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Cultural Consultation for Refugees

  • Janet Cleveland
  • Cécile Rousseau
  • Jaswant Guzder
Chapter
Part of the International and Cultural Psychology book series (ICUP)

Abstract

Refugees and refugee claimants are faced with the task of rebuilding their lives in an unfamiliar environment, while having to deal with past trauma and multiple ongoing stressors. As part of the clinical intervention with this population, it is important to understand and act on the social determinants of health, which may maintain or exacerbate mental health problems and impede integration. In this chapter, we summarize the legal rights of refugees and refugee claimants, with a strong focus on the criteria that a refugee claimant must meet in order to be accepted as a refugee according to international and Canadian law. We then examine some of the main stressors that refugees and refugee claimants may face during the premigratory, transit and postmigration phase, and discuss in greater depth the impact of immigration detention in the host country and of family separation and reunification. This is followed by a discussion of the clinical assessment and treatment of refugees who have experienced trauma and forced migration. Finally, we provide guidance on writing reports assessing refugee claimants’ mental health in the context of refugee status determination proceedings. To conclude, we briefly examine the relevance for clinicians to engage in advocacy on behalf of this population.

Keywords

Traumatic Event Board Member Destination Country Primary Care Practitioner Refugee Status 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Arya, N., McMurray, J., & Rashid, M. (2012). Enter at your own risk: Government changes to comprehensive care for newly arrived Canadian refugees. Canadian Medical Association Journal, 184(17), 1875–1876.PubMedCrossRefGoogle Scholar
  2. Australian Department of Immigration and Citizenship. (2011). Immigration detention statistics summary, November 2011. Retrieved from www.immi.gov.au/managing-australias-borders/detention/_pdf/immigration-detention-statistics-20111130.pdf
  3. Barudy, J. (1989). A programme of mental health for political refugees: Dealing with the invisible pain of political exile. Social Science & Medicine, 28(7), 715–727.CrossRefGoogle Scholar
  4. Beiser, M. (1999). Strangers at the gate: The ‘boat people’s’ first ten years in Canada. Toronto, Ontario, Canada: University of Toronto Press.Google Scholar
  5. Beiser, M. (2009). Resettling refugees and safeguarding their mental health: Lessons learned from the Canadian Refugee Resettlement Project. Transcultural Psychiatry, 46(4), 539–583.PubMedCrossRefGoogle Scholar
  6. Bolton, P., Bass, J., Betancourt, T. S., Speelman, L., Onyango, G., Clougher, K. F., et al. (2007). Interventions for depression symptoms among adolescent survivors of war and displacement in northern Uganda: A randomized controlled trial. Journal of the American Medical Association, 298(5), 519–527.PubMedCrossRefGoogle Scholar
  7. Burnett, A., & Peel, M. (2001). Asylum seekers and refugees in Britain: The health of survivors of torture and organised violence. British Medical Journal, 322, 606–609.PubMedCrossRefGoogle Scholar
  8. Chaudry, A., Capps, R., Pedroza, J. M., Castañeda, R. M., Santos, R., & Scott, M. M. (2010). Facing our future. Children in the aftermath of immigration enforcement. Washington, DC: The Urban Institute.Google Scholar
  9. Cleveland, J. (2008). The guideline on procedures with respect to vulnerable persons appearing before the Immigration and Refugee Board of Canada: A critical overview. Refuge, 25(2), 119–131.Google Scholar
