BackgroundOver the past decade, developed Western countries have supplied increasingly stringent measures to discourage those seeking asylum.AimsTo investigate the longer-term mental health effects of mandatory detention and subsequent temporary protection on refugees.MethodLists of names provided by community leaders were supplemented by snowball sampling to recruit 241 Arabic-speaking Mandaean refugees in Sydney (60% of the total adult Mandaean population). Interviews assessed posttraumatic stress disorder (PTSD), major depressive episodes, and indices of stress related to pasttrauma, detention and temporary protection.ResultsA multilevel model which included age, gender, family clustering, pre-migration trauma and length of residency revealed that past immigration detention and ongoing temporary protection each contributed independently to risk of ongoing PTSD, depression and mental health-related disability. Longer detention was associated with more severe mental disturbance, an effect that persisted for an average of 3 years after release.ConclusionsPolicies of detention and temporary protection appear to be detrimental to the longer-term mental health of refugees.

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The Kessler 10 Psychological Distress Scale (K10) is a brief 10-item questionnaire designed to measure the level of distress and severity associated with psychological symptoms in population surveys. It is being used widely, including in the World Health Organization World Mental Health Survey, and as a clinical outcome measure, although little information is available about the structure of the measure. The factorial composition of the K10 was examined in a prospective community survey and cross-validated in a separate large community survey. The K10 was found to consist of 4 factors and a 2-factor second-order factor structure. This was stable across the 2 waves of the prospective study and the Australian National Survey of Mental Health and Well-Being. The 4 factors, labeled Nervous, Negative Affect, Fatigue, and Agitation, were consistent with the original scales from which the items were taken. The 2 second-order factors represent Depression and Anxiety.

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Global, national, and regional assessments of the potential effects of Global Climate Change (GCC) have been recently released, but not one of these assessments has specifically addressed the critical issue of the potential impacts of GCC on ephemeral freshwater systems (EFS). I suggest that this is a major oversight as EFS occur in various forms across the globe. In the northeastern United States, these systems, whether ephemeral ("vernal") pools or ephemeral or intermittent headwater streams are abundant and provide unique habitats critical to the maintenance of forest biodiversity. Since the hydrology of these waterbodies is strongly affected by weather patterns (in the short-term) or climate (long-term), they are especially sensitive to climate change. In this essay, I review the literature on relationships between climate and hydrology of EFS and on relationships between hydrology and ecology of these systems. I then conclude with my assessment of potential impacts of GCC on the hydrology of EFS and implications for their ecology. The focus of this essay will be on EFS of the forests of the northeastern United States, but will include literature from other regions as they relate to the general relationships between GCC and EFS.

Objectives: To determine the impact of the Australian provisions for temporary rather than permanent protection for asylum seekers found to be genuine refugees. Design and setting: A comparison of the mental health of Persian‐speaking refugees with temporary (n = 49) versus permanent (n = 67) protection visas attending an early intervention program in Sydney, New South Wales, 2002–03. Measures: Standard measures were used to assess past trauma, detention experiences, postmigration stresses, symptoms of post‐traumatic stress disorder (PTSD), anxiety, depression and functional impairment. Results: The two groups had experienced similar levels of past trauma and persecution. Nevertheless, holders of temporary protection visas (TPVs) returned higher scores on three psychiatric symptom measures (P < 0.001). Multivariate analyses showed that TPV status was the strongest predictor of anxiety, depression and particularly PTSD. Further analyses suggested that, for TPV holders, experience of past stresses in detention in Australia and ongoing living difficulties after release contributed to adverse psychiatric outcomes. Conclusions: The sequence of postmigration stresses experienced by TPV holders appears to impact adversely on their mental health.

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