The health of people in Australian immigration detention centres

Green, Janette P; Eagar, Kathy

doi:10.5694/j.1326-5377.2010.tb03419.x

Cited by 77 publications

(72 citation statements)

References 11 publications

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“…Medical service utilization markedly increases with prolonged detention [14]. Medical service utilization markedly increases with prolonged detention [14].…”

Section: Restrictive Immigration Policies: Psychiatric Disorders and mentioning

confidence: 97%

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Children and young people in immigration detention

Dudley

Steel

Mares

et al. 2012

Current Opinion in Psychiatry

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“…Medical service utilization markedly increases with prolonged detention [14]. Medical service utilization markedly increases with prolonged detention [14].…”

Section: Restrictive Immigration Policies: Psychiatric Disorders and mentioning

confidence: 97%

“…Length of time in detention clearly correlates with worsening mental state, suicide attempts and suicide and also physical symptoms [14]. Negative visa decisions, stigmatization and closed detention environments each contribute.…”

Section: General Causes Of Mental Distress and Illness In Refugee Andmentioning

confidence: 99%

Children and young people in immigration detention

Dudley

Steel

Mares

et al. 2012

Current Opinion in Psychiatry

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“…Pre-migration trauma and longer periods of detention [82,96,97] are associated with increased risk of suicidal behaviours among refugees. The experience of detention increased the likelihood of mental health problems such as anxiety, depression, and PTSD, as well as self-harm behaviours and suicidal ideation [96].…”

Section: Mental Health Of Immigrant and Refugee Communities In Australiamentioning

confidence: 99%

Mental health research and evaluation in multicultural Australia: developing a culture of inclusion

Minas

Kakuma

Too

et al. 2013

Int J Ment Health Syst

105

118

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IntroductionCultural and linguistic diversity is a core feature of the Australian population and a valued element of national identity. The proportion of the population that will be overseas-born is projected to be 32% by 2050. While a very active process of mental health system reform has been occurring for more than two decades - at national and state and territory levels - the challenges presented by cultural and linguistic diversity have not been effectively met. A key area in which this is particularly an issue is in the collection, analysis and reporting of mental health data that reflect the reality of population diversity. The purpose of this study was to examine: what is known about the mental health of immigrant and refugee communities in Australia; whether Australian mental health research pays adequate attention to the fact of cultural and linguistic diversity in the Australian population; and whether national mental health data collections support evidence-informed mental health policy and practice and mental health reform in multicultural Australia.MethodsThe study consisted of three components – a brief review of what is known about mental health in, and mental health service use by, immigrant and refugee communities; an examination of national data collections to determine the extent to which relevant cultural variables are included in the collections; and an examination of Australian research to determine the extent to which immigrant and refugee communities are included as participants in such research.ResultsThe review of Australian research on mental health of immigrant and refugee communities and their patterns of mental health service use generated findings that are highly variable. The work is fragmented and usually small-scale. There are multiple studies of some immigrant and refugee communities and there are no studies of others. Although there is a broadly consistent pattern of lower rates of utilisation of specialist public mental health services by immigrants and refugees the absence of adequate population epidemiological data prevents judgments about whether the observed patterns constitute under-utilisation. There are virtually no data on quality of service outcomes. The examination of national data collections revealed multiple gaps in these data collections. The review of papers published in four key Australian journals to determine whether immigrants and refugees are included in mental health research studies revealed a high rate (9.1%) of specific exclusion from studies (usually due to low English fluency) and a much higher rate of general neglect of the issue of population diversity in study design and reporting.ConclusionsWhile there are many positive statements of policy intent in relation to immigrant and refugee communities in national mental health policies and strategies there is virtually no reporting by Commonwealth or State and Territory governments of whether policies that are relevant to immigrant and refugee communities are effectively implemented. It is not possible...

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“…The primary objective of these policies has been to deter further asylum seeker arrivals, with this made explicit by both major political parties . The impact of these policies has been well documented with damaging and long‐term impacts on mental health, epidemic rates of self‐harm and suicidal behaviour and multiple deaths . These policies have been called ‘uniquely draconian’, ‘state sponsored abuse’ and more recently lead a growing number to question the parallels between Australia's policies and torture …”

Section: Children Detained In Australian Alternate Places Of Detentionmentioning

confidence: 99%