Journal of Developmental and Behavioral Pediatrics
Volume 21, Issue 4, 2000, Pages 255-261

War trauma experience and behavioral screening of Bosnian refugee children resettled in Massachusetts (Article)

Geltman P.L.* , Augustyn M. , Barnett E.D. , Klass P.E. , Groves B.M.
  • a Refugee and Immigrant Health Program, Massachusetts Dept. of Public Health, 305 South Street, Jamaica Plain, MA 02130, United States
  • b [Affiliation not available]
  • c [Affiliation not available]
  • d [Affiliation not available]
  • e Div. of Devmtl. and Behav. Pediat., Boston University School of Medicine, Boston Medical Center, Boston, MA, United States

Abstract

The authors assessed war violence exposure and behavioral symptoms in Bosnian refugee children in Massachusetts and the utility of behavioral screening of refugees during the Refugee Health Assessment (RHA), required of newly arrived refugees. The study was a survey of 31 Bosnian refugee children in 1996 at the International Clinic of Boston Medical Center, the state's largest contracted provider of the RHA. Subjects were also offered referrals to appropriate mental health services. Sixty-eight percent experienced long-term separation from a parent. Eighty-one percent were directly exposed to armed combat. Seventy-one percent experienced the death of a close friend or relative. Fifty-two percent experienced economic deprivation. Families reported behavioral symptoms for 77% of children. Only one family expressed interest in psychosocial services of any kind. Large numbers of Bosnian refugees are likely to have experienced traumatic war violence and are at risk of behavioral symptoms. The RHA affords opportunities to screen for behavioral problems but not to intervene. Primary care providers and other clinicians should be aware of likely recurrences of symptoms in high-risk children such as these.

Author Keywords

Children Mental health Refugees Bosnia war trauma

Index Keywords

patient care refugee mass screening psychological aspect Child Reactive Disorders Massachusetts human Refugees war Bosnia and Herzegovina Child Behavior Disorders ethnology United States Bosnia-Herzegovina Humans Adolescent male preschool child personality test female Child, Preschool Article behavior disorder posttraumatic stress disorder Stress Disorders, Post-Traumatic personality assessment Patient Care Team Child
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-0034252004&doi=10.1097%2f00004703-200008000-00001&partnerID=40&md5=3ef6ab5006b7f84fd1b04d986dadd652
DOI: 10.1097/00004703-200008000-00001
ISSN: 0196206X
Cited by: 30
Original Language: English