  10. Cleveland, J., Dionne-Boivin, V., & Rousseau, C. (2013). Droit d’asile et incarcération: l’expérience des demandeurs d’asile détenus au Canada. Criminologie.Google Scholar
  11. Cleveland, J., & Rousseau, C. (in press). Psychiatric symptoms associated with brief detention of adult asylum seekers in Canada. Canadian Journal of Psychiatry.Google Scholar
  12. Crépeau, F., Nakache, D., & Atak, I. (2007). International migration: Security concerns and human rights standards. Transcultural Psychiatry, 44(3), 311–337.PubMedCrossRefGoogle Scholar
  13. Edwards, A. (2011). Back to basics: The right to liberty and security of person and ‘alternatives to detention’ of refugees, asylum-seekers, stateless persons and other migrants. Geneva, Switzerland: Office of the United Nations High Commissioner for Refugees.Google Scholar
  14. Ehntholt, K. A., & Yule, W. (2006). Practitioner review: Assessment and treatment of refugee children and adolescents who have experienced war-related trauma. Journal of Child Psychology and Psychiatry, 47(12), 1197–1210.PubMedCrossRefGoogle Scholar
  15. Fazel, M., Reed, R. V., Panter-Brick, C., & Stein, A. (2012). Mental health of displaced and refugee children resettled in high-income countries: Risk and protective factors. The Lancet, 379, 266–282.CrossRefGoogle Scholar
  16. Fazel, M., Wheeler, J., & Danesh, J. (2005). Prevalence of serious mental disorder in 7000 refugees resettled in western countries: A systematic review. The Lancet, 365, 1309–1314.CrossRefGoogle Scholar
  17. Fox, P. G., Cowell, J. M., & Johnson, M. M. (1995). Effects of family disruption on Southeast Asian refugee women. International Nursing Review, 42(1), 27–30.PubMedGoogle Scholar
  18. Geltman, P. L., Grant-Knight, W., Mehta, S. D., Lloyd-Travaglini, C., Lustig, S., Landgraf, M. A., et al. (2005). The “lost boys of Sudan”: Functional and behavioral health of unaccompanied refugee minors resettled in the United States. Archives of Pediatrics & Adolescent Medicine, 159(6), 585–591.CrossRefGoogle Scholar
  19. Gorst-Unworth, C., & Goldenberg, E. (1998). Psychological sequelae of torture and organised violence suffered by refugees from Iraq: Trauma-related factors compared with social factors in exile. British Medical Journal, 172, 90–94.Google Scholar
  20. Hathaway, J. C. (2005). The rights of refugees under international law. Cambridge, England: Cambridge University Press.CrossRefGoogle Scholar
  21. Herlihy, J., Scragg, P., & Turner, S. (2002). Discrepancies in autobiographical memories—Implications for the assessment of asylum seekers: Repeated interviews study. British Medical Journal, 324, 324–327.PubMedCrossRefGoogle Scholar
  22. Hinton, D. E., Chhean, D., Pich, V., Safren, S. A., Hofmann, S. G., & Pollack, M. H. (2005). A randomized controlled trial of cognitive-behavior therapy for Cambodian refugees with treatment-resistant PTSD and panic attacks: A cross-over design. Journal of Traumatic Stress, 18(6), 617–629.PubMedCrossRefGoogle Scholar
  23. Hinton, D. E., Hoffmann, S. G., Pollack, M. H., & Otto, M. W. (2009). Mechanisms of efficacy of CBT for Cambodian refugees with PTSD: Improvement in emotion regulation and orthostatic blood pressure response. CNS Neuroscience and Therapeutics, 15(3), 255–263.PubMedCrossRefGoogle Scholar
  24. Holtan, A., Rønning, J. A., Handegård, B. H., & Sourander, A. (2005). A comparison of mental health problems in kinship and nonkinship foster care. European Child & Adolescent Psychiatry, 14(4), 200–207.CrossRefGoogle Scholar
  25. Hyndman, J., & Mountz, A. (2008). Another brick in the wall? Neo-refoulement and the externalization of asylum by Australia and Europe. Government and Opposition, 43, 249–269.CrossRefGoogle Scholar
