service provision, short and long-term issues in host countries, models of crises intervention, critical issues, such as suicide prevention, new basic and “minimal” intervention models adapted to limited resources in psychosocial and mental health care, rebuilding of health care in post-disaster/conflict countries, training and burn-out prevention. The book was developed in collaboration with the World Psychiatric Association, and is endorsed by Fabio Grandi (UN High Commissioner for Refugees), Manfred Nowak (former UN Special Rapporteur for Torture), and Jorge Aroche (President of IRCT).
America's Arab Refugees is a timely examination of the world's worst refugee crisis since World War II. Tracing the history of Middle Eastern wars—especially the U.S. military interventions in Iraq and Afghanistan—to the current refugee crisis, Marcia C. Inhorn examines how refugees fare once resettled in America. In the U.S., Arabs are challenged by discrimination, poverty, and various forms of vulnerability. Inhorn shines a spotlight on the plight of resettled Arab refugees in the ethnic enclave community of "Arab Detroit," Michigan. Sharing in the poverty of Detroit's Black communities, Arab refugees struggle to find employment and to rebuild their lives. Iraqi and Lebanese refugees who have fled from war zones also face several serious health challenges. Uncovering the depths of these challenges, Inhorn's ethnography follows refugees in Detroit suffering reproductive health problems requiring in vitro fertilization (IVF). Without money to afford costly IVF services, Arab refugee couples are caught in a state of "reproductive exile"—unable to return to war-torn countries with shattered healthcare systems, but unable to access affordable IVF services in America. America's Arab Refugees questions America's responsibility for, and commitment to, Arab refugees, mounting a powerful call to end the violence in the Middle East, assist war orphans and uprooted families, take better care of Arab refugees in this country, and provide them with equitable and affordable healthcare services.
This book analyzes important international cases of immigrant and refugee health from diverse communication perspectives, providing theoretical frames and effective recommendations for designing future health communication campaigns and interventions for global health promotion. Internationally renowned scholars elucidate the reality of health communication situations that immigrants and refugees experience in host countries around the globe and examine how national and global health risk situations, including the COVID-19 pandemic, affect immigrant and refugee health during difficult health circumstances. Offering effective health communication strategies for promoting immigrant and refugee health, the book also provides lessons learned from past and present health communication campaigns, responses of diverse communities, and governmental policies. This book with many case studies from major host countries on different continents, this book will be of interest to anyone researching or studying in the areas of health communication, public health, international relations, public administration, nursing, and social work.