Community Mental Health Journal

, Volume 41, Issue 5, pp 581–597 | Cite as

Mental Health of Immigrants and Refugees

  • Andrés J. Pumariega
  • Eugenio Rothe
  • JoAnne B. Pumariega
Article

Abstract

The United States is a country of immigrants. With the exception of Native-Americans, every other American is, or descends from, an immigrant. First and second generation immigrant children are the most rapidly growing segment of the American population, with the great majority of this population being of non-European origin. This paper reviews the unique risk factors and mental health needs of our new immigrant populations, as well as treatment and services approaches to address their unique needs.

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References

  1. Arroyo, W., Eth, S. 1985

    Children traumatized by Central American warfare

    Eth, S.Pynoos,  R. eds. Post-traumatic stress disorder in childrenAmerican Psychiatric PressWashington, D.C
    Google Scholar
  2. Almqvist, K., Broberg, A. 1999Mental health and social adjustment in young refugee children 3 1/2 years after their arrival in SwedenJournal of the American Academy of Child and Adolescent Psychiatry38723730CrossRefPubMedGoogle Scholar
  3. Becker, D. F., Weine, S. M., Vojvoda, D. 1999PTSD symptoms in adolescent survivors of “ethnic cleansing’’: results from a one-year follow-up studyJournal of the American Academy of Child and Adolescent Psychiatry38775781CrossRefPubMedGoogle Scholar
  4. Beiser, M., Hou, F., Hyman, I., Tousignant, M. 2002Poverty, family process, and the mental health of immigrant children in CanadaAmerican Journal of Public Health92220227PubMedGoogle Scholar
  5. Berthold, S. 1999The effects of exposure to community violence on Khmer refugee adolescentsJournal of Traumatic Stress12455471CrossRefPubMedGoogle Scholar
  6. Black, S. A., Markides, K. S., Miller, T. Q. 1998Correlates of depressive symptomatology among older community-dwelling Mexican Americans: The Hispanic EPESEThe Journals of Gerontology. Series B, Psychological Sciences and Social Sciences53S198S208Google Scholar
  7. Canino, I., Spurlock, J. 1994Culturally diverse children and adolescents: Assessment, diagnosis, and treatmentGuilford PressNew YorkGoogle Scholar
  8. Casado, B. L., Leung, P. 2001Migratory grief and depression among elderly Chinese American immigrantsJournal of Gerontological Social Work36526CrossRefGoogle Scholar
  9. Chow, J., Jaffee, K., Choi, D. 1999Use of public mental health services by Russian refugeesPsychiatric Services5093640PubMedGoogle Scholar
  10. Davis, R. 2000Refugee experiences and Southeast Asian women’s mental healthWestern Journal of Nursing Research22144162CrossRefPubMedGoogle Scholar
  11. Dossa, P. 2002Narrative mediation of conventional and new “mental health’’ paradigms: Reading the stories of immigrant Iranian womenMedical Anthropology Quarterly16341359CrossRefPubMedGoogle Scholar
  12. Escobar, J., Nervi, C., Gara, M. 2000Immigration and mental health: Mexican Americans in the United StatesHarvard Review of Psychiatry86472CrossRefPubMedGoogle Scholar
  13. Fazel, M., Stein, A. 2002The mental health of refugee childrenArchives of Disease in Childhood87366370CrossRefPubMedGoogle Scholar
  14. Fenta, H., Hyman, I., Noh, S. 2004Determinants of depression among Ethiopian immigrants and refugees in TorontoThe Journal of Nervous and Mental Disease192363372CrossRefPubMedGoogle Scholar
  15. Finch, B., Kolody, B., Vega, W. 2000Perceived discrimination and depression among Mexican-origin adults in CalifJournal of Health and Social Behavior41295313PubMedGoogle Scholar
  16. Fox, P., Burns, K., Popovich, J., Ilg, M. 2001Depression among immigrant Mexican women and Southeast Asian refugee women in the U.SThe International Journal of Psychiatric Nursing Research7778792PubMedGoogle Scholar
  17. Fox, P., Burns, K., Popovich, J., Belknap, R., Frank-Stromborg, M. 2004Southeast Asian refugee children: Self-esteem as a predictor of depression and scholastic achievement in the U.SThe International Journal of Psychiatric Nursing Research910631072PubMedGoogle Scholar
  18. Grenier, G. J., Perez, L. 1996

