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Working with Forced Migrant Children and their Families: Mental Health, Developmental, Legal, and Linguistic Considerations in the Context of School-Based Mental Health Services

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Handbook of Culturally Responsive School Mental Health

Abstract

While many understand the meaning of the term immigration generally, individuals are often less aware of what is meant by forced migration. In addition to fleeing from their home countries and experiencing harrowing journeys, upon arriving in a safe country, forced migrants often endure a lengthy, complicated legal process to gain residency in their host countries. The forced migratory experience is frequently compounded by post migration stressors similar to those faced by other immigrants, such as learning a new language and culture, adjusting to a new gender and familial roles as well as a new, educational system, accessing services, and learning new skills (Akinsulure-Smith, Ghiglione, & Wollmershauser, 2009; Blanch, 2008; Drachman, 1995; Miller, Worthington, Muzurovic, Tipping, & Goldman, 2002; Sue & Sue, 2008; van der Veer, 1998). While many refugees and asylum seekers are able to adjust to life in the United States (U.S.) without significant stress, some are at risk for emotional difficulties that can have devastating consequences such as posttraumatic stress disorder (PTSD), depression, and anxiety. In addition, forced migrants may also experience intense grief as a result of multiple losses experienced, even after resettling in a safe environment (Athey & Ahearn, 1991; Fazel, Wheeler, & Danesh, 2005; Keyes, 2000; Lustig et al., 2004; Porter & Haslam, 2005; Rousseau, 1995).

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References

  • Ajdukovic, M., & Ajdukovic, D. (1993). Psychological well-being of refugee children. Child Abuse & Neglect, 17, 843–854.

    Article  Google Scholar 

  • Akinsulure-Smith, A. M. (2007). Use of interpreters with survivors of torture, war, and refugee trauma. In H. E. Smith, A. S. Keller, & D. W. Lhewa (Eds.), Like a refugee camp on first avenue. Insights and experiences from the Bellevue/NYU program for survivors of torture (pp. 82–105). New York: The Bellevue/NYU Program for Survivors of Torture.

    Google Scholar 

  • Akinsulure-Smith, A. M. (2009). Brief psychoeducational group treatment with re-traumatized refugees and asylum seekers. Journal for Specialists in Group Work, 34, 137–150.

    Article  Google Scholar 

  • Akinsulure-Smith, A. M., Ghiglione, J. B., & Wollmershauser, C. (2009). Healing in the midst of chaos: Nah We Yone’s African women’s wellness group. Women & Therapy, 32(1), 105–120.

    Article  Google Scholar 

  • Akinsulure-Smith, A. M., & O’Hara, M. (2012). Working with forced migrants: Therapeutic issues and considerations for mental health counselors. Journal of Mental Health Counseling, 34(1), 38–55.

    Google Scholar 

  • Allwood, M. A., Bell-Dolan, D., & Husain, S. A. (2002). Children’s trauma and adjustment reactions to violent and non-violent war experiences. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 450–457.

    Article  PubMed  Google Scholar 

  • American Psychological Association. (2010). Resilience and recovery after war: Refugee children and families in the United States. Washington, DC: Author. Retrieved May 12, 2011 from http://www.apa.org/pubs/info/reports/refugees.aspx

  • Athey, J. L., & Ahearn, F. L. (1991). Refugee children: Theory, research and services. Baltimore, MD: Johns Hopkins University Press.

    Google Scholar 

  • Baker, D. W., Hayes, R., & Fortier, J. P. (1998). Interpreter use and satisfaction with interpersonal aspects of care for Spanish-speaking patients. Medical Care, 36(10), 1461–1470.

    Article  PubMed  Google Scholar 

  • Bemak, F., & Chung, R. C.-Y. (2008). Counseling refugees and migrants. In P. B. Pederson, J. G. Draguns, W. J. Lonner, & J. E. Trimble (Eds.), Counseling across cultures (6th ed., pp. 307–324). Thousand Oaks, CA: Sage.

    Google Scholar 

  • Bhaba, J., & Schmidt, S. (2006). Seeking asylum alone: United States. Retrieved May 12, 2011 from http://www.childtrafficking.com/Docs/seek_asylum_alone_us_0108.pdf

  • Blanch, A. (2008). Transcending violence: Emerging models for trauma healing in refugee communities. Alexandria, VA: National Center for Trauma Informed Care. Retrieved May 12, 2011 fromhttp://www.theannainstitute.org/RefugeeTraumaPaper_Biography_July212008.pdf

  • Byrne, O. (2008). Unaccompanied children in the United States: A literature review. New York, NY: Vera Institute of Justice. Retrieved from http://www.vera.org/publication_pdf/478_884.pdf

  • Chimienti, G., Nasr, J., & Khalifeh, I. (1989). Children’s reactions to war-related stress: Affective symptoms and behavior problems. Social Psychiatry and Psychiatric Epidemiology, 24, 282–287.

