Paediatric asylum seekers in Western Australia: Identification of adversity and complex needs through comprehensive refugee health assessment

2019 ◽  
Vol 55 (11) ◽  
pp. 1367-1373 ◽  
Author(s):  
Gemma Hanes ◽  
Jessica Chee ◽  
Raewyn Mutch ◽  
Sarah Cherian
Keyword(s):  
Western Australia ◽  
Asylum Seekers ◽  
Health Assessment ◽  
Refugee Health ◽  
Complex Needs

scholarly journals Health assessment for migrants and asylum seekers upon arrival and while hosted in reception centres: Italian guidelines

Health Policy ◽  
2020 ◽  
Author(s):  
Maria Elena Tosti ◽  
Maurizio Marceca ◽  
Erica Eugeni ◽  
Franca D’Angelo ◽  
Salvatore Geraci ◽  
...  
Keyword(s):  
Asylum Seekers ◽  
Health Assessment

scholarly journals The securitization of asylum seekers in Canadian political discourse.

2021 ◽  
Author(s):  
Rajwant Deo
Keyword(s):  
Health Care ◽  
Asylum Seekers ◽  
Political Discourse ◽  
Country Of Origin ◽  
Refugee Health ◽  
Canadian Charter ◽  
Time Period ◽  
Securitization Theory ◽  
New Policies

This study examines the representation of asylum seekers in Canadian political discourse published between 2009 and 2012. During this time period, Tamil asylum seekers arrived in Vancouver on the Ocean Lady and MV Sun Sea. Also in 2010 and in 2012 Bill C-11 and Bill C- 31 were introduced, which resulted in harsh changes to Canada’s asylum system. This study used securitization theory to understand how asylum seekers were presented as threats and the exceptional measures which were implemented to deal with them. It was found that asylum seekers were depicted in a very negative manner where they were accused of abusing the system, burdening the economy, and conspiring with migrant smugglers. This justified number of policies including the designated country of origin policy, mandatory detention for irregular arrivals, and cuts to refugee health care. These new policies were found to be inconsistent with the Canadian Charter of Rights and Freedoms.

Early assessment of mental health and options for documentation of torture in newly arrived asylum seekers

2021 ◽  
pp. 387-394
Author(s):  
Nora Sveaass ◽  
Birgit Lie
Keyword(s):  
Human Rights ◽  
Early Identification ◽  
Asylum Seekers ◽  
Health Assessment ◽  
Good Health ◽  
Civil Society Organizations ◽  
Public Health Approach ◽  
Access To Justice ◽  
Early Assessment ◽  
Health Related

This chapter describes experiences regarding early health assessment of persons seeking protection in a new society, and discusses these in relation to existing research. as well as to policies and recommendations from states, academia, and civil-society organizations. Early identification and documentation of torture and other human rights violations with regard to follow-up, protection needs, right to reparation, and access to justice are touched upon. There is a growing acknowledgement of the importance of early assessment of health and early identification of health-related problems in persons exposed to ongoing and serious stress. We will argue that this should also be understood in terms of international obligations to provide health care and other forms of redress to persons subjected to torture and ill treatment. States receiving refugees and asylum seekers must consider good health assessments and services to persons seeking protection, as part of their human rights obligations, as well as good and sound public health approach.

scholarly journals Suicidal Ideation and Severity of Distress among Refugees Residing in Asylum Accommodations in Sweden

2019 ◽  
Vol 16 (15) ◽  
pp. 2751 ◽  
Author(s):  
Leiler ◽  
Hollifield ◽  
Wasteson ◽  
Bjärtå
Keyword(s):  
Suicidal Ideation ◽  
Emotional Distress ◽  
Asylum Seekers ◽  
Refugee Health ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Suicide Assessment ◽  
Increased Risk ◽  
Patient Health ◽  
Low Levels