    Miami spice: The ethnic cauldron simmers

    Pedraza, S.Rumbaut,  R. eds. Origins and destinies: immigration, race and ethinicity in AmericaWadsworth Publishing CompanyBelmont, Calif
    Google Scholar
  19. Guarnaccia, P., Lopez, S. 1998Mental health and adjustment of immigrant and refugee childrenChild and Adolescent Psychiatric Clinics of North America7537553PubMedGoogle Scholar
  20. Hermansson, A., Timpka, T., Thyberg, M. 2003The long-term impact of torture on the mental health of war-wounded refugees: Findings and implications for nursing programmesScandinavian Journal of Caring Sciences17317324CrossRefPubMedGoogle Scholar
  21. Helsel, D., Mochel, M. 2002Afterbirths in the afterlife: Cultural meaning of placental disposal in a Hmong American communityJournal of Transcultural Nursing13282286PubMedGoogle Scholar
  22. Hermansson, A., Timpka, T., Thyberg, M. 2002The mental health of war-wounded refugees: An 8-year follow-upThe Journal of Nervous and Mental Disease190374380CrossRefPubMedGoogle Scholar
  23. Holman, E., Silver, R., Waitzkin, H. 2000Traumatic life events in primary care patients: A’study in an ethnically diverse sampleArchives of Family Medicine9802810CrossRefPubMedGoogle Scholar
  24. Hsu, S. 1999Somatisation among Asian refugees and immigrants as a culturally-shaped illness behaviourAnnals of the Academy of Medicine, Singapore28841845Google Scholar
  25. Hsu, E., Davies, C., Hansen, D. 2004Understanding mental health needs of Southeast Asian refugees: Historical, cultural, and contextual challengesClinical psychology review24193213CrossRefPubMedGoogle Scholar
  26. Hughes, C. C. 1993

