scholarly journals Staff Perspectives of Safety Planning as a Suicide Prevention Intervention for People of Refugee and Asylum-Seeker Background

Crisis ◽  
2021 ◽  
Author(s):  
Monika Ferguson ◽  
Miriam Posselt ◽  
Heather McIntyre ◽  
Mark Loughhead ◽  
Mary-Anne Kenny ◽  
...  
Keyword(s):  
Suicide Prevention ◽  
Asylum Seeker ◽  
Asylum Seekers ◽  
Low Cost ◽  
Safety Planning ◽  
Therapeutic Benefits ◽  
Safety Plan ◽  
Planning Strategies ◽  
Suicide Prevention Training ◽  
Refugees And Asylum Seekers

Abstract. Background: Safety planning involves the co-development of a personalized list of coping strategies to prevent a suicide crisis. Aims: We explored the perspectives of workers regarding safety planning as a suicide prevention strategy for people of refugee background and those seeking asylum in Australia. Method: Participants attended suicide prevention training, specific to refugees and asylum seekers, at which safety planning was a key component. Semistructured, posttraining interviews ( n = 12) were analyzed thematically. Results: Four key themes were identified: safety planning as a co-created, personalized activity for the client; therapeutic benefits of developing a safety plan; barriers to engaging in safety planning; strategies to enhance safety planning engagement. Limitations: First-hand refugee and asylum-seeker experiences were not included. Conclusion: As a relatively low-cost, flexible intervention, safety planning may be valuable and effective for these groups.

scholarly journals Protocol of a feasibility trial for an online group parenting intervention with an integrated mental health component for parent refugees and asylum-seekers in the United Kingdom: (LTP + EMDR G-TEP)

2021 ◽  
Vol 9 ◽  
pp. 205031212110678
Author(s):  
Safa Kemal Kaptan ◽  
Filippo Varese ◽  
Betul Yilmaz ◽  
Panoraia Andriopoulou ◽  
Nusrat Husain
Keyword(s):  
Mental Health ◽  
Asylum Seeker ◽  
Asylum Seekers ◽  
Parenting Intervention ◽  
Feasibility Trial ◽  
Control Group ◽  
Parental Mental Health ◽  
Post Intervention ◽  
Poor Growth ◽  
Refugees And Asylum Seekers

Objectives: Conflicts expose families to a range of factors that could have a negative impact upon parental mental health which in turn leads to poor growth and development of children. Early support can improve parental mental health and parenting behaviours but currently, there is a lack of evidence on parenting interventions for forcibly displaced populations. This study aims to deliver an online parenting intervention with a mental health component for refugee and asylum-seeker parents to evaluate its feasibility and acceptability. Methods: This is a single-arm trial without a control group. The trial aims to recruit 14 refugee and asylum-seeker parents into an Online Learning Through Play and Eye Movement Desensitization and Reprocessing Group Traumatic Episode Protocol (LTP + EMDR G-TEP). The intervention will be delivered by trained research team members using online platforms. Results: The participants’ sense of parenting competence, symptoms of traumatic stress, anxiety and depression will be measured at baseline and post-intervention. Semi-structured interviews at post-intervention will also be conducted. Discussion: This study will assess the feasibility and inform the design of a future randomized controlled trial which aims to evaluate the effectiveness of LTP + EMDR G-TEP intervention for parent refugees and asylum-seekers with young children.

scholarly journals Life in the Shadow Carceral State: Surveillance and Control of Refugees in Australia

2020 ◽  
Vol 9 (4) ◽  
pp. 61-75
Author(s):  
Anthea Vogl ◽  
Elyse Methven
Keyword(s):  
Asylum Seeker ◽  
Asylum Seekers ◽  
State Power ◽  
Legal Authority ◽  
Carceral State ◽  
Original Dataset ◽  
Australian State ◽  
State Surveillance ◽  
Refugees And Asylum Seekers ◽  
And Control