Refugees worldwide suffer high levels of distress and are at increased risk for death by suicide. The Refugee Health Screener (RHS) was developed to screen for emotional distress among refugees and can be used to assess distress severity. This paper examines the association between distress severity and suicidal ideation in a sample of refugees residing in asylum accommodations. Data from the RHS and item 9 on the Patient Health Questionnaire-9 (PHQ-9) was analyzed. Results showed that individuals at moderate and severe levels of distress were much more likely to exhibit suicidal ideation than individuals with low levels of distress. Even though we cannot conclude that individuals with low levels of distress do not have thoughts of ending their lives, further suicide assessment is warranted in asylum seekers with moderate to severe distress on the RHS.

Refugee health in Europe: mapping review of research literature (2015–2019)

2020 ◽  
Vol 25 (4) ◽  
pp. 349-369
Author(s):  
Irina Ibragimova ◽  
Martina Žužak
Keyword(s):  
Health Care ◽  
Systematic Reviews ◽  
Asylum Seekers ◽  
Research Literature ◽  
Refugee Health ◽  
Cochrane Library ◽  
Economic Evaluations ◽  
Content Type ◽  
Mapping Review ◽  
Refugees And Asylum Seekers

PurposeThe purpose of this paper is to map research literature on all aspects of refugee health in Europe (2015–2019): by research domain, study design, targeted population, type of setting, host country, journal title. This will help to identify recent research trends in the field, provide policymakers with useful source of information and help researches to target important gaps in evidence.Design/methodology/approachWHO (with other international agencies) has developed strategic documents and produced technical guidance, which formulate priority issues of refugee health in Europe. These documents state the need for relevant information and research data to support effective decision-making at all levels of health care systems. Although recent bibliometric analysis of global migration health research (2000–2016) concluded that 25.4% of retrieved documents were about refugees and asylum seekers, still there remain critical gaps in the knowledge base on a wide range of determinants of health service delivery and access for refugees and asylum seekers in the WHO European Region. Mapping review design was chosen as it maps and categorizes existing literature from which to commission further reviews and/or primary research by identifying gaps in research literature. Search strategy was developed and searches were executed in six databases: PubMed Medline; Scopus; ProQuest (Thesis and Dissertations); Cochrane Library; BASE; eLibrary (Russian journal articles).FindingsMapping review revealed that although research in some domains of refugee health was growing (mental health, infectious diseases, access to health care), there are still gaps in evidence in many important aspects: maternal and reproductive health, NCD, nutrition and economic evaluations. Most of 1,291 retrieved studies used observational or quasi-experimental design (75%), while very few were experimental studies (1.8%). Secondary research constituted a significant portion of retrieved publications: systematic reviews and meta-analysis – 8%, other reviews with systematic approach – 16%.Originality/valueDetailed mapping of research by a combination of setting, population and research domains and comparison of results with those from previous decades and with planned trials and systematic reviews.

scholarly journals Access to primary health care for asylum seekers and refugees: a qualitative study of service user experiences in the UK

2019 ◽  
Vol 69 (685) ◽  
pp. e537-e545 ◽  
Author(s):  
Cara Kang ◽  
Louise Tomkow ◽  
Rebecca Farrington
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Asylum Seekers ◽  
Healthcare Access ◽  
Negative Consequences ◽  
Complex Needs ◽  
Primary Health ◽  
The Uk ◽  
Asylum Seekers And Refugees