    Culture in clinical psychiatry

    Gaw, A. C. eds. Culture ethnicity and mental illnessAmerican Psychiatric PressWashington, D.C.342
    Google Scholar
  27. Kataoka, S., Stein, B., Jaycox, L., Wong, M., Escudero, P., Tu, We, Zaragoza, C., Fink, A. 2003A school-based mental health program for traumatized Latino immigrant childrenJournal of the American Academy of Child and Adolescent Psychiatry42311318CrossRefPubMedGoogle Scholar
  28. Kennedy, J., Seymour, D., Hummel, B. 1999A comprehensive refugee health screening programPublic Health Reports114469477CrossRefPubMedGoogle Scholar
  29. Keyes, E. 2000Mental health status in refugees: An integrative review of current researchIssues in Mental Health Nursing21397410CrossRefPubMedGoogle Scholar
  30. Kinzie, J. D., Sack, W., Angell, R.,  et al. 1986The psychiatric effects of massive trauma on Cambodian children: I. the childrenJournal of the American Academy of Child and Adolescent Psychiatry25307376Google Scholar
  31. Kirmayer, L., Groleau, D., Guzder, J., Blake, C., Jarvis, E. 2003Cultural consultation: A’model of mental health service for multicultural societiesCanadian Journal of Psychiatry48145153Google Scholar
  32. Landale, N. S. & Oropesa, R. S. (1995). Immigrant children and the children of immigrants: Inter and intra-ethnic group differences in the United States. Population research group (PRG) research paper. East Lansing, Michigan: Institute for Public Policy and Social ResearchGoogle Scholar
  33. Lee, M. S., Crittenden, K. S., Yu, E. 1996Social support and depression among elderly Korean immigrants in the United StatesInternational Journal of Aging & Human Development42313327Google Scholar
  34. Lin, K. M., Masuda, M., Tazuma, L. 1982Adaptational problems of Vietnamese refugees. III: Case studies in clinic and field-adaptive and maladaptivePsychiatric Journal of the University of Ottawa7173183PubMedGoogle Scholar
  35. Lin, K. M. 2004Virtuous transcendence: holistic self-cultivation and self-healing in elderly Korean ImmigrantsTranscultural Psychiatry41296298Google Scholar
  36. Maddern, S. 2004Post-traumatic stress disorder in asylum seekersNursing Standard183639Google Scholar
  37. McKelvey, R., Sang, D., Baldassar, L., Davies, L., Roberts, L., Cutler, N. 2002The prevalence of psychiatric disorders among Vietnamese children and adolescentsThe Medical Journal of Australia177413417PubMedGoogle Scholar
  38. Miller, M., Pumariega, A. J. 2001Eating disorders: A historical and cross-cultural reviewPsychiatry: Interpersonal and Biological Processes6493110CrossRefGoogle Scholar
  39. Mollica, R. F., Poole, C., Son, L. 1997Effects of war trauma on Cambodian refugee adolescents’ functional and mental health statusJournal of the American Academy of Child and Adolescent Psychiatry3610981106CrossRefPubMedGoogle Scholar
  40. Mollica, R., Sarajlic, N., Chernoff, M., Lavelle, J., Vukovic, I., Massagli, M. 2001Longitudinal study of psychiatric symptoms, disability, mortality, and emigration among Bosnian refugeesJournal of the American Medical Association286546554CrossRefPubMedGoogle Scholar
  41. Mollica, R., Cui, X., McInnes, K., Massagli, M. 2002Science-based policy for psychosocial interventions in refugee camps: A Cambodian exampleThe Journal of Nervous and Mental Disease190158166CrossRefPubMedGoogle Scholar
  42. Morris, R. 1999Female genital mutilation: Perspectives, risks, and complicationsUrologic Nursing191319PubMedGoogle Scholar
  43. Mui, A. C. 1996Depression among elderly Chinese immigrants: An exploratory studySocial Work41633645PubMedGoogle Scholar
  44. Mui, A. C., Kang, S. Y., Chen, L. M., Domanski, M. D. 2003Reliability of the Geriatric Depression Scale for use among elderly Asian immigrants in the USAInt Psychogeriatr15253271CrossRefPubMedGoogle Scholar
  45. Orfield, G. , Yun, J. T. 1999Resegregation in American schoolsCivil Rights Project, Harvard UniversityCambridge, MassGoogle Scholar
  46. Palinkas, L., Pickwell, S., Brandstein, K., Clark, T., Hill, L., Moser, R., Osman, A. 2003The journey to wellness: Stages of refugee health promotion and disease preventionJournal of Immigrant Health51928CrossRefPubMedGoogle Scholar
  47. Pang, K. Y. C. 1996Self-care strategy of elderly Korean immigrants in the Washington DC metropolitan areaJournal of Cross-cultural Gerontology11229254CrossRefGoogle Scholar
  48. Pang, K. Y. C. 2000Symptom expression and somatization among elderly Korean immigrantsJournal of Clinical Geropsychology6199212CrossRefGoogle Scholar
  49. Petry, N., Armentano, C., Kuoch, T., Norinth, T., Smith, L. 2003Gambling participation and problems among South East Asian refugees to the United StatesPsychiatric Services5411421148CrossRefPubMedGoogle Scholar
  50. Perez-Firmat, G. 1994Life on the hyphen: The Cuban-American wayUniversity of Texas PressAustinGoogle Scholar
  51. Phan, T. 2000Investigating the use of services for Vietnamese with mental illnessJournal of Community Health25411425CrossRefPubMedGoogle Scholar
  52. Pham, T. B., Harris, R. 2001Acculturation strategies among Vietnamese-AmericansInternational Journal of Intercultural Relations25279300CrossRefGoogle Scholar
  53. Porter, J. W. 1971Black child, white child: The development of racial attitudesHarvard University PressCambridge, MAGoogle Scholar
  54. Pumariega, A., Glover, S., Holzer, C., Nguyen, N. 1998Utilization of mental health services in a tri-ethnic sample of adolescentsCommunity Mental Health Journal34145156CrossRefPubMedGoogle Scholar
  55. Pumariega, A., Swanson, J. W., Holzer, C., Linskey, A. O., Quintero-Salinas, R. 1992Cultural context and substance abuse in Hispanic adolescentsJournal of Child and Family Studies17592CrossRefGoogle Scholar
  56. Pumariega, A. J. 2003

