Cultural Consultation for Refugees

Cleveland, Janet; Rousseau, Cécile; Guzder, Jaswant

doi:10.1007/978-1-4614-7615-3_12

Cited by 49 publications

(26 citation statements)

References 81 publications

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“…This study supports the findings of previous research concerning the importance of ensuring that mental health work with refugee clients is culturally appropriate, builds on existing strengths such as resilience and includes an understanding of the fact that refugees frequently prioritise practical concerns (Cleveland et al, ; Strijk, van Meijel, & Gamel, ; Turner & Herlihy, ). Similarly, the finding that refugees experience heightened concerns around confidentiality and anonymity was also compatible with findings of previous research (Brisset, Leanza, & Laforest, ; Paone & Malott, ; Raval, ; Searight & Armock, ).…”

Section: Discussionsupporting

confidence: 87%

“…Around 13,000 of this number will be resettled in Australia each year (Department of Immigration and Border Protection, ). While this group of people is extremely diverse, they nevertheless share a range of challenges pertaining to pre‐ and post‐settlement, including pre‐settlement experiences such as witnessing the murder of family or close friends, torture, persecution, sexual or physical assault, grief, loss, and separation from loved ones (Cleveland, Rousseau, & Guzder, ; Momartin, Silove, Manicavasagar, & Steel, ; Porter & Haslam, ; Rees, Silove, Tay, & Kareth, ; Schweitzer, Greenslade, & Kagee, ), and post‐settlement challenges such as discrimination, acculturation, and loss of support (Nickerson et al, ; Porter & Haslam, ). As a result, many people with refugee or asylum seeker backgrounds experience increased risk of psychological distress, including post‐traumatic stress disorder (PTSD), major depressive disorder (MDD), psychotic illnesses, and generalised anxiety disorder (GAD) (Ehntholt & Yule, ; Fazel, Wheeler, & Danesh, ).…”

Section: Introductionmentioning

confidence: 99%

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The Interpreter Is Not an Invisible Being: A Thematic Analysis of the Impact of Interpreters in Mental Health Service Provision with Refugee Clients

Gartley

Due

2017

Australian Psychologist

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Objective Given that many refugees are from culturally and linguistically diverse backgrounds and may have limited English language competency, health professionals must frequently work with interpreters to provide services to clients. This study aims to examine how working with an interpreter affects mental healthcare for refugee clients. In particular, the study aims to consider the perspectives and opinions of mental health practitioners who have worked with refugee clients with the help of an interpreter, along with identifying what factors play a role in enhancing or limiting the therapeutic alliance between mental health professionals and clients where an interpreter is mediating communication. Method Mental health professionals (specifically registered mental health social workers and clinical psychologists) working with refugees in South Australia were interviewed (N = 7). Data were analysed using thematic analysis, as part of a qualitative research paradigm. Results Analysis of the data identified the following key themes: “refugees are unique,” “interpreters are necessary and important,” “interpreters are important to the therapeutic alliance,” “interpreters can present challenges to therapy and therapeutic relationships,” and “training is a problem.” The supportive presence of interpreters, along with the multiple roles interpreters often adopt inside and outside the therapy room, were also highlighted as important in building strong therapeutic alliances. Conclusion This study found that interpreters were considered to be an integral part of providing mental healthcare to refugee clients, and sometimes contributed to the therapeutic alliance themselves. Future research could incorporate the experiences of interpreters and refugee clients to provide a more comprehensive perspective.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

The Interpreter Is Not an Invisible Being: A Thematic Analysis of the Impact of Interpreters in Mental Health Service Provision with Refugee Clients

Gartley

Due

2017

Australian Psychologist

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“…Despite these limitations, this study contributes to the small body of literature that has considered the perspectives and experiences of parents in relation to the wellbeing of children with asylum seeker or refugee backgrounds. In particular, the study has highlighted the fact that parents may often focus on practical aspects of resettlement, and as such, seeking help for psychological distress may not be discerned as a high priority (see also, Cleveland, Rousseau, & Guzder, ). In addition, this study illustrates that parents may be most oriented to symptoms such as bad dreams and disrupted sleep in their children.…”

