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1

Nickerson, Angela Marissa Psychology Faculty of Science UNSW. "Mental health and wellbeing of Mandaean refugees." Awarded By:University of New South Wales. Psychology, 2009. http://handle.unsw.edu.au/1959.4/44529.

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This program of research investigated the mental health of Mandaean refugees living in Sydney, Australia (N=315). Participants evidenced high rates of psychological disorders including posttraumatic stress disorder (PTSD, 23%), depression (34%), anger attacks (58%), complicated grief (10%) and impaired mental health-related functioning (42%). Participants also reported high levels of exposure to traumatic events, and experiencing multiple resettlement stressors. It was found that intrusive fear regarding traumatic events that may be experienced by family members remaining in Iraq contributed to PTSD, depression and mental health-related disability over and above the effects of past trauma and post-migration living difficulties. In addition, fear for family predicted frequency of anger attacks beyond the contribution of past trauma, living difficulties and PTSD. Fear of cultural extinction emerged as a salient concern for the Mandaean community, with path analyses revealing it was directly predicted by symptoms of PTSD. The effects of change in visa status on the mental health of Mandaean refugees who had also taken part in a previous survey were explored. Participants who had attained permanent residency status after previously holding Temporary Protection Visas (TPVs) evidenced greater reductions in psychological distress than those who had consistently held permanent residency. Results suggested that that temporary protection may have exerted negative effects on mental health by creating high levels of post-migration living difficulties. Analyses modelling pathways from trauma and loss to other mental health outcomes at both the individual and family levels indicated that grief played a key role in the mental health of the Mandaean community, and that the refugee experience has implications for family mental health and functioning. This thesis represents an attempt to extend knowledge regarding factors that influence refugee mental health, and common psychological outcomes, by examining the relationship between circumstances of ongoing threat to the individual and the collective, family-level processes, and psychological difficulties including PTSD, depression, grief, anger and mental health-related disability. These findings have implications for government policies and service providers working with refugee groups.
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Temple, Cooper Philip, and Cooper Philip Temple. "A comprehensive overview of Syrian refugees' mental health." Thesis, The University of Arizona, 2017. http://hdl.handle.net/10150/626803.

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The Syrian Civil War has led to a devastating refugee crisis unlike any seen in modern history. Millions of people have fled their country and resettled elsewhere, either in refugee camps or host communities. While much of the international focus is on their physical conditions, little attention and funding have been given to the mental health needs of the Syrian refugees. Although ensuring their safety and physical well-being is of primary importance, addressing mental health needs to be better prioritized to avoid the development of significant problems in the future. This paper discusses the significance of the mental health problem in the broader context of the crisis overall, examines the current methods being utilized and their drawbacks, provides a case study of three local refugee organizations, and finally, highlights other programs experiencing success to identify potential opportunities for improvement of care.
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Purewal, Ranju. "Mental ill health in adult refugees : A literature study." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-348464.

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Background: Today, there are over 65 million refugees exist worldwide and arrival of the refugees has increased rapidly in Sweden as well. Refugees and asylum seekers may be more susceptible to mental disorders because of the traumatic events they encounter prior to immigration and adverse circumstances in the new country. Aim: A literature study was aimed at exploring different kind of mental ill health among immigrant refugees and the factors that affect their psychological ill health. Further aim of this study was also to find association between mental disorders observed in refugees and the factors responsible for them.  Method: Systematic literature study has chosen to provide an overall summary of the existing researches within the subject. A systematic search for relevant literature in PubMed and CINAHL was performed and it was limited to original research articles published between 1st January 2008 and 31st December 2017.  Data was extracted from 11 scientific quantitative articles. All the articles were reviewed for quality according to Forsberg & Wengström’s review template. Results: Depression, post-traumatic stress disorder (PTSD), anxiety and somatization are common diagnoses among refugees. Many refugees experienced traumatic events in their home country and during escape. Unfavorable conditions like violence, murder, lack of food, shelter and money affect their mental health negatively. Landing in new country can be expressed in joy, but it did not stay for a long time with upcoming resettlement difficulties such as communication problems, discrimination, unemployment, separation from family and culture. Conclusion: Depression and PTSD were most common among refugees. Unemployment and language difficulties were the main reasons for their miserable mental health. There was an association between mental disorders and the factors like trauma in the home country and on the way to new destination as well as adoption difficulties in a new country.
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Vang, May. "Depression and coping among Hmong refugees." CSUSB ScholarWorks, 2007. https://scholarworks.lib.csusb.edu/etd-project/3300.

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5

Johnson, Dasherline Cox. "Culturally-Sensitive Diagnostic Interviewing Protocol for Somali Immigrants and Refugees." Thesis, Saint Mary's University of Minnesota, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3739831.

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This dissertation investigates the mental health needs of the growing Somali population in Minneapolis and St. Paul, Minnesota by examining clinicians’ views of the challenges they experience conducting mental health assessments for Somali clients. The research describes the development of a multicultural competence model and recent attempts to improve multicultural competence in assessment and treatment strategies. Specific emphasis is placed on the foundation of current theories supporting diagnoses and treatment issues through a review of current literature on cultural aspects of Somali mental health conceptualization. The researcher conducted semi-structured interviews with eight mental health providers who have worked with Somalis, seeking information for how clinicians handle culturally-specific challenges during the assessment process. Results suggest best practice for assessing Somali clients ought to involve the use of trained full-time interpreters. It is also beneficial for clinicians to be aware of the differences in mental health and illness conceptualization between Somali and Western cultures. Findings show strong support for establishing a trusting triadic relationship with the clinician, client, and interpreter. Using slow-engagement practice, indirect open-ended questions, predicated on previous relationship, will improve rapport and obtain desired information. Results from this study have informed the development of a culturally sensitive diagnostic protocol, providing guidance on how to collect information in a manner that helps ease the Somali client into the assessment process. The culturally sensitive form, described in Appendix F, must be used in conjunction with the education of all parties. This research has implications for those seeking to conduct culturally sensitive assessment and treatment by reducing incongruent cultural practices and promoting culturally competent service for Somalis.

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Parker, Andrea. "Family functioning and mental health in the Serbian refugee community /." Title page, contents and abstract only, 1998. http://web4.library.adelaide.edu.au/theses/09PM/09pp238.pdf.

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7

Marsh, Megan Brunmier. "Iraqi Refugees and Cultural Humility: A Mental Health Professional Training Program." Antioch University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1492213066620192.

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8

Kaltenbach, Elisa [Verfasser]. "Mental health of refugees : addressing and overcoming challenges in the identification and treatment of mental health problems / Elisa Kaltenbach." Konstanz : KOPS Universität Konstanz, 2019. http://d-nb.info/1209880415/34.

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9

Atiyeh, Shadin Riem. "A Constructivist Grounded Theory Study of Counselors' Preparedness to Counsel Refugees." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7528.

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A gap exists in the current literature on the training needs of professional counselors so they can meet the increasing demand for counseling services among refugee populations. The purpose of this constructivist, grounded theory study was to explore the perceptions of professional counselors related to their preparedness to demonstrate multicultural competence when counseling refugees. A constructivist grounded theory approach following Charmaz's principles guided the investigation into perceptions of professional counselors towards counseling with refugee clients. The author conducted a qualitative demographic form, individual interviews, and a focus group with professional counselors who had experience working with refugees. Sample included 21 licensed professional counselors who had experience working with at least one refugee client. Utilizing a thematic data analysis on the qualitative data, the main themes outlined in this comprehensive theory included contexts, challenges, competencies, and professional development. The study may contribute to positive social change through increasing access to mental health services for refugee populations who currently underuse the services.
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Raney, Shonali. "The endangered lives of women : peace and mental health among Tibetan refugees." Virtual Press, 2008. http://liblink.bsu.edu/uhtbin/catkey/1389689.

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This study explored how Tibetan refugee women have coped with the possible trauma they experienced in Tibet and when escaping from Tibet. It also examined how these women envisioned peace between Tibet and China and what meanings they constructed about the violence they may have experienced.Twelve Tibetan refugee women were interviewed in New York City. They came from all three regions of Tibet and their mean age was 35.5 years old. Only two participants were fluent in English. A qualitative semi-structured interview was employed to understand participants' unique experiences with past trauma and any continued repercussions. The interviews also assessed how participants envisioned peace between China and Tibet and if they believed peace was at all possible. An interpreter assisted with all the interviews.The data were analyzed using grounded theory methodology; with the help of two research assistants. This methodology offered the best opportunity to investigate the participants' understandings of their experiences and their beliefs. Using the constant comparative method, the results revealed the role of participants' religion, their belief in karma, and communal support as keys in their adjustment and mental health. Additionally, the women reported feelings of loss, fear, and loneliness, but not anger or hostility. The participants also revealed, however, feelings of relief and safety leaving the threat of imprisonment or torture behind in Tibet. Further, the women expressed feelings of appreciation for their freedom and their ability to hope for a better future for themselves and their families.The results suggested that there are some specific cultural variables that helped these Tibetan refugee women navigate the course of leaving Tibet and moving to a new country. Additional studies are needed to more fully comprehend the effects of trauma on the migration of Tibetan refugee women. Such studies can help further explain the relationship between trauma and culture-bound expressions of distress. Other implications (e.g., provision of services) of the current findings are discussed, as are several limitations to the study.
Department of Counseling Psychology and Guidance Services
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El-Shaarawi, Nadia. "Living an Uncertain Future: An Ethnography of Displacement, Health, Psychosocial Well-being and the Search for Durable Solutions among Iraqi Refugees in Egypt." Case Western Reserve University School of Graduate Studies / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=case1325709084.