    Cultural competence in systems of care for children’s mental health

    Pumariega, A.’J.Winters, N. C. eds. Handbook of community systems of care; the new child & adolescent community psychiatryJossey Bass PublishersSan Francisco82106
    Google Scholar
  57. Pumariega, A.J., Winters, N.C., Huffine, C. 2003The evolution of systems of care for children’s mental health: Forty years of community child and adolescent psychiatryCommunity Mental Health Journal39399425CrossRefPubMedGoogle Scholar
  58. Rogler, L. H., Malgady, R. G., Rodriguez, O. 1989Hispanics and mental health: A framework for researchKrieger PublishingMalabar, FlaGoogle Scholar
  59. Rogler, L. H., Cortes, D. E., Malgady, R. G. 1991Acculturation and mental health stauts among HispanicsThe American Psychologist46585597CrossRefPubMedGoogle Scholar
  60. Rothe, E. M., Castillo-Matos, H., Lewis, J.,  et al. 1998Sintomatologia post-traumatica en ninos y adolescents balseros cubanos: una synopsis de tres estudiosPsiquiatria101828Google Scholar
  61. Rothe, E. M., Castillo-Matos, H., Busquets, R. 2002Posttraumatic symptomatology in Cuban adolescent refugees during camp confinementAdolescent Psychiatry2697124Google Scholar
  62. Rothe, E. M., Lewis, J., Castillo-Matos, H., Martinez, O., Busquets, R., Martinez, I. 2002Post traumatic stress disorder in Cuban children and adolescents after release from a refugee campPsychiatric Services53970976CrossRefPubMedGoogle Scholar
  63. Sack, WH 1998Multiple forms of stress in refugee and immigrant childrenChild and Adolescent Psychiatric Clinics of North America7153167PubMedGoogle Scholar
  64. Shor, R. 1999Beyond a cross-cultural definition of child maltreatment: Comparing immigrants from the Caucasus and European countries of the former Soviet UnionInternational Journal of Adolescence and Youth7297315Google Scholar
  65. Silove, D., Steel, Z., McGorry, P., Miles, V., Drobny, J. 2002The impact of torture on post-traumatic stress symptoms in war-affected Tamil refugees and immigrantsComprehensive Psychiatry434955CrossRefPubMedGoogle Scholar
  66. Simich, L., Beiser, M., Mawani, F. 2003Social support and the significance of shared experience in refugee migration and resettlementWestern Journal of Nursing Research25872891CrossRefPubMedGoogle Scholar
  67. Steel, Z., Silove, D. 2001The mental health implications of detaining asylum seekersThe Medical Journal of Australia175596599PubMedGoogle Scholar
  68. Steele, L., Lemieux-Charles, L., Clark, J., Glazier, R. H. 2002The impact of policy changes on the health of recent immigrants and refugees in the inner city. A qualitative study of service providers’ perspectivesCanadian Journal of Public Health93118122Google Scholar
  69. Stokes, S. C., Thompson, L. W., Murphy, S., Gallager-Thompson, D. 2001Screening for depression in immigrant Chinese–American elders: Results of a pilot studyJournal of Gerontological Social Work362744CrossRefGoogle Scholar
  70. Strumpf, N., Glicksman, A., Goldberg-Glen, R., Fox, R., Logue, E. 2001Caregiver and elder experiences of Cambodian, Vietnamese, Soviet Jewish, and Ukrainian refugeesInternational Journal of Aging & Human Development53233252Google Scholar
  71. Suarez-Orozco, C., Suarez-Orozco, M. M. 2001Children and immigrationHarvard University PressCambridge, MassGoogle Scholar
  72. Szapocnik, J., Ladner, D., Scopetta, M. 1979

