Obsessive-compulsive disorder (OCD) is a disorder that appears to be under-diagnosed and under-treated, despite the evidence for effective treatments. There are variable estimates of OCD prevalence in the under-16s and published rates give little indication of age trends. The aim of this study was to establish the prevalence and associates of OCD in young people aged 5-15 years. The method was a nationwide (UK) epidemiological study of rates of psychiatric disorder in 5-15 year olds (1999 British Child Mental Health Survey): 10,438 children were assessed. Twenty-five children with OCD were identified (weighted overall prevalence 0.25%; 95% CI 0.14-0.35), with prevalence rising exponentially with increasing age. Compared with normal controls, children with OCD were more likely to be from lower socio-economic class and of lower intelligence. Only three of these children had been seen by specialist children's services. Although OCD is rare in young children, the rate increases towards the adult rates at puberty. Children with OCD have additional psychosocial disadvantage. The majority of the childhood cases identified in this survey appear to have been undetected and untreated.

Migration and resettlement processes are often characterized by stressful and traumatic experiences. Immigrants may experience premigration trauma in their countries of origin and trauma during their migration journey. Furthermore, refugee and undocumented immigrant women navigate unique and ongoing stressors postmigration. In this study, the authors used a phenomenological approach to explore refugee and undocumented immigrant women's experiences of trauma and stress and the ways in which they develop resilience to cope with these experiences.

The authors explored the use of critical consciousness as a training tool to provide effective, culturally competent disaster response counseling services to disaster‐affected communities. The results are presented of a qualitative study evaluating the outcomes for participants in a disaster response outreach project serving residents of post‐Katrina New Orleans. Participants demonstrated increased personal and cultural awareness and also constructed new knowledge related to counseling outreach competencies.

Immigrant families settling in the United States face pressures to acculturate and become self‐sufficient, yet their lives are highly regulated by restrictive and punitive policies and programs that may hinder their ability to cope with exposure to trauma and to build resilience. We theorize that U.S. policies and practices may exacerbate immigration‐related trauma experiences and/or create new traumas and stressors for families. To demonstrate our reasoning, we use exemplar cases from our community‐based participatory research project in partnership with immigrant women. We situate and contextualize the lived experiences and uncertainties of immigrant families and offer a new conceptual model for understanding how macro‐level forces may impede immigrants' resilience. The model includes uncertainty and family separation; ecosystemic trauma and stress, including institutional betrayal trauma; limited navigational capital; and erosion of collectivism and community solidarity. Implications for future research and theory development are discussed.

No abstract