BackgroundAsylum seekers and refugees (ASR) face difficulty accessing health care in host countries. In 2017, NHS charges for overseas visitors were extended to include some community care for refused asylum seekers. There is growing concern that this will increase access difficulties, but no recent research has documented the lived experiences of ASR accessing UK primary health care.AimTo examine ASR experiences accessing primary health care in the UK in 2018.Design and settingThis was a qualitative community-based study. ASR were recruited by criterion-based sampling through voluntary community organisations.MethodA total of 18 ASR completed face-to-face semi-structured recorded interviews discussing primary care access. Transcripts underwent thematic analysis by three researchers using Penchansky and Thomas’s modified theory of access.ResultsThe qualitative data show that participants found primary care services difficult to navigate and negotiate. Dominant themes included language barriers and inadequate interpretation services; lack of awareness of the structure and function of the NHS; difficulty meeting the costs of dental care, prescription fees, and transport to appointments; and the perception of discrimination relating to race, religion, and immigration status.ConclusionBy centralising the voices of ASR and illustrating the negative consequences of poor healthcare access, this article urges consideration of how access to primary care in the UK can be enhanced for often marginalised individuals with complex needs.

scholarly journals Care and cost trajectories of asylum seekers in a nurse-led, patient centered, care network in Switzerland

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jacques Spycher ◽  
Patrick Bodenmann ◽  
Raphaël Bize ◽  
Joachim Marti
Keyword(s):  
Health System ◽  
Asylum Seekers ◽  
Contact Point ◽  
Patient Centered Care ◽  
First Year ◽  
Patient Centered ◽  
Care Network ◽  
Complex Needs ◽  
Centered Care ◽  
Specific Care

Abstract Background Switzerland, with its decentralized health system, has seen the emergence of a variety of care models to meet the complex needs of asylum seekers. A network of public and private providers was designed in the canton Vaud, in which a nurse-led team acts as a first contact point to the health system and provides health checks, preventive care, and health education to this population. In addition, the service plays a case management role for more complex and vulnerable patients. While the network has been examined from a clinical angle, we provide the first descriptive evidence on the care and cost trajectories of asylum seekers in the canton. Methods We used routinely collected administrative, patient-level data in a Swiss region responsible for 10% of the asylum seekers in the country. We extracted data on all asylum seekers aged 18 or older who entered the network between 2012 and 2015. The data covered all healthcare costs during the period until they left the network, either because they were granted residence, they left the country, or until 31 December 2018. We estimated random effects regression models for costs and consultations within and outside the network for each month of stay in the network. We investigated language barriers in access to care by stratifying the analysis between patients who spoke one of the official Swiss languages or English and patients who did not speak any of these languages. Principal findings We found that both overall health care costs and contacts with the nurse-led team were relatively high during the first year of stay. Asylum seekers then progressively integrated into the regular health system. Individuals who did not speak the language generally had more contacts with the network and fewer contacts outside. Conclusions In this exploratory study, we observe a transition from nurse-led specific care with frequent contacts to care in the regular health system. This leads us to generate the hypothesis that a nurse-led, patient-centered care network for asylum seekers can play an important role in providing primary care during the first year after their arrival and can subsequently help them navigate autonomously within the conventional healthcare system.

The Maternity Care Needs of Refugee and Asylum Seeking Women in Ireland

2003 ◽  
Vol 73 (1) ◽  
pp. 39-53 ◽  
Author(s):  
Patricia Kennedy ◽  
Jo Murphy-Lawless
Keyword(s):  
Maternity Care ◽  
Asylum Seekers ◽  
Original Research ◽  
Care Needs ◽  
Complex Needs ◽  
Feminist Literature ◽  
Refugee Women ◽  
Maternity Hospitals ◽  
Research Findings ◽  
Major Increase

This article presents some of the findings from the original research carried out with asylum seeking and refugee women in Ireland who were pregnant or who had recently given birth. The explosion in numbers in Ireland from 1998 onwards has been such that this group now comprises more than one in five of every birth in the country's three major maternity hospitals, all based in Dublin. The article explores the background reasons for the major increase in recent years of this group of women. It discusses the difficult circumstances encountered by women who must engage with a system of maternity care unused to such complex needs, amidst a general policy climate of uncertainty and even hostility towards asylum seekers. The research findings contribute to the feminist literature on maternity and challenge us to examine the way in which globalization is impacting on women as mothers and the need for challenging Western states anew on the development of a more coherent model of maternity care in response to the needs of such women.

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