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12

Scott, C. R. "An exploration of refugees, post traumatic stress disorder and quality of life." Thesis, Canterbury Christ Church University, 2012. http://create.canterbury.ac.uk/11320/.

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Section A presents a literature review which aims to consolidate the theoretical and empirical psychological research regarding refugees’ post-migration, to clarify and further understand their psychological experiences and needs. The literature search yielded papers which are divided into four sections: refugees and post traumatic stress disorder (PTSD); refugees, complicated grief and cultural bereavement; refugees, resettlement and acculturation; and refugees and Quality of Life (QoL). The review highlights key findings and areas requiring further exploration. Section B reports an exploratory narrative study which aims to explore the role of QoL in the narratives of refugees with a diagnosis of PTSD. Episodic semi-structured interviews were conducted with seven refugees (5 males, 2 females), and analysed using narrative thematic, structural and performance analysis. The results illustrated containing and consistent support was important in progressing the transition from suffering during asylum-seeking to a refugee with hope, and improved QoL and psychological health. The results are applied to theory and research, and limitations of the study are discussed.
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Bogic, Marija. "Mental disorders in long-settled war refugees : a study conducted in former Yugoslavian refugees resettled in Germany, Italy and the United Kingdom." Thesis, Queen Mary, University of London, 2013. http://qmro.qmul.ac.uk/xmlui/handle/123456789/8549.

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Worldwide there are several million war refugees, many of whom stay in the host countries for years. However, little is known about their long-term mental health. The current thesis examined the prevalence, course, and predictors of mental disorders and subjective quality of life (SQOL) in 854 war refugees from former Yugoslavia who had resettled in Germany, Italy and the United Kingdom 9.3 years previously. 215 interviewees with Posttraumatic Stress Disorder (PTSD) at baseline were reinterviewed one-year later. The participants were additionally assessed for use of social and health care interventions during the one-year follow-up period. Prevalence rates of mental disorders in the war refugees varied substantially across countries, with between 42.1% and 67.8% of refugees having a mental disorder. Warrelated factors explained most variance in rates of PTSD whereas post-migration factors explained most variance in mood, anxiety and substance use disorder rates. Risk factors for each disorder were consistent across host countries. At the end of the one-year follow-up period, a third of the sample no longer met the criteria for PTSD. Recovery was positively associated with employment and negatively associated with severity of war exposure, baseline PTSD symptom severity and use of mental health services. Despite the high rates of mental disorders, refugees felt reasonably satisfied with SQOL. Low SQOL was associated with poor post-migration living conditions and mental illness, but not with war trauma. In conclusion, mental disorders appeared to be highly prevalent in war refugees many years after resettlement. This increased risk may result from exposure not only to wartime trauma but also to post-migration socio-economic adversity. Policies promoting community integration and employment may be more effective than existing psychiatric and psychological interventions in improving mental health and quality of life in war refugees.
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Baptiste, Victoria M. "The Impact of Stigma on the Mental Health of Resettled African and Asian Refugees." ScholarWorks @ UVM, 2017. http://scholarworks.uvm.edu/graddis/785.

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The global refugee crisis worsens day-by-day, with millions of refugees forced to seek safe haven abroad. Pre-migration trauma exposure contributes to disproportionately higher rates of psychopathology, especially among torture survivors and women. The extant literature has largely focused on the effects of pre-migration factors; however, increasingly, researchers recognize the critical impact of post-migration living difficulties (PMLD) in exacerbating refugee mental health. One example of a PMLD is stigma, defined as a socially devalued attribute (e.g., minority race, ethnicity, sex). A robust literature documents the deleterious effects of stigma on psychological functioning, but few studies of refugees have explored stigma, which is surprising because refugees often possess multiple stigmas. Given this gap in the literature, the present study examined the impact of stigma on psychological well-being in a sample of resettled refugees of mixed ethnic/racial and religious origins. Specifically, analyses tested (1) the independent effect of race among African and Asian refugees, (2) a linear model of multiple stigmas predicting mental health outcomes, and (3) between-group effects of race among Muslims and of religion among Asian refugees. Results showed that race significantly predicted posttraumatic stress symptoms among African and Asian refugees when controlling for sex and torture status, with Africans reporting higher levels of posttraumatic stress than Asians. Findings suggest that the effect of multiple stigmas on mental health outcomes is non-linear. Finally, results indicated that Muslim refugees experienced equivalent levels of anxious and general symptoms across racial groups; among Asians, significant between-group effects by religion were found for general symptoms. By understanding key factors impacting refugee mental health, more appropriate and efficacious interventions may be developed to treat this vulnerable population.
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Khan, Yasir. "A calculus of new refugee culture : identity, Afghans, and the medical dialect of suffering." Thesis, McGill University, 2002. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=29511.

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In recent decades the ongoing rise of refugee populations around the world has provided a unique opportunity to study the impact of forced migrations on the identities of individuals and collectivities. The simultaneous emergence of the novel social phenomenon of 'refugee societies' has captured anthropological interest in the way in which 'refugee identity' is currently imagined and represented. A useful entry point for exploring representations of 'refugee' identity within a new culture of refugees is found in the recurrent notion of suffering. 'Suffering' is conceptualized here as an ideological grammar that characterizes a variety of language games contained in a broader 'language of suffering'. Focus is directed towards the 'medical dialect of suffering' and its role in articulating the identities of refugees and representing their experiences of suffering. Medical discourse, practices, and technologies can drive the transformation of the categorical 'refugee' identity into a 'medicalized' and 'traumatized' identity: revealing how medicine not only reflects cultural meanings of suffering, but can also project new cultural meanings of suffering. The relevant case of Afghan refugees illustrates how cultural identities can be conceptualized as shifting, strategic, and multiplicitous---realities that can be a blend of both coherency and contradiction.
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Pahud, Marie-Thérèse. "The coping processes of adult refugees resettled in New Zealand." Thesis, University of Canterbury. Health Sciences Centre, 2008. http://hdl.handle.net/10092/2513.

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A significant proportion of worldwide research concerning adult refugees has investigated clinical perspectives and emphasised the impact of pre and post-migration experiences as key factors affecting their mental health status. Nevertheless, a clear understanding of their mental health problems and psychiatric morbidity is difficult to obtain due to major prevalence variations and discrepancies between studies. Further, recent studies in New Zealand have underlined the limitation of health providers' abilities to meet refugees' mental health needs. On the other hand, despite the acknowledgment of refugees' endurance abilities to overcome traumatic events during both their pre-migration flight and in their first asylum countries, relatively less is known about their capacities to show positive adaptation to life's tasks in the course of resettlement in a final host country and how this impacts on preventing mental health problems. The current study, therefore, was undertaken to develop a theoretical understanding to describe and explain adult refugees' coping processes in overcoming resettlement difficulties and adjusting to life in New Zealand. This was achieved by using the grounded theory methodology where qualitative data were collected from twenty-six former refugees coming from war torn countries namely Afghanistan, Burma (Myanmar), Ethiopia, Kurdistan region and Somalia who are now living in Christchurch and Nelson. Participants described the basic social process of obtaining a social position as being the main goal which motivated them to develop their coping skills and behaviour. They explained that this was underpinned by the inter-relationship of their personal resources and gradual personal achievements which were influenced by encouraging external support from resettlement services providers and "caring" New Zealanders. Data collected during this study suggest that this dynamic process, in which personality and environmental factors interacted in a reciprocal and transactional relationship, appeared to be the condition sine qua non to negotiate and manage resettlement challenges. Indeed, participants frequently emphasised that if this interaction was not activated they faced greater difficulties in coming to terms with their new environment and in their adjustment to life in New Zealand, thus leading potentially to adverse mental health outcomes. Additionally, quantitative socio-economic data were collected so as to describe participants' characteristics. The study’s findings underline the complexity of adult refugees’ coping processes as well as some of the institutional constraints hindering their adaptation progress which can result in mental distress. These issues require responses which are beyond the health sector on its own. The implications of supporting the development of personal abilities so as to guide pragmatic support and encourage multisectoral collaboration are outlined and discussed. Areas for further research are highlighted as well as strategic issues which need to be addressed for improving the current situation of refugees resettled in New Zealand.
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Djuretic, Tamara. "Shaping mental health services in the community for refugees and elective migrants from former Yugoslavia." Thesis, Imperial College London, 2010. http://hdl.handle.net/10044/1/6061.

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Background Although limited research has been conducted among displaced people it is clear mental health problems are more prevalent than among the general population. To plan services for current and future migrants it is important to establish whether differences in reasons for migration impact on the extent of mental health problems. Null Hypothesis The main hypothesis for this thesis is that there is no significant difference in the prevalence of common mental disorders in refugees compared to elective migrants. Methods A mixed-method research study is conducted in sequential order where a qualitative study gathered detailed and in-depth information to inform the design of a questionnaire employed in a historical cohort study. Findings Refugees are three times more likely to develop CMD than elective migrants (OR 3.0; 95% CI 1.5-6.1) but there is no difference in the severity of the illnesses. Multivariate analyses suggest that factors such as being a refugee and a female (OR 12, 95%CI 1.14 - 123.92), dissatisfaction with current employment (OR 5.56, 95%CI 1.72 - 17.92), dissatisfaction with living conditions 3.53 (1.11 - 11.21) and waiting for longer than a year for a Home Office decision on permission to remain in the United Kingdom 3.27 (1.37 - 7.77) were independent predictors for the common mental disorders among migrants to England from former Yugoslavia. Conclusion Although this study demonstrated a higher long-term prevalence of common mental disorders in asylum seekers and refugees compared to elective migrants it is important to emphasise that many migrants do not have any psychological problems and are economically active making a positive contribution to their host country. However, it is also important to recognise that long-term common mental disorders may be underestimated in previous research among refugee population. It is essential to provide accessible services in primary care settings that are culturally specific and acceptable to this specific population group.
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Rajeus, Samuel E. "Institution versus Family home : A comparison of community establishment and utilization of mental health services among unaccompanied refugee adolescents placed in samll residential care and family homes." Thesis, Örebro universitet, Institutionen för juridik, psykologi och socialt arbete, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-23268.