This article critically examines techniques employed by the Australian state to expand its control of refugees and asylum seekers living in Australia. In particular, it analyses the operation of Australia’s unique Asylum Seeker Code of Behaviour, which asylum seekers who arrive by boat must sign in order to be released from mandatory immigration detention, with reference to an original dataset of allegations made under the Code. We argue that the Code and the regime of visa cancellation and re-detention powers of which it forms a part are manifestations of what Beckett and Murakawa call the ‘shadow carceral state’, whereby punitive state power is extended beyond prison walls through the blurring of civil, administrative and criminal legal authority. The Code contributes to Australia’s apparatus of refugee deterrence by adding to it a brutal system of surveillance, visa cancellation and denial of services for asylum seekers living in the community.

scholarly journals Active tuberculosis case finding interventions among immigrants, refugees and asylum seekers in Italy

2016 ◽  
Vol 8 (2) ◽  
Author(s):  
Monica Sañé Schepisi ◽  
Gina Gualano ◽  
Pierluca Piselli ◽  
Marta Mazza ◽  
Donatella D’Angelo ◽  
...  
Keyword(s):  
Asylum Seekers ◽  
Medical Condition ◽  
Low Cost ◽  
Case Finding ◽  
Diagnostic Workup ◽  
Vulnerable Groups ◽  
Tuberculosis Case ◽  
Screening Programs ◽  
Mobile Clinics ◽  
Refugees And Asylum Seekers

In Italy tuberculosis (TB) is largely concentrated in vulnerable groups such as migrants and in urban settings. We analyzed three TB case finding interventions conducted at primary centers and mobile clinics for regular/ irregular immigrants and refugees/asylum seekers performed over a four-year period (November 2009-March 2014) at five different sites in Rome and one site in Milan, Italy. TB history and presence of symptoms suggestive of active TB were investigated by verbal screening through a structured questionnaire in migrants presenting for any medical condition to out-patient and mobile clinics. Individuals reporting TB history or symptoms were referred to a TB clinic for diagnostic workup. Among 6347 migrants enrolled, 891 (14.0%) reported TB history or symptoms suggestive of active TB and 546 (61.3%) were referred to the TB clinic. Of them, 254 (46.5%) did not present for diagnostic evaluation. TB was diagnosed in 11 individuals representing 0.17% of those screened and 3.76% of those evaluated. The overall yield of this intervention was in the range reported for other TB screening programs for migrants, although we recorded an unsatisfactory adherence to diagnostic workup. Possible advantages of this intervention include low cost and reduced burden of medical procedures for the screened population.

Refugees and Asylum Seekers as Victims: The Australian Case

2003 ◽  
Vol 10 (2) ◽  
pp. 157-175 ◽  
Author(s):  
James Jupp
Keyword(s):  
Asylum Seeker ◽  
Asylum Seekers ◽  
Public Acceptance ◽  
Safe Haven ◽  
Permanent Residence ◽  
Permanent Settlement ◽  
Australian Case ◽  
The Right ◽  
Refugees And Asylum Seekers

Australia has had two centuries of state planned and controlled immigration, with official policies excluding those felt undesirable for racial, social or economic reasons, Visa controls have been tightened in recent years even against the previously welcomed British. Australia has also accepted refugees for permanent settlement under the 1951 UN Convention. Since the 1990s this approach has been steadily modified, making it increasingly difficult to achieve settlement as an asylum seeker. Detention in prison-like camps, limitation of the right to permanent residence, and policies designed to expedite homeland return have all led to victimisation of the relatively small numbers seeking asylum outside the universal visa system. This has been accompanied by forcible removal to locations outside Australian territory and attempts to limit rights of appeal. Official demonisation of asylum seekers has damaged public acceptance of refugees, while draconian policies towards them have undermined Australia’s previous reputation as a safe haven.