    Article  PubMed  Google Scholar 

  • Clauss, C. S. (1998). Language: The unspoken variable in psychotherapy practice. Psychotherapy: Theory, research, practice, training, 35, 188–196.

    Article  Google Scholar 

  • Clauss-Ehlers, C. S. (2004). Re-inventing resilience: A model of “culturally-focused resilient adaptation”. In C. S. Clauss-Ehlers & M. D. Weist (Eds.), Community planning to foster resilience in children (pp. 27–41). New York, NY: Kluwer Academic Publishers.

    Chapter  Google Scholar 

  • Clauss-Ehlers, C. S. (2006). Diversity training for classroom teaching: A manual for students and educators. New York, NY: Springer.

    Google Scholar 

  • Clauss-Ehlers, C. S. (2008a). Creative arts counseling in schools: Toward a more comprehensive approach. In H. L. K. Coleman & C. Yeh (Eds.), Handbook on school counseling (pp. 517–530). Newbury Park, CA: Sage.

    Google Scholar 

  • Clauss-Ehlers, C. S. (2008b). Sociocultural factors, resilience, and coping: Support for a culturally sensitive measure of resilience. Journal of Applied Developmental Psychology, 29, 197–212.

    Article  Google Scholar 

  • Clauss-Ehlers, C. S., Yang, Y. T., & Chen, W. J. (2006). Resilience from childhood stressors: The role of cultural resilience, ethnic identity, and gender identity. Journal of Infant, Child, and Adolescent Psychotherapy, 5, 124–138.

    Google Scholar 

  • Drachman, D. (1995). Immigration statuses and their influence on service provision, access, and use. Social Work, 40(2), 188–197.

    Google Scholar 

  • Ellis, B. H., MacDonald, H. Z., Lincoln, A. K., & Cabral, H. J. (2008). Mental health of Somali adolescent refugees: The role of trauma, stress, and perceived discrimination. Journal of Consulting and Clinical Psychology, 76, 184–193.

    Article  PubMed  Google Scholar 

  • Erikson, E. H. (1959). Identity and the life cycle. New York, NY: International Universities Press.

    Google Scholar 

  • Fazel, M., Wheeler, J., & Danesh, J. (2005). Prevalence of serious mental disorder in 7000 refugees resettled in western countries: a systemic review. Lancet, 265, 1309–1314.

    Article  Google Scholar 

  • Flores, G., Rabke-Verani, J., Pine, W., & Sabharwal, A. (2002). The importance of cultural and linguistic issues in the emergency care of children. Pediatric Emergency Care, 18(4), 271–284.

    Article  PubMed  Google Scholar 

  • Garbarino, J., & Kostelny, K. (1996). The effects of political violence on Palestinian children’s behavior problems: A risk accumulation model. Child Development, 67, 33–45.

    Article  PubMed  Google Scholar 

  • Gong-Guy, E., Cravens, R. B., & Patterson, T. E. (1991). Clinical issues in mental health service delivery to refugees. American Psychologist, 46, 642–648.

    Article  PubMed  Google Scholar 

  • Gorman, W. (2001). Refugee survivors of torture: Trauma and treatment. Professional Psychology: Research and Practice, 32(5), 443–451.

    Article  Google Scholar 

  • Guskin, J., & Wilson, D.L. (2007). Immigration detention: Questions and answers. Retrieved January 23, 2012 from http://www.immigrantsolidarity.org/Documents/detq&aflier).

  • Hornberger, J., Itakura, H., & Wilson, S. R. (1997). Bridging language and cultural barriers between physicians and patients. Public Health Reports, 112(5), 410–417.

    PubMed  Google Scholar 

  • Javier, R. A., & Camacho-Gingerich, A. (2004). Risk and resilience in Latino youth. In C. S. Clauss-Ehlers & M. D. Weist (Eds.), Community planning to foster resilience in children (pp. 65–82). New York, NY: Kluwer Academic Publishers.

    Chapter  Google Scholar 

  • Keyes, E. (2000). Mental health status in refugees: An integrative review of current research. Issues in Mental Health Nursing, 21, 397–410.

    Article  PubMed  Google Scholar 

  • Kluckhohn, F. R., & Strodtbeck, F. L. (1961). Variations in value orientations. Evanston, IL: Row, Peterson.

    Google Scholar 

  • Lee, E. (1997). Cross-cultural communication: Therapeutic use of interpreters. In E. Lee (Ed.), Working with Asian Americans: A guide for clinicians (pp. 477–489). New York, NY: Guildford Press.

    Google Scholar 

  • Lustig, S., Kia-Keating, M., Knight, W. G., Geltman, P., Ellis, H., Kinzie, J. D., et al. (2004). Review of child and adolescent refugee mental health. Journal of the American Academy of Child & Adolescent Psychiatry, 43, 24–36.