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In this study I investigated the community establishment and utilization of mental health services among refugee adolescents who received resident permit in Sweden in 2010. I compared a group of 20 adolescents –boys and girls- mainly from Afghanistan and Somalia, living in small residential care by the Social service management in Stockholm – Socialförvaltningen (SF) - with a group of 10 adolescents from the same countries, living in family homes. The study showed clear differences in adolescents´ adaptation processes. Those who were living in small residential care by SF had a better chance to adapt quickly into their new society compared with the other group. The study showed that refugee adolescents from both groups underutilized mental health services.
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Habeeb-Silva, Rebecca Joie. "Resettlement Challenges for Refugees in the United States." CSUSB ScholarWorks, 2016. https://scholarworks.lib.csusb.edu/etd/285.

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This study explored the resettlement-related challenges that refugees encounter in the United States (U.S.). It utilized a qualitative research design with semi-structured interviews with three refugee families from different countries of origin: Afghanistan, Burma, and Iraq. The interviews were analyzed through a system of coding and categorization in order to develop themes of commonly reported challenges across participants. Six dominant themes of resettlement‑related challenges were identified: employment, financial insecurities, bureaucracy, English language competency, family separation, and unfulfilled expectations and hope. The participants also reported that these challenges had negative effects on their mental health and described feeling worried and depressed. The data was conceptualized utilizing Berry’s (2008) acculturation framework, and it was found that the families utilized the acculturation strategy of integration. Recommendations are provided for volunteer programs in which Americans assist newly resettled refugee families as well as for policies that are more adaptive to refugees’ needs and that uphold the values of diversity and create a welcoming environment for refugees.
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Bransteter, Irina. "Bosnian Refugees' Understanding of Their Health and Well-Being in A U.S. Context." Cleveland State University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=csu1470864306.

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Nabhan, Inshirah Nimer. "Correlates of Post-Traumatic Stress Disorder and Disorder of Extreme Stress Not Otherwise Specified among Palestinian Child Ex-Detainees." Thesis, University of North Texas, 2011. https://digital.library.unt.edu/ark:/67531/metadc84259/.

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The objective of this study is to investigate the variations in the type of trauma (post-traumatic stress disorder (PTSD) and disorder of extreme stress not otherwise specified (DESNOS) resulting first from group membership, and second from variations in socioeconomic status, and last, from exposure to physical and psychological methods of interrogation due to imprisonment. I use a diverse sample of 202 child ex-detainees who served sentences in Israeli prisons and were 17 years of age or less at the time of arrest. Various regression techniques were utilized to determine the most parsimonious way to distinguish between the three groups in their trauma responses. The key finding in this study is that child refugee ex-detainees living in refugee camps, in general, did not report PTSD or DESNOS reactions compared to their counterparts. Continuing PTSD and DESNOS symptoms were more prevalent among the group of refugees living outside the camps. However, there is at least one finding that supported what I hypothesized: refugees living in camps were more likely to experience elevated levels of alterations in attention or consciousness (DESNOS2). For refugees in camps, the DESNOS absence tells us that the volatile childhood these children experienced was not associated with severe pathological reactions or heightened sensitization to trauma. In contrast, refugees living outside camps suffer from alterations in self-perception DESNOS4 symptomology, in addition, to elevated levels of complex trauma DESNOS and they qualified for the DESNOS diagnosis more than the other two groups of children. Refugees living outside camps were the only group subjected to interpersonal stressors.
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Manhica, Hélio. "Mental health, substance misuse and labour market participation in teenage refugees in Sweden – A longitudinal perspective." Doctoral thesis, Stockholms universitet, Centrum för forskning om ojämlikhet i hälsa (CHESS), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-143219.

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Aim: To fill the knowledge gap about the importance of contextual factors after resettlement on mental health, substance misuse and labour market participation among young refugees who immigrate to Sweden as teenagers. Methods: Register studies in national registers of national cohorts of young refugees, unaccompanied and accompanied, who settled in Sweden as teenagers. Studies 1-4 used Cox regression models to study the risks of psychiatric care consumption and substance misuse, while Study 5 used multinomial regression to study position on the labour. These findings were compared with peers from the same birth cohorts in the general Swedish population and non-European intercountry adoptees (Studies 2 and 5). Results: The overall results suggest that young accompanied and unaccompanied refugees were more likely to be admitted to psychiatric inpatient and compulsory hospital care, but not outpatient care, with refugees born in the Horn of Africa and Iran having the highest risk (Study 1). Young accompanied and unaccompanied refugees also had higher risk of hospitalization and criminal conviction associated with substance misuse (Study 3). Longer duration of residence in Sweden was associated with increased risks of outpatient care (Study 1) and hospitalization related to substance misuse (studies 3 and 4). These increase risks of young refugees were associated with their socioeconomic living conditions (Studies 3 and 4), but risk factors associated with the country of origin of the refugee population and the intercountry adoptees were more important determinants of schizophrenia than socioeconomic conditions in Sweden (Study 2). Young accompanied and unaccompanied refugees and intercountry adoptees had a lower likelihood of being in full employment than native Swedes with comparable levels of education. Secondary education, however, increased employment chances and reduced the risk of being neither employed nor in education or training (Study 5). Conclusion: Evidence suggests that several groups of young refugees are at higher risk of mental health problems and substance misuse. They also face employment disadvantages and barriers to psychiatric care in the early stages of developing a psychiatric disorder.
Syfte: Att undersöka betydelsen av kontextuella faktorer för psykisk hälsa, alkohol- och narkotikamissbruk samt sysselsättning bland unga flyktingar som invandrat till Sverige som tonåringar.Metod: Avhandlingen baseras i sin helhet på studier i nationella register av nationella kohorter av flyktingar som anlände till Sverige i åldern 13-19 år och var folkbokförda i Sverige 2005, jämförda med övrig svensk befolkning och utlandsadopterade (Studier 2 och 5) i samma åldrar. Studierna 1-4 använder sig av Cox regressionsmodeller för att undersöka psykiatrisk vårdkonsumtion inklusive vård relaterad till alkohol- och narkotikamissbruk. Studie 5 undersöker position på arbets-marknaden bland unga ensamkommande och icke-ensamkommande flyktingar med hjälp av multinominal regression. Resultat: Unga ensamkommande och icke-ensamkommande flykting-ungdomar vårdas i större utsträckning i psykiatrisk sluten- och tvångs-vård, men ej öppenvård, med störst risk för flyktingar födda på Afrikas Horn och i Iran (Studie 1). Unga ensamkommande och icke-ensamkommande flyktingungdomar hade också högre risk för sjukhusvård och att dömas för brott i samband med alkohol- och narkotikamissbruk (Studie 3). Denna ökade vårdkonsumtion förklaras till en del av de unga flyk-tingarnas socioekonomiska levnadsförhållanden (Studier 3 och 4). Konsumtionen av psykiatrisk öppenvård ökade med tiden efter ankomsten till Sverige (Studie 1), liksom sjukhusvård till följd av alkohol- och narkotikamissbruk (Studier 3 och 4). Sjukhusvård och kriminalitet i sam-band med missbruk av alkohol och narkotika är vanligare bland unga manliga flyktingar än för kvinnliga. Faktorer associerade med flyktingars och utlandsadopterades ursprungsland var mer betydande riskfaktorer för schizofreni än de socioekonomiska förhållandena i Sverige (Studie 2). Unga ensamkommande och icke-ensamkommande flyktingar hade en högre risk att varken arbeta eller delta i en utbildning och hade också sämre utsikter till anställning än inhemska svenskar med jämförbar utbildningsnivå. Gymnasiekompetens ökade chanserna för inträde på arbetsmarknaden (Studie 5). Slutsats: Resultaten tyder på att flera grupper av unga flyktingar har en högre risk för problem med psykisk ohälsa och substansmissbruk. De konfronteras även i högre grad med arbetslöshet och olika hinder för att få psykiatrisk vård i tidiga stadier av psykisk ohälsa.

At the time of the doctoral defense, the following papers were unpublished and had a status as follows: Paper 4: Manuscript. Paper 5: Manuscript.

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Montañez, Daniela Marie. "Exploring a Trainee's Response to Visiting Refugees in Jordan: A Bifocal Art Exploration." Digital Commons at Loyola Marymount University and Loyola Law School, 2015. https://digitalcommons.lmu.edu/etd/147.