Section: Discussionmentioning

confidence: 99%

“At night he cries from dreams”: Perceptions of children's psychological distress and wellbeing amongst parents with refugee or asylum seeker backgrounds in Australia

Due

Heer

Baak

et al. 2019

Australian Psychologist

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Objective The objective of the current study was to gain insight into the ways in which parents who had arrived in Australia with refugee or asylum seeker backgrounds understand their young children's experiences of wellbeing and psychological distress during resettlement. Method Eight parents (three male and five female) who had arrived in Australia from Iran and Afghanistan with children aged between five and eight were recruited using purposive sampling. In‐depth interviews were conducted regarding their perceptions of their children's experiences of wellbeing and psychological distress. Thematic analysis was used to analyse the data. Results Four primary themes were developed: (a) Practical needs are a key priority, (b) the refugee experience impacts family structure and dynamics, which has a negative effect on children's wellbeing, (c) wellbeing as engagement in physical activity and education, and (d) bad dreams and difficulty sleeping are indicators of psychological distress. Conclusions For parents recently arrived in Australia as refugees or asylum seekers, practical concerns impact perceptions of children's wellbeing or psychological distress, particularly for those on temporary visas. While this may lead parents to overlook symptoms of psychological distress in their children, protective factors conducive to wellbeing, including safety, housing, and education, are prioritised. Future research should explore when and why parents are likely to seek assistance for their children in the context of resettlement, as well as the impacts of visa types on children's experiences of positive wellbeing and psychological distress.

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“…14 The identified patient may therefore represent only one face of the family's difficulties, and, further, enforcing ties between family members may be protective to vulnerable family members. 15 When family members are present for interviews, the clinician should be mindful of confidentiality in general and within the family's specific ethno-cultural community. 14 Separation from family members during migration causes suffering both because of loss but also because of fear for the safety of the absent family members if they remain in peril in the country of origin.…”

Section: Family and Systemic Approachmentioning

confidence: 99%

“…14 Separation from family members during migration causes suffering both because of loss but also because of fear for the safety of the absent family members if they remain in peril in the country of origin. 15 As one study showed, 16 children separated from their parents for over 2 years had greater rates of depression and anxiety than non-separated children. Diagnostically, attending to family separation is also important, as fear for a family member's safety may aggravate mental health problems, especially PSTD, where threat is perceived as ongoing.…”

Section: Family and Systemic Approachmentioning

confidence: 99%

Mental Health of Refugees and Asylum Seekers: Assessment and Intervention

Kronick

2017

Can J Psychiatry

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With unprecedented numbers of displaced persons worldwide, mental health clinicians in high-income countries will increasingly encounter refugee and asylum-seeking patients, many of whom have experienced significant adversity before and after their migration. This paper presents a summary of the recent evidence on the assessment and treatment of refugees across the lifespan to inform clinicians' approaches to care of refugee patients in mental health care settings. Assessment and interventions for refugees are grounded in an ecosystemic approach which considers not only pre-migratory trauma, but social, familial, and cultural determinants of mental health in the host country. Evidence for psychotherapy and pharmacological treatments are reviewed, highlighting promising interventions while acknowledging that further research is needed. Ultimately, serving refugees necessitates a biopsychosocial approach that engages clinicians as medical experts, therapists, and advocates.

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Cultural Consultation for Refugees

Cited by 49 publications

References 81 publications

The Interpreter Is Not an Invisible Being: A Thematic Analysis of the Impact of Interpreters in Mental Health Service Provision with Refugee Clients

The Interpreter Is Not an Invisible Being: A Thematic Analysis of the Impact of Interpreters in Mental Health Service Provision with Refugee Clients

“At night he cries from dreams”: Perceptions of children's psychological distress and wellbeing amongst parents with refugee or asylum seeker backgrounds in Australia

Mental Health of Refugees and Asylum Seekers: Assessment and Intervention

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