    Article  Google Scholar 

  • Marcos, L. R. (1979). Effects of interpreters on the evaluation of psychopathology in non-English-speaking clients. American Journal of Psychiatry, 136(2), 171–174.

    PubMed  Google Scholar 

  • Miller, K. E., Worthington, G., Muzurovic, J., Tipping, S., & Goldman, A. (2002). Bosnian refugees and the stressors of exile: A narrative study. American Journal of Orthopsychiatry, 72, 341–354.

    Article  PubMed  Google Scholar 

  • Newberger, C. M., & Gremy, I. (2004). The role of clinical and institutional interventions in children’s resilience and recovery from sexual abuse. In C. S. Clauss-Ehlers & M. D. Weist (Eds.), Community planning to foster resilience in children (pp. 197–215). New York, NY: Kluwer Academic Publishers.

    Chapter  Google Scholar 

  • O’Hara, M., & Akinsulure-Smith, A. M. (2011). Working with interpreters: Tools for clinicians conducting psychotherapy with forced immigrants. International Journal of Migration, Health, and Social Care, 7(1), 33–43.

    Article  Google Scholar 

  • Pöchhacker, F. (2000). Language barriers in Vienna hospitals. Ethnicity & Health, 5(2), 113–119.

    Article  Google Scholar 

  • Pope, K. S., & Garcia-Peltoniemi, R. E. (1991). Responding to victims of torture: Clinical issues, professional responsibilities, and useful resources. Professional Psychology: Research and Practice, 22, 269–276.

    Article  Google Scholar 

  • Porter, M., & Haslam, N. (2005). Predisplacement and post displacement factors associated with mental health of refugees and internally displaced persons: A meta-analysis. Journal of the American Medical Association, 294(5), 602–612.

    Article  PubMed  Google Scholar 

  • Punamäki, R. (2002). The uninvited guest of war enters childhood: Developmental and personality aspects of war and military violence. Traumatology, 8(3), 45–63.

    Article  Google Scholar 

  • Rousseau, C. (1995). The mental health of refugee children. Transcutural Psychiatric Research Review, 32, 299–331.

    Article  Google Scholar 

  • Sabin, J. E. (1975). Translating despair. The American Journal of Psychiatry, 132(2), 197–199.

    PubMed  Google Scholar 

  • Sue, D. W., & Sue, D. (2008). Counseling the culturally diverse: Theory and practice (5th ed.). Hoboken, NJ: Wiley.

    Google Scholar 

  • United Nations High Commissioner for Refugees. (1951). Article 1, The 1951 Convention Relating to the Status of Refugees (United Nations General Assembly A/CONF.2/2/Rev.1). Retrieved May 12, 2011 from http://unhcr.org.au/unhcr/images/convention%20and%20protocol.pdf

  • United Nations High Commissioner for Refugees. (2009). Global trends: Refugees, asylum- seekers, returnees, internationally displaced, and stateless persons. Retrieved January 30, 2012 from http://www.unhcr.org/4c11f0be9.html

  • United States Census Bureau. (2009). American community survey, B16001, “Language spoken at home by ability to speak English for the Population 5 years and over.” Retrieved May 12, 2012 from http://www.­census.gov

  • United States Department of Health and Human Services, Office of Refugee Resettlement. (2009). Unaccompanied refugee minors program. Washington, DC: Author. Retrieved May 12, 2011 from http://www.acf.hhs.gov/programs/orr/programs/unaccompanied_refugee_minors.htm

  • United States Department of State, Bureau of Population, Refugees, and Migration, Office of Admissions, Refugee Processing center (RPc). (2009a). Aggregate data on refugee minors by state, country of origin, and age: Fiscal years 2004 to 2008. Unpublished raw data. Washington, DC: Author.

    Google Scholar 

  • Van der Veer, G. (1998). Counselling and therapy with refugees and victims of trauma (2nd ed.). New York, NY: Wiley.

    Google Scholar 

  • Wilkinson, J. (2007). Immigration dynamics: Processes, challenges, and benefits. In H. Smith & A. Keller (Eds.), Like a refugee camp on first avenue: Insights and experiences from the Bellevue/NYU program for survivors of torture (pp. 65–81). New York, NY: Bellevue/NYU Program for Survivors of Torture.

    Google Scholar 

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Correspondence to Caroline S. Clauss-Ehlers Ph.D. .

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Clauss-Ehlers, C.S., Akinsulure-Smith, A.M. (2013). Working with Forced Migrant Children and their Families: Mental Health, Developmental, Legal, and Linguistic Considerations in the Context of School-Based Mental Health Services. In: Clauss-Ehlers, C., Serpell, Z., Weist, M. (eds) Handbook of Culturally Responsive School Mental Health. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4948-5_10

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