    Youth, drug abuse and subjective distress in the Hispanic population

    Beschsner, L.Friedman, L. eds. Youth and drug abuseLexington BooksLexington, Mass
    Google Scholar
  73. Szapocnik, J., Kurtines, , Fernandez, T. 1980Bicultural involvement and adjustment in Hispanic-American youthInternational Journal of Intercultural Relations4353365CrossRefGoogle Scholar
  74. Szapocnik, J., Kurtines, W. 1980

    Acculturation, biculturalism and adjustment in Cuban Americans

    Padilla, A. M. eds. Acculturation: theory, models and some findingsWestview PressBoulder, Col
    Google Scholar
  75. Szapocznik, J., Kurtines, W. 1989Breakthroughs in family therapy with drug abusing and problem youthSpringerNew YorkGoogle Scholar
  76. Tran, T. V., Khatutsky, G., Aroian, K., Balsam, A., Conway, K. 2000Living arrangements, depression, and health status among elderly Russian-speaking immigrantsJournal of Gerontological Social Work336377CrossRefGoogle Scholar
  77. United Nations High Commission on Refugees: World Refugee Statistics 2000, http://www.mfa.by/eng/org.htm
  78. U.S. Census, Population reports 2000. http://www.census.gov. /population/index.htlm
  79. U.S. Office of the Surgeon General, Mental health: culture, race, and ethnicity. A supplement to: Mental health: a report of the surgeon general. Rockville, MD.: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health, 2001Google Scholar
  80. Vega, W. A., Hough, R., Romero, A. 1983

    Family patterns of Mexican-Americans

    Powell, G. J. eds. The psychosocial development of minority childrenBrunner-MazelNew York
    Google Scholar
  81. Vega, W., Kolody, B., Aguilar-Gaxiola, S., Catalano, R. 1999Gaps in service utilization by Mexican Americans with mental health problemsAmerican Journal of Psychiatry156928934PubMedGoogle Scholar
  82. Vigil, D. 1988Barrio gangs: Street life and identity in Southern CaliforniaUniversity of Texas PressAustin, TexasGoogle Scholar
  83. Watters, C. 2001Emerging paradigms in the mental health care of refugeesSocial Science and Medicine5217091718CrossRefPubMedGoogle Scholar
  84. Weine, S., Becker, D. F., McGlashan, T. H.,  et al. 1995Adolescent survivors of “ethnic cleaning:’’ observations on the first year in AmericaJournal of the American Academy of Child and Adolescent Psychiatry3411531159CrossRefPubMedGoogle Scholar
  85. Weine, S., Razzano, L., Brkic, N., Ramic, A., Miller, K., Smajkic, A., Bijedic, Z., Boskailo, E., Mermelstein, R., Pavkovic, I. 2000Profiling the trauma related symptoms of Bosnian refugees who have not sought mental health servicesThe Journal of Nervous and Mental Disease188416421CrossRefPubMedGoogle Scholar
  86. Yeh, C. 2003Age, acculturation, cultural adjustment, and mental health symptoms of Chinese, Korean, and Japanese immigrant youthsCultural Diversity & Ethnic Minority Psychology93448Google Scholar
  87. Ying, Y-W. 2001Psychotherapy with traumatized Southeast Asian refugeesClinical Social Work Journal296578CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, Inc. 2005

Authors and Affiliations

  • Andrés J. Pumariega
    • 1
  • Eugenio Rothe
    • 2
  • JoAnne B. Pumariega
    • 3
  1. 1.Department of Psychiatry and Behavioral SciencesEast Tennessee State UniversityJohnson CityTennessee
  2. 2.Child & Adolescent Outpatient Services, Department of Psychiatry and Behavioral SciencesUniversity of Miami School of MedicineMiamiFlorida
  3. 3.Faculty in MathematicsEast Tennessee State UniversityJohnson CityTennessee

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