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This arts-based research investigated the personal responses of a trainee art therapist working with displaced refugees in Jordan. This inquiry is based on the belief that it is important for a new trainee to cultivate a broader appreciation of cross-cultural issues for both personal and professional applications. The art-based data, analyzed through Betensky's (1995) phenomenological approach, inspired a profound exploration of the refugee experience while simultaneously exploring the role and identity of the trainee. The author presented seven prominent themes that emerged from the refugee and trainee experiences: displacement, survival, connection, loss of control, safety, competence, and countertransference. Between both refugee and trainee there are three main shared themes, (a) connection, (b) loss of control, and (c) safety, which highlight shared meeting points of empathy. The research highlights meeting points and differences between the trainee and refugees to provide a deeper understanding of the refugee experience as understood by the trainee. The results of this research strive to provide insight into the ways art-making can help trainees navigate through cross-cultural encounters.
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Crich, Laura. "Exploring Syrian Refugee Women’s Sexual and Reproductive Health Experiences: A Multi-Methods Qualitative Study in Ottawa, Ontario." Thesis, Université d'Ottawa / University of Ottawa, 2021. http://hdl.handle.net/10393/42597.

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Since 2015 Canada has welcomed 44,620 Syrian refugees. The research on Syrian refugees in Canada has mainly focused on their immediate health needs, communicable diseases, and chronic illnesses. Aside from maternal health, the sexual and reproductive health (SRH) needs of Syrian refugee women is undocumented in Canada. To address this gap in the literature we conducted a qualitative study in Ottawa, Ontario that involved in-depth interviews with Syrian refugee women and individuals who provide health services to them. When accessing SRH services Syrian women identified a preference for women providers, faced difficulty adjusting to societal norms during the perinatal period, felt that contraception counselling was not culturally informed, and struggled with their maternal mental health. Key informants mainly echoed these findings and expressed a need for more cultural competency/humility training, interpretation services, and trauma-informed counselling. The path to improving SRH services for Syrian women is complex, but highly warranted.
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Williams, Kirsty. "A qualitative study of refugee interpreters' experiences of interpreting for refugees and asylum seekers in mental health contexts." Thesis, University of Leicester, 2004. http://hdl.handle.net/2381/8447.

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Background: Refugees come to Britain from over forty-one countries (Home Office, 2002) and are entitled to the same health care as the local population. As there are few bilingual workers, interpreters are vital (Hodes & Goldberg, 2002). Many interpreters are, however, refugees themselves and have similar histories to their clients (Tribe & Morrissey, 2003), thus the impact that this work has on them is worthy of study. The aim of this research was to gain a better understanding of the professional and emotional needs of refugee interpreters and to use this to develop a theoretical grounding from which to inform clinical practice with interpreters. Method: Semi-structured interviews were conducted with nine interpreters who were refugees. The interviews were transcribed and analysed using Interpretative Phenomenological Analysis (IPA, Smith, 2004). Analysis: Three super-ordinate themes emerged. (1) Bridging the gap, (2) Vocational Discord, (3) Vocational Catharsis. Theme 1 draws together the interpreters' phenomenological experiences of how they did their work and what doing the work involved. Work was, however, often the catalyst for reflection, re-evaluation and reinstatement of their refugee experiences. Therefore, the impact of work formed the basis of themes 2 and 3. Vocational Discord is illustrative of the conflict and ambiguity present in their role. Work often intensified and/or brought to the fore personal, cultural and societal dilemmas and tensions. Vocational Catharsis (3) the antithesis of discord however, encapsulated how through their work, the interpreters were also able to make sense of their own experiences and in so doing satisfy some of their moral, cultural and humanitarian responsibilities. Implications: The main implications as they relate to clinical work with interpreters and mental health provision to refugees were: value and compassion for the similarity of the interpreters' experiences; non-pathologising supervision and support; clearer definition of the interpreter's role; collaboration and partnership with other professionals; challenging assumptions and accommodating difference in the context of refugee mental health.
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Shabani, Agron, and Linda Sverin. "Att bemöta flyktingar med psykisk ohälsa : Ett sjuksköterskeperspektiv." Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-8792.

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Sverige tar i dagsläget emot en stor andel flyktingar och flertalet av dessa flyktigar lider av psykisk ohälsa. Stress, ångesttillstånd, depression och posttraumatiskt stressyndrom (PTSD) är några diagnoser som förekommer bland flyktingar. För att hjälpa dessa patienter krävs både kulturell och språklig kompetens inom vården. Syftet med denna litteraturöversikt är att beskriva sjuksköterskors erfarenheter av att bemöta flyktingar med psykisk ohälsa. Nio kvalitativa studier och en mixed method studie har används för att presentera resultatet. Studierna är gjorda i Västeuropa och Australien och de utgår från ett sjuksköterskeperspektiv. Axelssons tillvägagångssätt för litteraturstudie valdes som metod för detta arbete. Resultatet beskrivs i två huvudrubriker, Svårigheter för sjuksköterskan i mötet med flyktingar och Det vårdande mötet i psykisk kontext. De svårigheter som identifierats beskrivs i fyra underkategorier: Att kommunicera med flyktingar, Att använda tolk, Att förstå patientens kulturella bakgrund och Att prata om traumatiska händelser. Det vårdande mötet i psykisk kontext beskrivs i två underkategorier: Behovet av kulturell kompetens och Att bedöma symptom. Resultatet visar att sjuksköterskor är i behov av ökad kunskap om kulturella skillnader för att vårda flyktingar med psykisk ohälsa. Symtombilden i psykisk ohälsa varierar beroende kulturellt ursprung och ämnet anses vara tabubelagt i vissa länder. Tolkar anses vara en stor tillgång till att bygga upp en vårdande relation mellan sjuksköterskan och en flyktingpatient, men kan även ses som ett hinder.
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Swiatek, Scott A. "The Nepali Caste System and Culturally Competent Mental Health Treatment: Exploring Stratification, Stress, and Integration." University of Akron / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=akron1619654745373203.

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Steel, Zachary Psychiatry Faculty of Medicine UNSW. "Mental disorder amongst people of Vietnamese background: prevalence, trauma and culture." Publisher:University of New South Wales. Psychiatry, 2008. http://handle.unsw.edu.au/1959.4/40888.

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The role that culture and trauma plays in shaping mental health outcomes continues to dominate debate in the field of transcultural and post-conflict mental health. The broad aim of this thesis is to investigate key issues relevant to these two factors in relation to the Vietnamese. A meta-analysis of international epidemiological research indicated that countries of North and South East Asia appear to manifest low rates of mental disorder compared to English-speaking countries. A meta-regression analysis of research undertaken specifically with refugee and conflict-affected populations, confirmed a robust association between torture and general trauma and risk to mental disorder. The thesis then examines data from three population-based mental health surveys: 1,161 Vietnamese-Australian residents in the state of New South Wales; 3,039 Vietnamese resident in the Mekong Delta region of Vietnam; and 7,961 Australian-born persons drawn from a national survey. All surveys applied the Composite International Diagnostic Interview, with the Vietnamese surveys also applying the Phan Vietnamese Psychiatric Rating Scale, an indigenously-derived measure of mental disorder. The ICD-10 classification system yielded lowest rates amongst Vietnamese in the Mekong Delta, intermediate amongst Vietnamese in NSW; and highest rates amongst the Australian-born population. The Phan Vietnamese Psychiatric Rating Scale added a substantial number of cases in both Vietnamese samples. The findings suggest that sole reliance on a western-derived measure of mental disorder may fail to identify a cases of mental disorder across cultures. Trauma remained a substantial risk factor for mental disorder amongst Australian Vietnamese accounting for a substantial portion of the total burden of mental disorder in that population. The implications of these findings in developing a more refined model for understanding the mental health consequences of mass trauma across cultures are discussed.
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Wångdahl, Josefin. "Health literacy among newly arrived refugees in Sweden and implications for health and healthcare." Doctoral thesis, Uppsala universitet, Socialmedicin, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-333427.

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The overall aim of this thesis was to examine the distribution of health literacy (HL) levels in newly arrived Arabic-, Dari-, or Somali-speaking refugees in Sweden. Further aims were to investigate sociodemographic characteristics associated with inadequate HL in this group, and to investigate whether HL levels are associated with experiences of the health examination for asylum seekers (HEA), health seeking behaviour and health. Three quantitative cross-sectional studies, using data from two different surveys, were conducted among Arabic-, Dari-, and Somali-speaking, newly arrived refugees taking part in courses in Swedish for immigrants or civic orientation. In addition, an explorative qualitative study, based on focus group discussions, was performed on Arabic- and Somali-speaking newly arrived refugees who had taken part in an HEA. All data were collected 2013-2016. The quantitative data were analysed using different statistical methods, foremost descriptive statistics and univariate and multivariate binary logistic regression analyses. The qualitative data were analysed using Graneheim and Lundman’s method for latent content analysis. The main findings were that the majority of Arabic-, Dari-, or Somali-speaking refugees in Sweden have limited functional health literacy (FHL) and/or limited comprehensive health literacy (CHL). Having a low education level and/or being born in Somalia were associated with having inadequate FHL, but not with having inadequate CHL. Limited FHL was associated with inadequate CHL. Experiences of poor quality of communication and having benefited little from the HEA were more common among those with limited CHL, as compared to those with higher CHL. Experiences of communication problems and a lack of information related to the HEA were found in the qualitative studies as well. In addition, it was more common that those with limited CHL reported poor general health and impaired psychological well-being, and that they had refrained from seeking healthcare. In conclusion: limited HL is common among newly arrived refugees in Sweden and seems to be of importance for the experience of the HEA, health-seeking behaviour and health. HL needs to be taken into consideration in the work with refugees in order to increase equity in healthcare and health.
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Englund, Katherine M. "The Cultural Adjustment and Mental Health of African Refugees in the United States: The Case of the Kunama from Eritrea." Thesis, Boston College, 2008. http://hdl.handle.net/2345/571.

