Psychological Services
Volume 11, Issue 4, 2014, Pages 470-476
Mental health screening among newly arrived refugees seeking routine obstetric and gynecologic care (Article)
Johnson-Agbakwu C.E.* ,
Allen J. ,
Nizigiyimana J.F. ,
Ramirez G. ,
Hollifield M.
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a
Department of Obstetrics and Gynecology, Refugee Women's Health Clinic, Maricopa Integrated Health System, Phoenix, AZ, United States, Southwest Interdisciplinary Research Center (SIRC), Arizona State University, United States
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b
Mountain Park Health Center, Phoenix, AZ, United States
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c
Maricopa Integrated Health System, Refugee Women's Health Clinic, Department of Obstetrics and Gynecology, Phoenix, AZ, United States
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d
Maricopa Integrated Health System, Refugee Women's Health Clinic, Department of Obstetrics and Gynecology, Phoenix, AZ, United States
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e
Pacific Institute for Research and Evaluation, Albuquerque, NM, United States, VA Long Beach Healthcare System, Long Beach, CA, United States
Abstract
Posttraumatic stress disorder (PTSD), anxiety, and depression are common mental health disorders in the refugee population. High rates of violence, trauma, and PTSD among refugee women remain unaddressed. The process of implementing a mental health screening tool among multiethnic, newly arrived refugee women receiving routine obstetric and gynecologic care in a dedicated refugee women's health clinic is described. The Refugee Health Screener-15 (RHS-15) is a culturally responsive, efficient, validated screening instrument that detects symptoms of emotional distress across diverse refugee populations and languages. An interdisciplinary community partnership was established with a local behavioral health services agency to facilitate the referral of women scoring positive on the RHS-15. Staff and provider training sessions, as well as the incorporation of bicultural, multilingual cultural health navigators, greatly facilitated linguistically appropriate care coordination for refugee women in a culturally sensitive manner. Twenty-six (23.2%) of the 112 women who completed the RHS-15 scored positive, of which 14 (53.8%) were Iraqi, 1 (3.8%) was Burmese, and 3 (11.5%) were Somali. Among these 26 women, 8 (30.8%) are actively receiving mental health services and 5 (19.2%) have appointments scheduled. However, 13 (50%) are not enrolled in mental health care because of either declining services (46.2%) or a lack of insurance (53.8%). Screening for mental disorders among refugee women will promote greater awareness and identify those individuals who would benefit from further mental health evaluation and treatment. Sustainable interdisciplinary models of care are necessary to promote health education, dispel myths, and reduce the stigma of mental health. © 2014 American Psychological Association.
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-84920124704&doi=10.1037%2fa0036400&partnerID=40&md5=ae9a0b5f11527d026af37af25ba7ebfa
DOI: 10.1037/a0036400
ISSN: 15411559
Cited by: 18
Original Language: English