  26. Ichikawa, M., Nakahara, S., & Wakai, S. (2006). Effect of post-migration detention on mental health among Afghan asylum seekers in Japan. The Australian and New Zealand Journal of Psychiatry, 40(4), 341–346.PubMedCrossRefGoogle Scholar
  27. Immigration and Refugee Protection Act, S.C. 2001, c.27.Google Scholar
  28. Immigration and Refugee Board of Canada. (2006). Guideline 8: Guideline on procedures with respect to vulnerable persons appearing before the Immigration and Refugee Board of Canada. Retrieved from http://www.irb-cisr.gc.ca/Eng/brdcom/references/pol/guidir/Documents/GuideDir8_e.pdf
  29. Keller, A. S., Rosenfeld, B., Trinh-Shevrin, C., Meserve, C., Sachs, E., Leviss, J. A., et al. (2003). Mental health of detained asylum seekers. The Lancet, 362, 1721–1723.CrossRefGoogle Scholar
  30. Kidron, C. A. (2012). Alterity and the particular limits of universalism: Comparing Jewish-Israeli and Canadian-Cambodian genocide legacies. Current Anthropology, 53(6), 723–754.CrossRefGoogle Scholar
  31. Kinzie, J. D. (2007). PTSD among traumatized refugees. In L. J. Kirmayer, R. Lemelson, & M. Barad (Eds.), Understanding trauma: Biological, psychological and cultural perspectives (pp. 194–206). New York, NY: Cambridge University Press.CrossRefGoogle Scholar
  32. Kirmayer, L. J. (2001). Failures of imagination: The refugee’s narrative in psychiatry. Anthropology & Medicine, 10(2), 167–185.CrossRefGoogle Scholar
  33. Kirmayer, L. J., Fung, K., Rousseau, C., Lo, H. T., Menzies, P., Guzder, J., et al. (2012). Guidelines for training in cultural psychiatry. Canadian Journal of Psychiatry, 57(3), Insert 1–16.Google Scholar
  34. Kirmayer, L., Narasiah, L., Muñoz, M., Rashid, M., Ryder, A., Guzder, J., et al. (2011). Common mental health problems in immigrants and refugees: General approach to the patient in primary care. Canadian Medical Association Journal, 183(12), E959–E967.PubMedCrossRefGoogle Scholar
  35. Kronick, R., Rousseau, C., & Cleveland, J. (2011). Mandatory detention of refugee children in Canada: A public health issue? Paediatrics & Child Health, 16(8), e65–e67.Google Scholar
  36. Laban, C. J., Gernaat, H. B. P. E., Komproe, I. H., Schreuders, B. A., & De Jong, J. T. V. M. (2004). Impact of a long asylum procedure on the prevalence of psychiatric disorders in Iraqi asylum seekers in the Netherlands. The Journal of Nervous and Mental Disease, 192(12), 843–851.PubMedCrossRefGoogle Scholar
  37. Laban, C. J., Gernaat, H. B. P. E., Komproe, I. H., van der Tweel, I., & De Jong, J. T. V. M. (2005). Postmigration living problems and common psychiatric disorders in Iraqi asylum seekers in the Netherlands. Journal of Nervous and Mental Disorders, 193(12), 825–832.CrossRefGoogle Scholar
  38. Lie, B. (2002). A 3-year follow-up study of psychosocial functioning and general symptoms in settled refugees. Acta Psychiatrica Scandinavica, 106, 415–425.PubMedCrossRefGoogle Scholar
  39. Lorek, A., Ehntholt, K., Nesbitt, A., Wey, E., Githinji, C., Rossor, E., et al. (2009). The mental and physical health difficulties of children held within a British immigration detention center: A pilot study. Child Abuse & Neglect, 33(9), 573–585.CrossRefGoogle Scholar
  40. Lustig, S. L., Kia-Keating, M., Knight Grant, W., Geltman, P., Ellis, H., Kinzie, D. J., et al. (2004). Review of child and adolescent refugee mental health. Journal of the American Academy of Child and Adolescent Psychiatry, 43(1), 24–36.PubMedCrossRefGoogle Scholar
  41. Macklin, A. (1998). Truth and consequences: Credibility determination in the refugee context. In Proceedings of the 1998 annual meeting of the International Association of Refugee Law Judges “Realities of Refugee Determination on the Eve of a New Millennium”. Haarlem, The Netherlands: International Association of Refugee Law Judges.Google Scholar