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Thesis advisor: Margaret Lombe
Thesis advisor: John Cawthorne
Social service delivery to refugees in the United States may vary depending on the different cultural and historical backgrounds that people bring with them to the resettlement process. The Kunama ethnic group from Eritrea, who fled their country for refugee camps in Ethiopia, provide a particularly challenging case as they most often have limited English-language skills, no employment experience outside of farming and herding, and a complex political history. This study contributes to the knowledge base of refugee resettlement and adjustment into the U.S. To gain an understanding of challenges faced by refugees as they settle in the U.S., two Kunama refugees from Boston were interviewed to provide their own stories. In addition, a literature review of the conflict between Ethiopia and Eritrea, Kunama culture, and the refugee situation was conducted. The findings are included. The Kunama in the U.S. are faced with the challenges of finding jobs to become economically self-sufficient, limited access to furthering their education, language barriers in health care, and learning to navigate the American environment and way of life. Culturally sensitive and informed social services are vital sources of support for equipping the Kunama and other refugees with transitional help in each of these areas, particularly in maintaining physical protection, well-being, and guarding against potential mental health problems
Thesis (BA) — Boston College, 2008
Submitted to: Boston College. College of Arts and Sciences
Discipline: Social Work, Graduate School of
Discipline: Education, Lynch School of
Discipline: College Honors Program
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Workneh, Aklile Fikre. "The State of Knowledge on Posttraumatic Stress Disorder, Depression and Anxiety Among Refugee Women in Africa: A Scoping Review." Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/35801.

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With over 65.3 million people of concern under the United Nations High Commissioner for Refugees mandate, the world is facing its biggest humanitarian crisis since the Second World War. The World Health Organization states that war and disasters have a large impact on a person’s mental health and psychosocial wellbeing, estimating that 5-10% of people who have experienced emergency situations suffer from mental health related problems. For refugee women in particular, research suggests that they have higher instances of mental health problems than other refugees which include depression, posttraumatic stress disorder, and anxiety. Using a scoping review methodology, this thesis examines the prevalence of refugee women’s mental health problems in the African context. It examines the experiences of these women living in African camps and the availability and accessibility of mental health services during their residency. Upon completion of the scoping review, the literature reveals that there is a high occurrence of mental health problems among refugee women residing in African camps. Furthermore, with relation to services it was found that varied mental health services are present but lack qualified personnel. Lastly, four themes emerged regarding refugee women’s experiences: violence, family life and losses, poor quality of life, and coping mechanisms.
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Trauth, Jonathan N. "An Evaluation of the St. Leo Burundi Refugee Ministry Program." University of Cincinnati / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1468512316.

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33

Benson, Livia, and Heléne Hedberg. "Beyond cultural competence : How mental health and psychosocial support practitioners' perception of culture influence their work with Syrian refugees in Amman, Jordan." Thesis, Ersta Sköndal högskola, Institutionen för socialvetenskap, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-5357.

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Since the start of the Syrian war, Jordan has received many Syrian refugees with around 650,000 Syrians now residing in the country. As the state has received a lot of help from the international community, funding refugee camps and providing basic necessities, a lot of international humanitarian practitioners have come to Jordan to work alongside Jordanian and Middle Eastern practitioners. The situation therefore has brought practitioners from different academic, professional and geographical backgrounds together to work with people of a different cultural background than their own. Syrians represent a vast diversity in terms of ethnic, religious, linguistic and socio-economic backgrounds. Research have addressed that practitioners’ sensitivity to how cultural complexities may influence social problems can facilitate a better understanding of the client’s path to recovery. The purpose of our study was to increase the knowledge of mental health and psychosocial support practitioners’ understanding and experience of a culturally sensitive social work in Amman, Jordan and discuss how this affects their practice with Syrian refugees. Through qualitative interviews we found that the practitioners’ perception of Arab culture as one and the same makes culture a non-issue in terms of cultural diversity, and that this perception influence the practice with Syrian refugees in a number of ways.
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Haydu, Marcelo [UNIFESP]. "Refugiados congoleses na cidade de São Paulo: processo migratório e itinerários terapêuticos." Universidade Federal de São Paulo (UNIFESP), 2017. http://repositorio.unifesp.br/11600/41876.

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Made available in DSpace on 2018-06-04T19:14:36Z (GMT). No. of bitstreams: 0 Previous issue date: 2017-11-24
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
No contexto das migrações em busca de refúgio, as experiências vividas tanto nos países de origem quanto nos locais de acolhida envolvem elementos com potencial de desencadear sofrimentos nas pessoas em situação de refúgio. O deslocamento em busca de refúgio pode comprometer a saúde dessas pessoas. O objetivo desta pesquisa é investigar os itinerários terapêuticos para a preservação e recuperação da saúde entre pessoas em situação de refúgio oriundas da República Democrática do Congo, residentes na cidade de São Paulo. Foram realizadas quinze entrevistas em profundidade com congoleses com o status de refugiado, além da observação etnográfica. Esta pesquisa mostrou que não é possível generalizar as condições de saúde das pessoas em situação de refúgio. Embora todos os congoleses tenham relatado casos de sofrimento, sobretudo, pelas dificuldades e adversidades encontradas no local de acolhida, o processo de refúgio não se traduziu na vida dessas pessoas, de forma geral, em casos de adoecimento físico e/ou mental de grande significado. Apesar disso, essas pessoas necessitam de suporte em relação à sua saúde pelo sofrimento a que invariavelmente são submetidas. A análise dos itinerários demonstrou que os caminhos percorridos pelos congoleses em busca de cuidados terapêuticos nem sempre coincidem com esquemas ou fluxos pré-determinados. Suas escolhas expressam construções subjetivas individuais e também coletivas acerca do processo de adoecimento e de formas de tratamento, forjadas sob as influências de diversos fatores e contextos. De maneira geral, os caminhos percorridos pelos congoleses abarcam, em menor escala, a autoatenção e, de maneira expressiva, o sistema profissional (SUS) e, sobretudo, as redes sociais (familiares e amigos) e a espiritualidade. Vale destacar que quase todos os entrevistados não têm a percepção de saúde mental em termos biomédicos. A doença não é vista como um processo estritamente biológico/corporal, mas como o resultado do contexto cultural e a experiência subjetiva de sentir-se mal.
In the context of migrants in search of refuge, the experiences reported in both the country of origin and destination involve elements with the potential of triggering suffering in those people seeking refuge. The displacement in search of refuge may compromise the health of those people. This research project aims to look into the therapeutic itineraries for the preservation and recovery of the health of the refugees who come from the Democratic Republic of the Congo, who are now residents of São Paulo. Fifteen in-depth interviews have been carried out with the Congolese people living here as refugees, as well as ethnographic observations. This research has shown that it is not possible to generalize about the health situation of the refugees. In spite of the fact that all the Congolese have reported cases of suffering, mainly due to the difficulties and adversities found in the places of refuge, the process of refuge has not been translated into cases of both physical and/or mental illnesses of great significance as a whole. Nonetheless, those people need a great deal of support in regard to their health situation as a result of the suffering they are invariably submitted to. The analysis of the itineraries has demonstrated that the paths taken by the Congolese in search of therapeutic care do not always coincide with predetermined schemes or influxes. Their choices express both individual and collective subjective constructions with regard to the process of falling ill and the methods of treatment, forged under the influences of various factors and contexts. As a whole, the paths taken by the Congolese encompass self-awareness, on a smaller scale, and the Brazilian Unified Health System (SUS), more significantly speaking, but above all, social networks (family and friends) and spirituality. It is worth pointing out that almost all of the interviewees do not have a full perception of their mental health in biomedical terms. The illness is not seen as a strictly biological/bodily process, but as a result of the cultural context and the subjective experience of feeling ill.
BV UNIFESP: Teses e dissertações
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Lindholm, Hanna. "Treating PTSD among unaccompanied minor refugees in Greece with KidNET : A narrative literature review." Thesis, Uppsala universitet, Teologiska institutionen, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-448931.

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Over the last couple of years, more than a million unaccompanied minor refugees (UMRs) have made it to the European Union. Their journeys have been long, tough, and hard and each unaccompanied minor refugee has a unique story, but they all share one thing. The traumatic events they have witnessed and experienced along the way have affected their mental health. Mental health issues, often symptoms of post-traumatic stress disorder (PTSD) are very common among UMRs. Untreated issues can lead to chronic PTSD, which could impact them for the rest of their lives. UMRs need support to process the traumas they have experienced, and one possible intervention is NET, Narrative Exposure Therapy. NET is an evidence-based, short-term, individual form of therapy. Supported by a therapist, the individual talk through his/her whole life while putting emphasis on the traumatic events aiming to work through and past them. The adapted form of NET that is used to treat children is called KidNET. Based on the hypothesis that KidNET has positive effects, reduces symptoms of PTSD, and strengthens mental health, the aim of the study is to show the effects of KidNET when treating traumatized children diagnosed with PTSD. Further objectives are set to see how effective KidNET is when compared to control groups, and if KidNET can be recommended as a suitable intervention to use among UMRs suffering from PTSD in Greece. A narrative literature review is chosen as the research method to reach the aim. The review revealed overall positive effects when using KidNET as an intervention targeting traumatized children with PTSD in various settings in different parts of the world. Positive effects found were better daily functioning, an ability to engage in meaningful activities, a reduction in feelings of guilt, stigmatization, and suicidal ideation, a decrease in the severity of PTSD and depression symptoms, and a full recovery from major clinical depression and PTSD. No negative effects were found in any of the studies included in the review. Several studies were limited by small sample sizes, no passive control group and not enough follow-up assessments. However, the overall outcome shows successful results and KidNET is found to be a suitable intervention when treating PTSD among UMRs in Greece, but further studies are recommended.

