Mental health is a well brought up topic in regard to family life, school, and the workplace. Removing yourself from stressful situations and giving yourself time to relax and rest is often articulated by institutions to maintain one’s mental health. But what do you do if you are not allowed to seek asylum in a safe environment? How is mental health maintained when the country you believed was safe sends you back to a dangerous environment?
Recap: Reflections with Refugee Dr. Jihane Naous on Refugees' Health
This past fall semester we hosted a medical speaker event with Dr. Jihane Naous, a family medicine physician at UF Health who has extensive work experience and personal exposure to healthcare within refugee communities. This blog post will summarize Dr. Naous’s presentation that she gave. Dr. Naous referred to a paper published by the American Psychiatric Association titled “Mental Health Facts on Refugees, Asylum-seekers, & Survivors of Forced Displacement.” This paper provides valuable insight into mental health assessments of refugees. Notably, the paper includes that “about one out of three asylum seekers and refugees experience high rates of depression, anxiety, and post-traumatic stress disorder.”
Advancing Refugee and Migrant Health Worldwide
With the release of the World Health Organization’s (WHO) first-ever report on refugee and migrant health on July 20, 2022, comes a crucial discussion on the urgent actions that need to be taken to ensure that healthcare is accessible to all. Currently, one out of every eight people worldwide is a migrant or is displaced, and this issue continues to grow as a result of various reasons ranging from war, climate change, disease, and famine to seeking better jobs, education, and better overall quality of life. Refugees and migrants bring many skills and talents wherever they relocate to and do contribute significantly to their host country’s economy as productive members of society, yet their health is not a priority in many of these countries.
When There Is No “Post-” to the Trauma
A couple months ago I was scrolling through Instagram when I came across a post from a Palestinian activist’s account that read “There is no such thing as PTSD for Palestinians.” Something about that sounded off; was this individual simultaneously dismissing the mental health issues of the very same families she was advocating for? I proceeded to swipe through the thread, intrigued by such a bold claim, and came to learn of continuous traumatic stress (CTS), a newly emerging mental health conceptualization too often misdiagnosed as post-traumatic stress disorder (PTSD) …
Mental Health Issues Affecting Refugees
Refugees face exceedingly difficult circumstances and experience trauma in their home countries before and during the process of migration, in refugee camps, and during resettlement. These psychological stressors greatly increase the risk of suffering from numerous mental health issues. The traumatic events experienced vary widely but can include social upheaval, sexual violence, witnessing or experiencing murder and genocide, loss of loved ones, fear over lack of safety, and food or resource insecurity, among other events. In addition to experiencing trauma, the risk of mental health issues is also increased by the delayed asylum application process, detention, and a loss of culture and support.
Up to half of the world’s refugees are in “protracted” situations, meaning unstable and insecure situations like dense urban areas or refugee camps, which contributes to both the incidence of psychological stressors for these refugees, as well as the lack of access to proper care. Recent studies have shown that the post-migration environment that refugees are in can exasperate mental health problems. Conditions of adversity, prolonged detention, insecure residency, the refugee determination process, restricted access to services, and lack of employment or educational opportunities can compound the effects of past traumas.
The most common mental health diagnoses in refugee populations are…