Suicide prevention gatekeeper training for those supporting refugees and asylum seekers: perspectives of participants

2021 ◽  
pp. 1-12
Author(s):  
Miriam Posselt ◽  
Mark Loughhead ◽  
Monika Ferguson ◽  
Heather McIntyre ◽  
Mary Anne Kenny ◽  
...  
Keyword(s):  
Suicide Prevention ◽  
Asylum Seekers ◽  
Gatekeeper Training ◽  
Refugees And Asylum Seekers

scholarly journals Seeking Asylum—Holding Patterns: The 2020 Ballina Region for Refugees Poetry Prize

Coolabah ◽  
2021 ◽  
pp. 47-72
Author(s):  
Bill Boyd ◽  
Emma Doolan ◽  
Ruth Henderson
Keyword(s):  
Asylum Seeker ◽  
Asylum Seekers ◽  
Community Groups ◽  
Refugees And Asylum Seekers

Poetry provides valuable and insightful ways to explore and record social and political experiences and engagements. The plight of refugees and people seeking asylum in Australia is well known. Community groups such as the Ballina Region for Refugees provide support to refugees and asylum seekers both in Australia and offshore. To help raise awareness and validate the experience of refugees and asylum seekers, the Ballina Region for Refugees runs an annual Poetry Prize. The 2020 Ballina Region for Refugees Poetry Prize theme was Seeking Asylum—Holding Patterns. This article presents the winning and highly commended poems, along with poems by refugee and asylum seeker poets. Poems from both insider witnesses – refugees and asylum seekers – and outsider witnesses – poets who seek to express an empathy with the plight of refugees and asylum seekers – have contributed to this collection. From haunting statements of human dissolution that should strike fear into anyone’s heart, through glimpses of hope, the poems explore the trails of asylum seeking and the dysfunctionality of the aftermath. 

A corpus-based approach to discourses of refugees and asylum seekers in UN and newspaper texts

2005 ◽  
Vol 4 (2) ◽  
pp. 197-226 ◽  
Author(s):  
Paul Baker ◽  
Tony McEnery
Keyword(s):  
United Nations ◽  
Asylum Seeker ◽  
Asylum Seekers ◽  
United Nations High Commissioner ◽  
Lexical Choice ◽  
Essential Aspect ◽  
High Commissioner ◽  
The Subject ◽  
The United Nations ◽  
Refugees And Asylum Seekers

A corpus-based analysis of discourses of refugees and asylum seekers was carried out on data taken from a range of British newspapers and texts from the Office of the United Nations High Commissioner for Refugees website, both published in 2003. Concordances of the terms refugee(s) and asylum seeker(s) were examined and grouped along patterns which revealed linguistic traces of discourses. Discourses which framed refugees as packages, invaders, pests or water were found in newspaper texts, although there were also cases of negative discourses found in the UNHCR texts, revealing how difficult it is to disregard dominant discourses. Lexical choice was found to be an essential aspect of maintaining discourses of asylum seekers — collocational analyses of terms like failed vs. rejected revealed the underlying attitudes of the writers towards the subject.

scholarly journals Health System Responses to the Health Needs of Refugees and Asylum-seekers in Malaysia: A Qualitative Study

2019 ◽  
Vol 16 (9) ◽  
pp. 1584 ◽  
Author(s):  
Fiona Leh Hoon Chuah ◽  
Sok Teng Tan ◽  
Jason Yeo ◽  
Helena Legido-Quigley
Keyword(s):  
Health Systems ◽  
Asylum Seeker ◽  
Asylum Seekers ◽  
National Level ◽  
Refugee Health ◽  
Health Needs ◽  
Health Seeking ◽  
Policy Perspective ◽  
Comprehensive Health ◽  
Refugees And Asylum Seekers