  42. Mares, S., Newman, L., Dudley, M., & Gale, F. (2002). Seeking refuge, losing hope: Parents and children in immigration detention. Australasian Psychiatry, 10(2), 91–96.CrossRefGoogle Scholar
  43. Marshall, G. N., Schell, T. L., Elliott, M. N., Berthold, S. M., & Chun, C. A. (2005). Mental health of Cambodian refugees 2 decades after resettlement in the United States. Journal of the American Medical Association, 294, 571–579.PubMedCrossRefGoogle Scholar
  44. McKeary, M., & Newbold, B. (2010). Barriers to care: The challenges for Canadian refugees and their health care providers. Journal of Refugee Studies, 23(4), 523–545.CrossRefGoogle Scholar
  45. Momartin, S., Steel, Z., Coello, M., Aroche, J., Silove, D. M., & Brooks, R. (2006). A comparison of the mental health of refugees with temporary versus permanent protection visas. Medical Journal of Australia, 185(7), 357–361.PubMedGoogle Scholar
  46. Moreau, S., Rousseau, C., Meikki-Berrada, A., TCMR, & ERASME. (1999). Politiques d’immigration et santé mentale des réfugiés: Profil et impact des separations familiales. Nouvelles Pratiques Sociales, 11(2), 177–196.CrossRefGoogle Scholar
  47. Moreno, A., & Grodin, M. A. (2002). Torture and its neurological sequelae. Spinal Cord, 40, 213–223.PubMedCrossRefGoogle Scholar
  48. Nakache, D. (2011). The human and financial cost of detention of asylum-seekers in Canada. Available from Refworld, United Nations High Commissioner for Refugees Web site, http://www.unhcr.org/refworld/docid/4fafc44c2.html
  49. National Collaborating Centre for Mental Health, & Royal College of Psychiatrists’ Research Unit. (2005). Post-traumatic stress disorder. The management of PTSD in adults and children in primary and secondary care (Vol. National Clinical Practice Guideline Number 26). London, England: Gaskell and the British Psychological Society.Google Scholar
  50. Neuner, F., Onyut, P. L., Ertl, V., Odenwald, M., Schauer, E., & Elbert, T. (2008). Treatment of posttraumatic stress disorder by trained lay counselors in an African refugee settlement: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 76(4), 686–694.PubMedCrossRefGoogle Scholar
  51. New Hampshire State. (2005). Guidelines for initial medical screening and care of refugees resettled in New Hampshire. Concord, NH: New Hampshire Department of Health and Human Services Division of Public Health.Google Scholar
  52. Newman, L. K., Dudley, M., & Steel, Z. (2008). Asylum, detention, and mental health in Australia. Refugee Survey Quarterly, 27(3), 110–127.CrossRefGoogle Scholar
  53. Nickerson, A., Bryant, R. A., Brooks, R., Steel, Z., Silove, D., & Chen, J. (2011). The familial influence of loss and trauma on refugee mental health: A multilevel path analysis. Journal of Traumatic Stress, 24, 25–33.PubMedCrossRefGoogle Scholar
  54. Nickerson, A., Bryant, R. A., Silove, D., & Steel, Z. (2011). A critical review of psychological treatments of posttraumatic stress disorder in refugees. Clinical Psychology Review, 31, 399–417.PubMedCrossRefGoogle Scholar
  55. Nickerson, A., Bryant, R. A., Steel, Z., Brooks, R., & Silove, D. (2010). The impact of fear for family on mental health in a resettled Iraqi refugee community. Journal of Psychiatric Research, 44(4), 229–235.PubMedCrossRefGoogle Scholar
  56. Nickerson, A., Steel, Z., Bryant, R., Brooks, R., & Silove, D. (2011). Change in visa status amongst Mandaean refugees: Relationship to psychological symptoms and living difficulties. Psychiatry Research, 187(1–2), 267–274.PubMedCrossRefGoogle Scholar
  57. Paciocco, D., & Stuesser, L. (2008). The law of evidence. Essentials of Canadian law (6th ed.). Toronto, Ontario, Canada: Irwin Law.Google Scholar