On Zoom

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Fawaz, Helen. "Refugees’ physical and mental health, after arriving in Sweden: An unfolding process : A Qualitative case study on the dilemmas with refugee facilities." Thesis, Linnéuniversitetet, Institutionen för samhällsstudier (SS), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-103815.

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This case study touches on the development of refugees’ mental and physical health from their stays in the refugee facilities during and after the limbo process for a temporary and permanent visa, which in turn affected their socioeconomic integration. Seven refugees and their families that came to Sweden during the refugee crisis in 2015-2016 and were moved to a facility where I worked, were interviewed on how those issues impacted them. With the help of Egon Kunz’s [Refugee Theory] theory, the study showed that constant relocation to different facilities in Sweden, and experienced events and conflicts at the facilities have resulted in long-term health and socioeconomic problems. Such as PTSD, mental and physical recovery from occurred events at the facilities, in turn, negatively affecting socioeconomic integration. Additional research in those issues showed that other countries like Germany, which also had a large influx of refugees during that time, had better and faster success with integration when they helped the refugees with the language and societal information at the beginning of limbo. Because their interest in learning and integrating is higher, and the health and integration issues are much lower than when refugees are sometimes forced to wait at least two years, which is what some of the participants and other refugees in this study did before starting SFI, integration programs and have their own private place live in.  The temporary visa, especially with no help to integrate, caused the lack of interest in learning the language; socioeconomic integration, mainly when the person was alone with no family. Moreover, their developed health from their time at the facilities is still a recovering process.
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Christie, Zara. "Cognitive function and traumatic brain injury in refugees and asylum-seekers attending mental health services : a preliminary study, and Clinical Research Portfolio." Thesis, University of Glasgow, 2014. http://theses.gla.ac.uk/5702/.

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Objective: Every year, an estimated 10 million people suffer a traumatic brain injury (TBI; Hyder, Wunderlich, Puvanachandra, Gururaj, & Kobusingye, 2007). Refugees and asylum-seekers fleeing persecution have often experienced war and torture and are at a greater risk of TBI (Priebe & Esmaili, 1997). Following a TBI, cognitive, behavioural and psychosocial difficulties can significantly impact on independence (Cohen, 2001). This preliminary study investigated whether cognitive function is poorer in refugees and asylum-seekers who report a severe TBI, compared to those who do not. The study also compared cognitive performance in refugees and asylum-seekers attending mental health services with Western controls from normative data. Assessing the cognitive performance of this group against Western expectations is important, to inform the clinical work as well as UK asylum law and policy. Methods: The study employed a between-subjects design, comparing 14 refugees and asylum-seekers with a self-report of one or more severe TBIs and 11 without a history of TBI. Participants attended for one assessment session and completed the Colour Trails Test (CTT; D’Elia, Satz, Uchiyama, & White, 1996) as well as other cognitive tests. Where necessary, an interpreter was present. Results: Refugees and asylum-seekers who self-reported a history of severe TBI were not more cognitively impaired on the CTT than those without TBI. The combined groups performed significantly worse on the CTT compared to normative data. Conclusions: This preliminary study suggests that refugees and asylum-seekers attending mental health services are performing much poorer cognitively than healthy Western counterparts. This highlights the value of assessing cognition in this complex group, as on a case-by-case basis, results informed the practice of mental health clinicians and GPs. Furthermore, these results raise issues about the expectations placed on cognitively impaired individuals throughout the asylum process if these expectations are based on experience of cognitive function typical of that represented by Western norms. Additional research may instigate policy-makers to make adjustments to the asylum process to better acknowledge mental health and cognitive impairment.
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Larsson, Ellinor. "Communication Through Translation : An Interpretative Phenomenological Analysis of Mental Health Professionals' Experiences of Working With Interpreters." Thesis, Linköpings universitet, Institutionen för beteendevetenskap och lärande, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-176250.

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The current study explores the experiences of mental health care professionals in Sweden who conduct therapy with the assistance of an interpreter. Seven participants took part in semi-structured interviews that were analyzed using interpretative phenomenological analysis (Smith, 1996). Three main themes emerged from the analysis of the interview transcripts: (1) communication and translation - highlighting the communicative challenges and benefits that arise when using an interpreter, (2) the interpreter as a person and as a professional - describing the variation of interpreters in terms of behavior, personality, roles, and professionalism, and their impact on psychological treatment, and (3) dynamics and relations - featuring the interpreter’s impact on the dynamics and the process of building a patient-therapist alliance. The results show that all participants find it difficult to determine the accuracy of the translation, and several techniques used by the clinician to ensure a correct translation were pointed out. Moreover, findings highlight the essentiality of non-verbal cues and body language in communication and that the role and the behavior, in addition to several personal factors of the interpreter has an impact on the patient-therapist alliance and therapy dynamics. In addition, the study illuminates the patient’s impact on the interpreter as many interpreters themselves have been through traumatic experiences, which in turn may affect the therapeutic process. The findings of the current study show how important it is for clinicians, mental health services, and interpreting services to take the interpreters’ impact on the clinician, the patient, and the therapeutic outcome  into account. The study aims to contribute to a better understanding of clinicians’ experiences of working with interpreters to improve the use of - and collaboration with - interpreters and thereby raise the standard of psychological treatment for refugees and asylum seekers.
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Nieminen, Satu. "The voice of refugee clients in psychiatric health care - Occupational justice, occupational therapy, and a better quality of life." Thesis, Jönköping University, Hälsohögskolan, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-42139.

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Background: Finland faced a large inflow of refugees during 2015-2016. That forced the professionals from different fields to reflect on services they produce. Occupational therapy and research among the mental health care of refugees is limited. In order to improve and strengthen services for refugees, we need to listen to their needs. Aim: This study aimed to investigate how adult refugees experience the Finnish mental health services, and what kind of self-perceived well-being elements do adult refugees find as important towards better quality of life. Method: This qualitative grounded theory study consists of six refugee interviews. The data were analysed by qualitative content analysis and the Participatory Occupational Justice Framework was used as a framework for the presentation of the data. Results: The Finnish mental health interventions are mostly available and based on discussion and medication. Information and supporting environment, occupational and social participation, self- direction, and time use are the base of the experienced well-being. The results show that occupational therapy can offer tools for the mental health work among refugees, bring important information of the person´s occupational history, needs, roles, and habits, and it should be taken alongside traditional therapies.
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Eichler, Sharon. "Educational and mental health intervention methods for refugee children integrating in the Nordic mainstream education : A Systematic Literature Review." Thesis, Högskolan för lärande och kommunikation, Högskolan i Jönköping, HLK, CHILD, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-47238.

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BACKGROUND Good mental health makes integration and participation easier. Many refugees have a great deal of resilience and it is important to maintain it and where possible to strengthen it. How much psychological complaints and disorders occur is partly dependent on having (prospect of) work, education or other forms of participation in society, experiencing social support, and having a social network (with family and /or close friends). AIM The aim of this literature review is to explore evidence-based intervention methods that can support refugee children to integrate into the school environment of the resettlement country.  METHOD In this systematic literature review, information was collected on a database for empirical studies and analyzed so as to discover efficient interventions for refugee children who just arrived in a Nordic country to help them integrate in mainstream schools. RESULTS For children, cohesion and support within the family are of great concern. In addition, prevention, recognition and receiving good care are crucial. The review discusses educational progress and social inclusion and how these can be improved for refugee children at a mainstream school. CONCLUSION The school takes on a very important role in the life of the refugee child. It is a strong protective factor and therefore life changing for the child and his/her family. This systematic literature review shows what kind of information is already produced and collected by researchers around the world. It can give an insight into the life of a refugee child and how they experience inclusion.
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Qureshi, Raoom. "An exploration of Syrian refugees' coping strategies during the Syrian conflict : a UK-based study." Thesis, University of Manchester, 2016. https://www.research.manchester.ac.uk/portal/en/theses/an-exploration-of-syrian-refugees-coping-strategies-during-the-syrian-conflict-a-ukbased-study(72a0651f-dc99-4fc6-bfb0-3e7f1510d076).html.

