Primary health care for refugees and asylum seekers: A review of the literature and a framework for services

Feldman, Rayah

doi:10.1016/j.puhe.2006.05.014

Cited by 87 publications

(70 citation statements)

References 15 publications

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“…Failure to use interpreters has been identified as one of the most important barriers to accessing services for newcomers. 123 Professional interpreters should be used to facilitate communication; telephone interpreting services can be used when no local interpreter can be found. 124 Recent systematic reviews find that the use of professional interpreters, rather than ad hoc translators (e.g., family friends, children, staff), improves communication substantially and helps reduce disparities in use of a range of medical services.…”

Section: -104mentioning

confidence: 99%

Common mental health problems in immigrants and refugees: general approach in primary care

Kirmayer

Narasiah

Muňoz

et al. 2010

Canadian Medical Association Journal

1,058

849

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Section: -104mentioning

confidence: 99%

Common mental health problems in immigrants and refugees: general approach in primary care

Kirmayer

Narasiah

Muňoz

et al. 2010

Canadian Medical Association Journal

1,058

849

View full text Add to dashboard Cite

“…Similarly, it is recommended that focus be placed on the understanding that many clients have language barriers that incorporate both verbal and written language; as well as illiteracy and innumeracy in some individuals in their own tongues [23][24][25][26]. Such illiteracy and innumeracy at very basic levels makes it difficult for some clients to read and understand prescriptions, their glucometers, nutritional percentages on food packaging, etc.…”

Section: Discussionmentioning

confidence: 99%

Type 2 Diabetes in People from Culturally and Linguistically Diverse Backgrounds: Perspectives for Training and Practice from Nutritional Therapy and Dietician Professions

Stojanovska

Naemiratch

Apostolopoulos

2017

Prilozi

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Objective: To explore the perspectives of nutritional therapy and dietician practitioners, undergraduate students and academics working with people with type 2 diabetes and who are from culturally and linguistically diverse (CALD) backgrounds. Methods: A qualitative study design of in-depth semi-structured one-on-one interviews with a total of 24 participants (8 practitioners, 8 students and 8 academics) in the fields of nutritional therapy and dietetics. Open-ended questions focused on the perspectives and experiences (learning, practice and teaching) of working with people of CALD backgrounds who have type 2 diabetes. All interviews were recorded for thematic and textual analysis. Results: Inter-related themes which were confirmed with investigator triangulation were the understanding of (i) the concepts of culture and diversity, (ii) the concepts and influences of health, diabetes and food across cultures, (iii) influences within and across cultures and (iv) systems and resourcing. Overarching perspectives across these themes suggested frustration in having sufficient capacity to assess comprehensively, to deliver effective, comprehensive and high quality management plans, and to achieve required health behavioural changes with people from different CALD backgrounds. Conclusions: There's a need for improvements in the undergraduate education and training and in professional development programs; training and resourcing of interpreters in delivery of health-related information and working with health professionals; for focus on culturally appropriate management plans that involve consultation with key decision makers in families and communities; and, reviews of the systems for supporting and resourcing nutritional therapists and dieticians in professional development from undergraduate to practice levels.

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“…Os níveis de literacia costumam ser baixos e muitos refugiados não entendem o conceito de medicação continuada e os tratamentos a longo prazo nem conhecem a distinção entre cuidados primários e especialidades. As diferenças culturais influenciam também as experiências de acesso aos serviços de saúde e a aceitabilidade de alguns tipos de cuidados (Eckstein, 2011). Feldman (2006 que estudou a organização dos cuidados de saúde primários relativamente a estas populações no Serviço Nacional de Saúde do Reino Unido enumera como necessidades de saúde dos refugiados: o acesso aos cuidados de saúde primários com registo de inscrição, a informação acerca dos serviços de saúde prestados, uma avaliação apropriada e compreensiva dos problemas de saúde físicos e mentais, o acesso à tradução, interpretação e serviços de apoio numa linguagem apropriada, uma adequada resposta aos problemas de saúde mental, o acesso a serviços especializados para os sobreviventes de tortura ou da violência organizada e o aconselhamento e informação sobre promoção da saúde.…”

Section: Serviços De Saúdeunclassified

“…Acompanhar estas pessoas de diferentes origens e de contextos culturais diversos com uma enorme variedade de experiências traumáticas coloca desafios imensos aos serviços de saúde e aos seus profissionais em termos de resposta (Murray, Davidson, & Schweitzer, 2010). Nas últimas duas décadas, as necessidades de saúde dos refugiados e requerentes de asilo têm sido bem documentadas, no entanto existe pouca análise e avaliação da efetividade das intervenções que têm sido desenvolvidas nestas populações e poucas evidências sobre a forma de desenvolver novos serviços (Feldman, 2006). O objetivo deste trabalho é fazer uma revisão da literatura publicada sobre a saúde mental em refugiados.…”

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Refugees and Mental Health - Hosting, Understand and Treat

Antunes¹

2017

Psic., Saúde & Doenças

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RESUMO: O número de refugiados no mundo não tem parado de aumentar nos últimos anos. Os refugiados diferem dos outros migrantes por terem sido forçados a deixar os seus países e a eles estarem impedidos de regressar, gozando por essa razão de um estatuto garantido pelo Direito Internacional. A estes juntam-se ainda pessoas que enfrentam riscos similares mas para as quais ainda não foi apurado o seu estatuto. São populações que apresentam uma maior prevalência de problemas de Saúde Mental e que devem ter um tratamento especial. Fez-se uma pesquisa na literatura biomédica, das revisões sistemáticas publicada nos últimos dez anos, sobre Saúde Mental em Refugiados concluindo-se que estes apresentam particularidades especiais que devem ser tidas em conta pelos profissionais e serviços de saúde em termos de prevenção primária, secundária e terciária. Discutem-se questões como a barreira da língua, as diferenças culturais e o papel dos tradutores e mediadores culturais, a organização dos serviços, a intervenção em grupos especialmente vulneráveis como são as crianças, as mulheres, as grávidas e os idosos e abordam-se os problemas mais prevalentes resultantes da exposição ao trauma que assumem nos refugiados particularidades muito específicas. Palavras-Chave: Refugiados, Saúde Mental, Trauma, Revisão ______________________________________________________________________ REFUGEES AND MENTAL HEALTH -HOSTING, UNDERSTAND AND TREAT ABSTRACT:The number of refugees in the world has not stopped increasing in recent years. The refugees differ from other migrants because they were forced to leave their countries and they are prevented from returning, benefiting therefore, from a status guaranteed by international law. To these must be added people who face similar risks but whose status has not be yet been determined. These are populations with a higher prevalence of mental health problems and should have a special treatment. Research in biomedical literature available, systematic reviews published in the last ten years on refugee's mental health led to conclude that these have special characteristics that must be taken into account by professionals and health services in terms of primary, secondary and tertiary prevention. Issues addressed include language barriers, cultural differences and the role of translators and cultural mediators, the organization of the services, the intervention in particularly vulnerable groups such as children, women especially pregnant women and the elderly. Discussed are also the most prevalent  Rua Professor Vitorino Nemésio nº 135 7º Dto, 2765-362 Estoril.

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Primary health care for refugees and asylum seekers: A review of the literature and a framework for services

Cited by 87 publications

References 15 publications

Common mental health problems in immigrants and refugees: general approach in primary care

Common mental health problems in immigrants and refugees: general approach in primary care

Type 2 Diabetes in People from Culturally and Linguistically Diverse Backgrounds: Perspectives for Training and Practice from Nutritional Therapy and Dietician Professions

Refugees and Mental Health - Hosting, Understand and Treat

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