Screening and Primary Care Access for Newly Arrived Paediatric Refugees in Regional Australia: A 5 year Cross-sectional Analysis (2007–12)

Zwi, Karen; Morton, Nikola; Woodland, Lisa; Mallitt, Kylie‐Ann; Palasanthiran, Pamela

doi:10.1093/tropej/fmw059

Cited by 9 publications

(13 citation statements)

References 36 publications

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“…For example, Woodland, Burgner, Paxton, and Zwi () identified key indicators of good health practice for newly arrived refugee children in Australia, which included integrated and coordinated physical, mental health and social care; culturally and linguistically appropriate provision; accessibility; capacity‐building; and user participation. This framework led to a high uptake primary health care screening programme, with 88% of children screened within 1 month and 96% within 6 months of arrival, although mental health issues were not included at that stage (Zwi, Morton, Woodland, Mallitt, & Palasanthrinan, ).…”

Section: Introductionmentioning

confidence: 99%

Practitioner Review: Mental health problems of refugee children and adolescents and their management

Hodes

Vostanis

2018

Child Psychology Psychiatry

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Background: Since 2010, the numbers of refugees have increased and around half are under 18 years of age. It is known that experience of organised violence, displacement and resettlement increases the risk for psychiatric disorders and psychosocial impairment. This review integrates recent research into the risk and protective factors for psychopathology with service and treatment issues. Methods: We draw on and critically evaluate key systematic reviews in the selected areas, innovative robust studies and relevant government reports. Results: Many refugee children show resilience and function well, even in the face of substantial adversities. The most robust findings for psychopathology are that PTSD, and posttraumatic and depressive symptoms are found at higher prevalence in those who have been exposed to war experiences. Their severity may decrease over time with resettlement, but PTSD in the most exposed may show higher continuity. More severe psychiatric disorders including psychosis may also occur. Service delivery needs to take into account socioeconomic and cultural influences but, given the high level of unmet need even in high-income countries, stepped care delivery is required. The evaluation of psychological interventions, often delivered in group settings, suggests that they can be effective for many distressed children; however, for the more impaired, a greater range of disorder-specific therapies will be required. Conclusions: Child and adolescent mental health clinicians and service providers need to be aware of the specific needs of this population and systems for service delivery. There are significant knowledge gaps in understanding risk and vulnerability, service delivery and treatment effectiveness.

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Section: Introductionmentioning

confidence: 99%

Practitioner Review: Mental health problems of refugee children and adolescents and their management

Hodes

Vostanis

2018

Child Psychology Psychiatry

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“…Specialist health services provide training forums, screening and management guidelines, access to rapid tertiary-level consultative expertise and specialised Refugee Health Clinics. This collaborative model of care has been shown to be successful in undertaking physical health screening of the entire population (100%) of newly arrived refugee children settling in the region22 (K Zwi, N Morton, L Woodland, et al Screening and primary care access for newly-arrived paediatric refugees in regional Australia: a 5-year cross sectional analysis (2007–2012). J Tropical Pediatrics (Under Resubmission)) 23…”

Section: Methods and Designmentioning

confidence: 99%

Methods for a longitudinal cohort of refugee children in a regional community in Australia

et al. 2016

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PurposeFew studies explore the long-term health and well-being of refugee children. A longitudinal cohort of refugee children was created to determine health and well-being outcomes over time. This article describes the methodology used to conduct this study, including sample characteristics and effectiveness of recruitment and retention strategies.ParticipantsNewly arrived refugee children settling in a regional part of Australia aged 6 months to 15 years were recruited between 2009 and 2013 and 85% were followed for an average of 31 months.Method and designGeneral practitioners conducted health and pathology examinations shortly after arrival. Additional follow-up assessments were conducted by the research team at an average of 13 months after arrival for the first (year 2) and 31 months for the second (year 3) assessment. Children under 5 years had developmental and children aged 4–17 years had social–emotional screening. Families were assessed for risk and protective factors using a structured interview and the Social Readjustment Ratings Scale. Parent experience of the research was explored.Findings to dateEligibility criteria were met by 158 of 228 (69%) newly arrived children, 61 of whom (39%) were enrolled. Retention was 100% (n=61) at year 2 and 85% at year 3. The study sample was younger than and had an over-representation of African refugees as compared to the eligible population. Parents reported that the research was respectful.Future plansThis study demonstrates that a longitudinal cohort study in refugee children is feasible and acceptable, and retention rates can be high. The establishment of this cohort provides the opportunity to analyse valuable data about the early settlement experience, risk and protective factors and long-term health and well-being outcomes in refugee children. These are necessary to identify refugee children in need of additional support and to guide future service delivery.

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“…In conflict zones and complex humanitarian emergency settings, the implementation of mass immunization campaigns has resulted in controlling the outbreaks of wild polio virus and circulating vaccine-derived poliovirus infections, suggesting that innovative approaches to vaccinate children on the move are needed [127,128]. Cost-effective interventions to address health care disparities and provide high-quality primary and secondary health care for large numbers of recently arrived migrants remains a major priority for many high-income countries [10,11,28,[129][130][131][132].…”

Section: Knowledge Gaps Research Agenda and Future Directionsmentioning

confidence: 99%

Infectious Diseases among Refugee Children

Shetty

2019

Children

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In recent years, there has been a substantial increase in refugee and asylum-seeking adults, adolescents and children to high-income countries. Infectious diseases remain the most frequently identified medical diagnosis among U.S.-bound refugee children. Medical screening and immunization are key strategies to reduce the risk of infectious diseases in refugee, internationally adopted, and immigrant children. Notable infectious diseases affecting refugee and other newly arriving migrants include latent or active tuberculosis, human immunodeficiency virus type 1 (HIV), hepatitis B, hepatitis C, vaccine-preventable diseases, malaria, and other parasitic infections. The U.S. Centers for Disease Control and Prevention and the American Academy of Pediatrics have published guidelines for health assessment of newly arriving immigrant, refugee, and internationally adopted children. Although, data on the health risks and needs of refugee exists in some high-income countries, there is an urgent need to develop robust evidence-informed guidance on screening for infectious diseases and vaccination strategies on a broader scale to inform national policies. Innovative approaches to reach migrant communities in the host nations, address health and other complex barriers to improve access to high-quality integrated health services, and strong advocacy to mobilize resources to improve health, safety, and wellbeing for refugee children and their families are urgent priorities.

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Screening and Primary Care Access for Newly Arrived Paediatric Refugees in Regional Australia: A 5 year Cross-sectional Analysis (2007–12)

Cited by 9 publications

References 36 publications

Practitioner Review: Mental health problems of refugee children and adolescents and their management

Practitioner Review: Mental health problems of refugee children and adolescents and their management

Methods for a longitudinal cohort of refugee children in a regional community in Australia

Infectious Diseases among Refugee Children

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