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Background: The recent uprisings in Syria have displaced many individuals within and outside the country. Despite the large number of people affected by the war, little research captures their experiences. The literature in this area is predominantly of a statistical nature. This is problematic in the field of Counselling Psychology, which moves away from diagnosis to focus on individual experiences. Aim: The aim of this study is to understand the subjective experiences of Syrian refugees in the UK, particularly the strategies that have aided them in coping with these experiences. Research has indicated therapeutic benefits for the communication of coping strategies. Methodology: The research utilised a qualitative methodology, adapting principles of Narrative Inquiry. A total of three males participated in the research. Each participant was asked one opening question prior to beginning his story. Prompting questions were developed according to the content of each narrative. Each interview was transcribed and analysed in Arabic, which was the language spoken in the interviews. An inductive thematic analysis was utilised to analyse each transcript independently. Analysis: Each participant's story was presented separately, as the themes from each narrative differed from the rest. Essam's narrative was identified as consisting of five principal themes; 'Situation in Syria', 'Searching for a Better Place to Settle', 'Journey from Jordan to the United Kingdom', 'Support and Coping Strategies' and 'Feelings'. Mustafa's transcript was analysed as containing four principal themes; 'Experiences of the War While in Syria', 'Support and Coping Strategies', 'Impact of the War on Health' and 'Coming to the United Kingdom'. Talal's interview was analysed as covering six principal themes; 'Political Opinion', 'Experience of Being in the Army', 'Working to Help and Guide Others', 'Escaping from Syria', 'Life in the United Kingdom' and 'Support and Coping Strategies'. Conclusion: This research generates further understanding of the subjective experiences of Syrian refugees residing in the United Kingdom, which can inform future psychological interventions with this population. The participants' descriptions of various coping strategies that helped them with their experiences may help guide practitioners to understand potential barriers to treatment. Furthermore, cultural differences were identified which could also aid in understanding why Syrians may not attempt to access psychological support. Recommendations are suggested for working psychologically with Syrian refugees, alongside acknowledging limitations of the research and suggestions for further investigation and practice.
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Pearce, Rachel. "An exploration of the relevance of culture in understanding beliefs, attitudes and behaviour related to mental health in a group of Congolese refugees." Thesis, University of East Anglia, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.514367.

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This qualitative study explored the views of Congolese refugees on mental health problems, causes, help seeking, treatment and prevention. The main aims were first, to provide a formal account of mental health beliefs, attitudes and behaviours of Congolese refugees; second, to explore the relevance of cultural values, beliefs and traditions to the self-regulatory model; and third, to consider how this might inform attempts to provide culturally sensitive services and overcome health inequalities. Eight Congolese refugees completed semi-structured interviews and findings showed strong similarities to the literature examining mental health beliefs in sub- Saharan African cultural groups. The socio-cultural context was implicated in the cause and treatment of mental illness and some culturally specified symptoms emerged. There was emphasis on the collective rather than the self in taking responsibility in the identification of mental illness, accessing treatment, and providing care. Barriers to accessing mental health services echoed existing research with refugee groups. Hofstede's cultural dimensions provided new ways of understanding expectations of services. Additional findings emerged with respect to the impact of political violence and displacement on mental well-being. Trauma-related distress was regarded by participants as conceptually distinct from mental illness, which may partly be accounted for by the cultural dimension uncertainty avoidance, indicating `all or nothing' understandings about mental illness and mental health. The individualistic cultural dimension of the UK was negatively experienced by this group and the importance of relatedness to mental well-being was emphasized.The results of the current study facilitated critique of existing models from different theoretical paradigmsi ncluding illness representations,r efugee mental health and cross-cultural psychology. An integrated framework for including cultural beliefs, values and traditions and illness representationsin formulating mental health in a cross-cultural context is proposed. The potential wider relevance of these ideas was raised given the failure of mental health services to provide for the needs of people from BME groups.
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Sabouni, Faten. "Exploring the psychosocial needs of Syrian refugees in the UK : accounts of community service providers." Thesis, University of Manchester, 2019. https://www.research.manchester.ac.uk/portal/en/theses/exploring-the-psychosocial-needs-of-syrian-refugees-in-the-uk-accounts-of-community-service-providers(0b58e52d-5e1d-4585-9ddc-2108cefd6e19).html.

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Since 2011, the brutal and complex war in Syria has killed hundreds of thousands of people and created millions of refugees. This dismaying and rapidly unfolding crisis has contributed to the biggest movement of people through the continent since the Second World War. The United Kingdom was one of many destinations for Syrian refugees seeking protection. With this, members of the Syrian community have come together to provide support to newly arrived Syrian refugees. Literature documenting the mental health difficulties that Syrian refugees present with and the range of support provided by these community services remains severely limited. In the context of this gap, the overall aim of this study was to explore the psychological needs with which Syrian refugees in the UK present, as well as the service provision responses to these needs. In order to do this, the research utilised a qualitative methodology and elicited in-depth data from multiple perspectives. Semi-structured interviews were conducted and the inductive thematic analysis generated the following themes: Pre-displacement challenges; Displacement challenges; Post-displacement challenges; Coping and Resilience; Service providers' role and Challenges for contextually appropriate mental health care. The findings of this study suggested that Syrian refugees in the United Kingdom present with wide range of mental health needs, including struggles caused by exposure to brutal conflict, violence, multiple losses and cultural stressors. Findings stated that community services are providing an array of basic and social support; however, mental health needs are unmet. Barriers to accessing mental health resources in the UK have been addressed and the need to develop a multi-layered, culturally sensitive response to Syrian refugees' mental health difficulties has been identified. The Discussion proposed the need to support community services in order to raise awareness, enhance Syrian refugees' psychological well-being and inform the development of culturally sensitive mental health services. With the growing number of Syrian refugees in the UK, this research has provided a contextualisation of this population's culture, religion, resilience, coping strategies and mental health needs from the provider perspective, which is important to improve awareness and identify specific issues contributing to mental health well-being. Recommendations are suggested for developing culturally sensitive mental health services for Syrian refugees, alongside acknowledging limitations of the research and suggestions for further investigation and practice.
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Lim, M. S. M. "Validation of a Vietnamese Mental Health Recovery Scale (VRS) in a community sample of Vietnamese refugees living in the UK : a mixed methods study." Thesis, University College London (University of London), 2016. http://discovery.ucl.ac.uk/1520993/.

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Overview Two studies and a critical reflection are presented in this thesis. In Chapter 1, a systematic review of the links between a Psychological Sense of Community (PSC) and subjective wellbeing, social relationships and community structures are investigated. Data from 20 East and Southeast (E/SE) Asian studies were explored using meta-analytic methods. This revealed medium to large effects in all categories investigated. Of particular significance was how relationship quality associated with a stronger PSC than social support, and strong community management was associated with a stronger PSC than residential features. In Chapter 2, a psychometric validation study of a Vietnamese Mental Health Recovery Scale (VRS) is presented. Thirteen Vietnamese refugees recruited from a Vietnamese mental health charity were interviewed in two focus groups. In consultation with an expert professional panel (n = 7), and guidance from existing recovery scales, these qualitative themes informed the content and wording of the VRS items. Forty-eight further service users from the same charity completed the VRS. This procedure validated a 15-item VRS that measured recovery processes such as meaningful social roles and interactions, self-management of problems, and spiritual attitudes and living. Total scores on the scale predicted self-rated wellbeing, fewer mental health symptoms, and lower professional ratings of general life functioning. In Chapter 3, the present research is critically discussed from a community and cultural psychology perspective. In particular, the social circumstances of E/SE Asia, and the social philosophies of the region such as Confucianism, Daoism and Buddhism, are reviewed.
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45

Kielland, Nordwall Linn, and Siri Aleflod. "Gömd och bortglömd : En litteraturöversikt om mental ohälsa bland immigranter, flyktingar, asylsökande och papperslösa." Thesis, Röda Korsets Högskola, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-1874.

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Bakgrund: Immigranter, flyktingar, asylsökande och papperslösa tillhör samhällets mest sårbara grupper och löper hög risk att utveckla mental ohälsa relaterat till traumatiska upplevelser pre- och postmigrativt. Grupperna är underrepresenterade inom den psykiatriska vården och det råder ett missförhållande mellan behovet av och tillgången till vård för dessa patientgrupper. Syfte: Syftet var att undersöka upplevelsen av den mentala ohälsan och hinder för vård hos immigranter, flyktingar, asylsökande och papperslösa ur ett transkulturellt omvårdnadsperspektiv. Metod: Tio kvalitativa studier och två studier med mixad metod har granskats och analyserats. Leiningers transkulturella omvårdnadsteori har använts för att lyfta resultatet till en högre abstraktionsnivå. Resultat: Tre teman identifierades: Den mentala ohälsan, Hinder för vård och Kulturellt betingade attityder. I resultatet framkom att grupperna lider av mental ohälsa relaterat till erfarenheter genom migrationsprocessen. Bristfällig information, kommunikationssvårigheter och bristande tillit till vårdpersonalen ledde till hinder i vården. Dessutom framkom att stigmatisering, religiösa övertygelser och könsroller påverkade fokusgruppens syn på mental ohälsa. Slutsats: Immigranter, flyktingar, asylsökande och papperslösa är högriskpatienter för mentala ohälsotillstånd men strukturella och personliga faktorer hindrar dem att erhålla vård. Som sjuksköterska är det viktigt att inta en aktiv roll och ha kunskap och förståelse kring dessa människors upplevelser och kulturellt betingade attityder kring mental ohälsa. Klinisk betydelse: Genom att belysa en marginaliserad patientgrupps upplevelser av att leva med mental ohälsa och erhålla vård i en ny kulturell kontext ökar sjuksköterskans medvetenhet om dessa människors situation. Detta kan leda till en bättre vård för dessa patienter.
Background: Immigrants, refugees, asylum seekers and undocumented migrants belong to society's most vulnerable groups and are at high risk of developing mental health problems. The groups are underrepresented in psychiatric care and there is a disproportion between the need and the availability of care for these patient groups. Aim: The aim was to examine the experience of mental illness and barriers for access to healthcare of immigrants, refugees, asylum seekers and undocumented migrants from a transcultural nursing perspective. Method: Ten qualitative studies and two mixed-method studies were reviewed and analysed. Leiningers transcultural nursing theory was applied to enable a higher level of abstraction. Results: Three themes were identified: The mental illness, Barriers for care and Culturally influenced attitudes. The result showed that the groups suffered from mental illness related to experiences through the migration process. Inadequate information, communication difficulties and a lack of trust in the medical staff led to obstacles in healthcare. Stigma, religious beliefs and gender roles affected the focus group's view of mental illness. Conclusion: Immigrants, refugees, asylum seekers and undocumented migrants are at high risk for developing mental illness but structural and personal factors preventing them to receive treatment. Nurses should take an active role and gain knowledge about experiences and culturally conditioned attitudes about mental illness among patients. Clinical significance: Highlighting the experience of living with mental illness and obtaining care in a new cultural context, increases the nurses’ knowledge about the marginalized patient group.
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46

Richards, Justin A. "Evaluating the impact of a sport-for-development intervention on the physical and mental health of young adolescents in Gulu, Uganda - a post-conflict setting within a low-income country." Thesis, University of Oxford, 2011. http://ora.ox.ac.uk/objects/uuid:9632dcfc-94e6-45ac-a4c1-ad63113f9b59.

