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This book examines social adjustment and mental health programmes for Indochinese refugees in the US. A refugee is considered to have achieved social adjustment when he or she is able to function successfully in the local community. It is argued that traditional US mental health programmes are inappropriate for Indochinese refugee needs. This book contains guidelines for social adjustment services, based on recent innovative approaches, which are designed to alleviate the stresses of resettlement and to help the refugees adjust successfully to American society. It is divided into four sections: 1) preventive services (education and training); 2) short-term services (including crisis intervention); 3) on-going services (long-term adaptation); and 4) mental health programme approaches. The authors emphasize the importance of local community involvement.
This two-volume study was prepared for the US Department of Health and Human Services, Office of Refugee Resettlement, under contract from the Social Security Administration. The central concept studied was refugee self-sufficiency, organized into the two major dimensions of economic and social self-sufficiency. The economic dimension included the components of labour force participation, employment, welfare usage, other support and income levels. The social dimension included components of English language ability, physical and mental health, interactions with Americans and participation in formal organizations. Separate field studies of four ethnic groups - Afghans, Ethiopians, Poles and Romanians were conducted in five locations: Los Angeles, Dallas, Chicago, Northern Virginia/Washington, DC and New York City. Volume I presents the introduction and background to the study and a brief description of the information sources and study methods, as well as the major findings synthesized by ethnic groups across all sites in which the group was studied. In Section IV, conclusions about patterns of adjustment in general deriving from the findings are illustrated with reference to the particular group. Implications for the refugee service system of non-Southeast Asians are presented in Section V. The 12 Case Portrayals are compiled in Volume II, along with a description of the context of each site of study. The volume is structured in such a way that the context of the first site is described, followed by the portrayal of the adjustment of each ethnic group studied at that site.
This report presents an evaluation of a programme providing mental health and social adjustment services to South East Asian (Indo-Chinese) refugees (Hmong, Kampuchean, Lao and Vietnamese) settled in the Minneapolis-St Paul area of Minnesota, USA. Evaluation data relevant to the major goals of the programme were gathered for 98 clients. Four areas were covered: amount and type of service delivered; sociodemographic description of the clients served; effectiveness of the project in reducing the number and/or severity of client problems; client satisfaction. Bilingual counsellors had a variety of different types of contacts with clients for an overall average of 9.7 contacts per client. South East Asians in general, but the Social Adjustment Project clients in particular, are characterized by low incomes, heavy reliance on public assistance, low employment rates, poor English ability and low literacy in their native language. The project sees a large percentage (44%) of Kampuchean clients and of Hmong (42%). Overall there is a much higher percentage of Kampucheans, a slightly higher percentage of Hmong, and a much lower percentage of Lao and Vietnamese than their numbers in the state population would suggest. There are more women clients than men. Three different measures of client problems showed statistically significant improvement six months after entry into the project, 70-83% of the clients showing improvement. The large majority of clients reported that they were satisfied and would probably or definitely return to the Project for help.