American Psychologist
Volume 46, Issue 6, 1991, Pages 642-648

Clinical issues in mental health service delivery to refugees (Article)

Gong-Guy E.* , Cravens R.B. , Patterson T.E.
  • a Center for Health Sciences, University of California, Los Angeles, Psychological Services, A3-062, Center for Health Sciences, University of California, Los Angeles, CA 90024, United States
  • b Office of Refugee Health, U.S. Department of Health
  • c Refugee Mental Health Program, National Institute of Mental Health, Rockville, MD, United States

Abstract

Serious limitations exist in the delivery of mental health services to refugees throughout the resettlement process. Having survived harrowing physical and psychological traumas prior to reaching refugee camps, many refugees encounter mental health services in overseas camps that are characterized by fragmentation, instability, language barriers, and severe staff shortages. Refugees requiring mental health intervention after resettlement in the United States confront additional barriers, including frequent misdiagnosis, inappropriate use of interpreters and paraprofessionals, and culturally inappropriate treatment methods. Suggestions for improving mental health services for refugee populations emphasize modifying diagnostic assumptions and treatment approaches, recognizing potential problems associated with using interpreters and paraprofessionals, and examining the role of consultation, prevention, and outreach services in addressing refugee mental health concerns.

Author Keywords

[No Keywords available]

Index Keywords

health service Acculturation refugee mental health service Refugees cultural factor psychological aspect Community Mental Health Services Health Services Needs and Demand Article Mental Disorders mental disease United States human life event Life Change Events Cross-Cultural Comparison

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-0026180483&doi=10.1037%2f0003-066X.46.6.642&partnerID=40&md5=a2f754a16f0110d20422a12ba698b139

DOI: 10.1037/0003-066X.46.6.642
ISSN: 0003066X
Cited by: 95
Original Language: English