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Introduction: Physical inactivity is thought to contribute to the emergence of non-communicable diseases in post-conflict settings of low-income countries. Sport-for-development (SfD) organisations in these regions claim to improve the health of programme participants. However, there is a paucity of supporting evidence. I assessed the impact of a voluntary community-based SfD intervention on the physical activity (PA), physical fitness (PF) and mental health (MH) of adolescents in Gulu, Uganda. Methods: The Acholi Psychosocial Assessment Instrument (APAI), standing broad jump (SBJ), multi-stage fitness test (MSFT) and BMI-for-age (BFA) were adapted to the local context. I tested their feasibility and reliability with a repeat-measures design (n=70). A cross-sectional analysis of a random sample was used to assess the local needs and establish the PF and MH of the adolescents reached by the intervention (n=1464). This was also the baseline assessment for the impact evaluation. It comprised a randomised control trial (n=144) nested within a cohort study (n=1400) and triangulated by cross-sectional assessment of PA using accelerometry (n=54). Results: The adapted PF and MH measures demonstrated good intra-tester reliability (ICC>0.75). Adolescents in Gulu predominantly had “healthy” BFA (>90%). They performed better than global norms for the SBJ (p<0.001), but worse for the MSFT (p<0.05). The girls who registered for the intervention had higher PF at baseline (p<0.05) and experienced no significant benefits when compared to the community. The aerobic capacity of the boys intervention group increased relative to the community (p<0.01), but was not significantly different to the trial control group whose PF also improved. The PA results concurred with this finding. Boys in the intervention group experienced a deterioration in MH relative to their peers (p<0.05). Implications: It is feasible to apply rigorous evaluation methods to SfD interventions. Although adolescents in Gulu have poor aerobic capacity, a voluntary programme may not reach those at risk. Interpreting the impact evaluation was limited by a lack of programme development theory, but suggested that opportunities for non-competitive play may confer PF benefit without harming MH. Further investigation is warranted.
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47

Grupp, Freyja [Verfasser], and Ricarda [Akademischer Betreuer] Nater-Mewes. "The mental health of refugees and asylum seekers in Germany - Applying transcultural methods and considering intersectional aspects in clinical research / Freyja Grupp ; Betreuer: Ricarda Nater-Mewes." Marburg : Philipps-Universität Marburg, 2020. http://d-nb.info/121108647X/34.

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48

Carlsson, Stark Sandra, and Marina Hjertton. "Hälsobeteenden och Attityder till Hälsa hos Nyanlända Ungdomar - Hur Påverkar Asylprocessen?" Thesis, Örebro universitet, Institutionen för juridik, psykologi och socialt arbete, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-58805.

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49

Jagmann, Kirsten. "Tsjetsjenske foreldres synspunkter på hjelp til barn og unge med psykiske vansker etter krig og flukt." Thesis, Nordic School of Public Health NHV, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:norden:org:diva-3165.

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Bakgrunn: Mange barn og unge med flyktningbakgrunn sliter med psykiske vansker. Dette er en utfordring for helsetjenesten. Hensikt: Å beskrive tsjetsjenske foreldres opplevelse av foreldrerollen i henholdsvis Tsjetsjenia og Norge, og hvilke tiltak de opplever som best for deres barns psykiske helse. Metode: Deskriptiv studie med en kvalitativ tilnærming. Ti foreldre er intervjuet. Data er analysert med innholdsanalyse. Temaene i intervjuguiden: Foreldrerollen i hjemlandet. Barnas psykiske situasjon. Foreldrenes ønsker, synspunkter og tanker om hva som kan bedre evt. dårlig psykisk helse hos barnet. Hvordan introduksjonsordningen påvirker foreldrerollen. Funn: Foreldrene forteller at mange av barna/ungdommene, etter mange år i Norge, har det dårlig psykisk og sosialt. De er ensomme, og har problemer med å finne seg til rette blant venner og i fritidsaktiviteter. Noen har atferdsforstyrrelser, og sosial mestring og funksjon er vanskelig. Barnas dårlige psykiske og sosiale situasjon gjør dem ekstra krevende for foreldrene. Informanter beskriver manglende erfaring med ansvar for og oppdragelse av barn.  Ved flyttingen til Norge har de reist fra oppdragerkompetansen i familie og nettverk. Samtidig forteller de om store forskjeller i mål og verdier i Norge og hjemlandet. Særlig mødrene forteller om en meget slitsom hverdag, som mor, deltager i introduksjonsordningen  og med egne psykiske vansker. Tidsmarginene i det daglige blir knappe, og i mange tilfeller umulige, og dette gir en høy stressfaktor. Foreldrene ønsker hjelp til helsefremmende tiltak som fritidsaktiviteter, kulturaktiviteter, hjelp til å etablere nettverk, mestring og foreldreveiledning, men har dårlig erfaring med terapi til barna. Aller mest ønsker de tid til å være foreldre for barna sine. Konklusjoner: Mottak av store familier med traumatiske opplevelser hos foreldre og barn er komplisert, og krever et samordnet tilbud i kommunen, hvor barneperspektivet må være like mye i fokus som foreldrenes kvalifisering, gjerne med en egen introduksjonslov for barna. Spesielt må det i større grad tilrettelegges for god foreldrefunksjon
Background: Many refugee children struggle with mental problems. This presents a challenge for the Norwegian health service. Purpose: This thesis aims to describe Chechenian parents’ experience of parenting in Chechnya and Norway respectively, and which initiatives they perceive to be best for their children’s mental health. Method: This descriptive study used a qualitative approach to interview ten parents who had immigrated to Norway from Chechnya. The themes in the interview guide were:  Parenting role in the homeland; the children’s psychological situation; the wishes, viewpoints and thoughts of the parents concerning what might improve the possible poor mental health of the child; how the rigours of participation in the qualification programme demanded by immigration laws affect the parenting role. Data were analysed by content analysis. Findings: The parents reported that, after many years in Norway, their children and teenagers experience both mental and social difficulties including loneliness, difficulty fitting in with friends and adjusting to leisure activities.  Some are behaviourally disturbed, and functioning socially is difficult. The children’s poor mental health and social challenges place great demands on the parents. Informants explained that they lack experience in having responsibility for raising children. Moving to Norway, they have left behind the child-rearing skills found in their family and social network. At the same time, they describe considerable differences in the parental goals and values of their homeland and Norway. Mothers especially, described a very exhausting daily life whilst participating in the qualification programme, balancing parental responsibilities whilst having their own mental difficulties. Having little or no free time increased their stress levels. Parents want help with health-promoting initiatives such as leisure activities, network building, cultural activities, and teaching of parenting skills, but their experience of child-therapy has been negative. Most of all, they want time to be parents for their children. Conclusions: The reception of large families where both parents and children have endured traumatic experiences is complicated, and demands a coordinated effort from the local council, where the child’s perspective must be as central as the parents’ circumstances, preferably with a separate qualification programme for children. In particular, programmes must be organised with good parenting function in mind.

ISBN 978-91-85721-63-4

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50

Gul, Reaz, and Chunhua Li. "Gruppen i kläm : En studie om unga flyktingars upplevelser av den nya gymnasielagen." Thesis, Linnéuniversitetet, Institutionen för samhällsstudier (SS), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-100933.

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In the past decades, Sweden’s asylum policy known for its humanitarianism has taken a significant turn toward restrictiveness. In 2016 a temporary law was introduced in Sweden to restrict asylum seekers in reaction to the refugee crisis 2015. The group that has been hit hard by this law is the unaccompanied young refugees. In 2018 another temporary law referred to as the Upper Secondary School Act was enforced to allow certain unaccompanied young refugees to complete their upper secondary education studies. Those young refugees who received temporary resident permits may only extend his or her resident permit if he or she finds a permanent employment within six months after graduation from the second upper school. The purpose of this study is to gain an understanding of how the Upper Secondary School Act affects the lives of those young refugees, and how those young people orientate themselves in their everyday lives to live up to the law’s requirement. The study’s data has been gathered through a qualitative research method and six interviews are conducted with six young refugees affected by the Upper Secondary School Act. The study’s theoretical approach is based on orientation/disorientation, deserving, SOC(a sense of  Coherence) and human capital theory. The study shows that the Upper secondary school Act has led to negative consequences for those unaccompanied young refugees due to the law’s difficult requirement. It causes stress, mental problems and disorientation for the young refugees. The study also shows that the young refugees worked very hard to navigate the uncertainty in their lives, to fulfil the law’s requirement and claim for belonging in Sweden.  The study concludes that the political context shapes the lives of young refugees.
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