Chronic conditions and related functional disabilities are highly prevalent among resettled refugees in the United States. There is a need to explore this population's access to appropriate healthcare services in order to identify service disparities and improve interventions. Using a community-based participatory research approach, semi-structured interviews were conducted with key informants to identify healthcare access barriers affecting disabled and chronically ill refugees. Eighteen participants were interviewed, revealing three main barriers: (1) inadequate health insurance, (2) language and communication barriers, and (3) a complex maze of service systems. These barriers were found to operate at systems, provider, and individual levels. Broad-based policy and practice interventions are required to address barriers including: an expanded pool of medical interpreters, peer navigators, innovative health information technologies, and greater collaboration and information-sharing between service systems. Further research is needed to monitor the impact the Affordable Care Act on service access of refugees with disabilities and chronic conditions.
Archiving the Unspeakable follows the creation, utilization, and lived memory of a series of mug shots taken at the Tuol Sleng prison, torture, and detention center in Cambodia during the Khmer Rouge regime. Michelle Caswell contributes much to the larger argument for viewing archives as political, and potential sites for the redress of historical injustice, and to the specific history of these photographs. Caswell's narration traces the creation of the photographs, the construction of the archive, and how the archive has been narrativized and mobilized in several different settings. She argues compellingly for viewing the archive as a nuanced, layered, and dynamic site for human
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