Background: This study was conducted to examine the responses and challenges in addressing the health needs of refugees and asylum-seekers in Malaysia from a health systems and policy perspective. Methods: Twenty semi-structured in-depth interviews were conducted with key informants comprising experts, healthcare professionals and program personnel with professional experience in refugee health issues. Deductive and inductive analyses were conducted to identify themes. Results: Our study identified a broad range of actors involved in the response to refugee health locally, of which a greater alignment of interests, collaboration and sharing of responsibility is needed. From a health systems and policy perspective, financial constraints are among the key challenges in addressing the health needs of the refugee and asylum-seeker population in Malaysia. While participants reported high quality healthcare being present in Malaysia, this was not affordable to refugees and asylum seekers. Cultural and language discordance are also key challenges faced by healthcare workers in the delivery of services; accentuating the need for greater cultural competence and language support. Improved access to medication is needed for those with chronic illnesses in order to effectively address the comprehensive health needs of the refugee and asylum-seeker population. Conclusions: Suggested ways forward include adopting a comprehensive health advocacy strategy grounded in the right to healthcare for all; adopting a multi-sectoral approach; tackling the social determinants of health; seeking diversified funding at the global and national level; and improving coordination and collaboration between the various actors.

Coping planning: a patient-centred and strengths-focused approach to suicide prevention training

2017 ◽  
Vol 26 (2) ◽  
pp. 141-144 ◽  
Author(s):  
Helen M Stallman
Keyword(s):  
Suicide Prevention ◽  
Patient Outcomes ◽  
Self Efficacy ◽  
Premature Death ◽  
Safety Planning ◽  
Coping Planning ◽  
Acute Distress ◽  
Temporary Support ◽  
Suicide Prevention Training ◽  
Improve Patient

Objectives: Suicide is a leading cause of premature death and, despite significant investment, the prevalence rate has remained relatively stable for more than a decade. Theoretically, the use of ‘safety planning’ as a response to suicidality likely maintains suicide as a potential solution for vulnerable people. This paper describes a theoretically-supported paradigm shift from safety planning to ‘coping planning’ to improve patient outcomes and improve the confidence and competence of clinicians working with people with suicidality. Conclusions: Coping planning is a strategy used to support people with acute distress. Its components of ‘caring’, ‘collaborating’ and ‘connecting’ reinforce existing strengths, promote self-efficacy and link people with more intensive supports, as needed. Coping planning overcomes the limitations of existing approaches. It reframes suicide prevention from managing patients disclosing suicidality to ensuring patients have minimally sufficient temporary support to help them cope. This approach has the potential to promote coping self-efficacy and prevent deterioration that leads to suicide.

Quality Improvement Evaluation of the Feasibility and Acceptability of Adding a Concerned Significant Other to Safety Planning for Suicide Prevention With Veterans

2019 ◽  
Vol 41 (1) ◽  
pp. 4-20
Author(s):  
Bryann B. DeBeer ◽  
Monica M. Matthieu ◽  
Julie A. Kittel ◽  
Linda C. Degutis ◽  
Stephanie Clafferty ◽  
...  
Keyword(s):  
Social Support ◽  
Suicide Prevention ◽  
Public Health Issue ◽  
Significant Other ◽  
Safety Planning ◽  
Mental Health Providers ◽  
Department Of Veterans Affairs ◽  
Health Providers ◽  
Safety Plan ◽  
Poor Social Support

Suicide among veterans remains a serious public health issue, and poor social support is identified as a robust risk factor for suicide. The U.S. Department of Veterans Affairs uses a standard safety planning procedure for suicide prevention. While this intervention can help veterans identify social support sources, it does not directly incorporate a concerned significant other (CSO). Research suggests that veterans prefer a family member or friend to help shoulder the burden of a potential crisis. This qualitative feasibility project examined the role of CSOs in safety planning with veterans. Interviews were conducted with 29 veterans and four CSOs to investigate whether veterans wanted a CSO involved in their safety plan and to investigate associated logistical issues for implementation. Overwhelmingly, veterans (79.13%) reported that having a CSO directly involved in their safety plan would be helpful. Qualitative data are presented highlighting practical concerns for mental health providers developing safety plans with veterans.

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