Canadian Journal of Psychiatry
Volume 63, Issue 5, 2018, Pages 290-296

Mental Health of Refugees and Asylum Seekers: Assessment and Intervention [Santé mentale des réfugiés et des demandeurs d’asile: évaluation et intervention] (Review) (Open Access)

Kronick R.*
  • a Centre for Child Development and Mental Health, Jewish General Hospital, Lady Davis Institute, Montréal, QC, Canada, Division of Social and Transcultural Psychiatry, McGill University, Montréal, QC, Canada

Abstract

With unprecedented numbers of displaced persons worldwide, mental health clinicians in high-income countries will increasingly encounter refugee and asylum-seeking patients, many of whom have experienced significant adversity before and after their migration. This paper presents a summary of the recent evidence on the assessment and treatment of refugees across the lifespan to inform clinicians’ approaches to care of refugee patients in mental health care settings. Assessment and interventions for refugees are grounded in an ecosystemic approach which considers not only pre-migratory trauma, but social, familial, and cultural determinants of mental health in the host country. Evidence for psychotherapy and pharmacological treatments are reviewed, highlighting promising interventions while acknowledging that further research is needed. Ultimately, serving refugees necessitates a biopsychosocial approach that engages clinicians as medical experts, therapists, and advocates. © 2017, © The Author(s) 2017.

Author Keywords

adults post-migratory stress Common mental disorders Children Refugees PTSD

Index Keywords

patient care cultural anthropology social psychology refugee mental health service mental health human Refugees social aspect social determinants of health Mental Health Services ethnology procedures mental health care Mental Disorders screening high income country psychotherapy asylum seeker mental disease Humans family Adolescent juvenile Review interpreter service adult medical expert neuroleptic agent lifespan Psychotropic Drugs eye movement desensitization and reprocessing psychotrauma medical decision making psychotropic agent decision making Child

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85043304337&doi=10.1177%2f0706743717746665&partnerID=40&md5=2780d2c8fb38a33fde2d8afde2ab000c

DOI: 10.1177/0706743717746665
ISSN: 07067437
Cited by: 4
Original Language: English