  58. Peltzer, K. (1997). Counselling and rehabilitation of victims of human rights violations in Africa. Psychopathologie Africaine, XXVIII(1), 55–87.Google Scholar
  59. Phillips, J. (2011). Asylum seekers and refugees: What are the facts? Available from the Parliamentary Library of the Parliament of Australia Web site, http://www.aph.gov.au/binaries/library/pubs/bn/sp/asylumfacts.pdf
  60. Porter, M., & Haslam, N. (2005). Predisplacement and postdisplacement factors associated with mental health of refugees and internally displaced persons: A meta-analysis. Journal of the American Medical Association, 294(5), 602–612.PubMedCrossRefGoogle Scholar
  61. Pottie, K., Ng, E., Spitzer, D., Mohammed, A., & Glazier, R. (2008). Language proficiency, gender and self-reported health: An analysis of the first two waves of the longitudinal survey of immigrants to Canada. Canadian Journal of Public Health, 99(6), 505–510.PubMedGoogle Scholar
  62. Prabhu, M., & Baranoski, M. (2012). Forensic mental health professionals in the immigration process. Psychiatric Clinics of North America, 35, 929–946.PubMedCrossRefGoogle Scholar
  63. Protecting Canada’s Immigration System Act, S.C. 2012, c.17.Google Scholar
  64. Pynoos, R. S., Steinberg, A. M., Layne, C. M., Briggs, E. C., Ostrowski, S. A., & Fairbank, J. A. (2009). DSM V PTSD diagnostic criteria for children and adolescents: A developmental perspective and recommendations. Journal of Traumatic Stress, 22(5), 391–398.PubMedCrossRefGoogle Scholar
  65. R. v. Lavallee (1990) 1 S.C.R. 852.Google Scholar
  66. Re X (2007) CanLII 49705 (IRB).Google Scholar
  67. Re X (2008) CanLII 45239 (IRB).Google Scholar
  68. Robjant, K., Hassan, R., & Katona, C. (2009). Mental health implications of detaining asylum seekers: Systematic review. The British Journal of Psychiatry, 94(4), 306–312.CrossRefGoogle Scholar
  69. Robjant, K., Robbins, I., & Senior, V. (2009). Psychological distress amongst immigration detainees: A cross-sectional questionnaire study. British Journal of Clinical Psychology, 48(3), 275–286.PubMedCrossRefGoogle Scholar
  70. Rousseau, C., Crépeau, F., Foxen, P., & Houle, F. (2002). The complexity of determining refugeehood: A multidisciplinary analysis of the decision-making process of the Canadian Immigration and Refugee Board. Journal of Refugee Studies, 15(1), 43–70.CrossRefGoogle Scholar
  71. Rousseau, C., de la Aldea, E., Viger Rojas, M., & Foxen, P. (2005). After the NGO’s departure: Changing memory strategies of young Mayan refugees who returned to Guatemala as a community. Anthropology & Medicine, 12(1), 3–21.CrossRefGoogle Scholar
  72. Rousseau, C., & Drapeau, A. (2003). Are refugee children an at-risk group?: A longitudinal study of Cambodian adolescents. Journal of Refugee Studies, 16(1), 67–81.CrossRefGoogle Scholar
  73. Rousseau, C., & Guzder, J. (2008). School-based prevention programs for refugee children. Child and Adolescent Psychiatric Clinics of North America, 17, 533–549.PubMedCrossRefGoogle Scholar
  74. Rousseau, C., Hassan, G., Moreau, N., & Thombs, B. D. (2011). Perceived discrimination and its association with psychological distress among newly arrived immigrants before and after September 11, 2001. American Journal of Public Health, 101(5), 909–915.PubMedCrossRefGoogle Scholar
  75. Rousseau, C., & Measham, T. (2007). Posstraumatic suffering as a source of transformation: A clinical perspective. In L. J. Kirmayer, R. Lemelson, & M. Barad (Eds.), Understanding trauma: Integrating biological, clinical and cultural perspectives (pp. 275–293). Boston, MA: Cambridge University Press.CrossRefGoogle Scholar
  76. Rousseau, C., Measham, T., & Nadeau, L. (2012). Addressing trauma in collaborative mental health care for refugee children. Clinical Child Psychology and Psychiatry, 18(1), 121–136.PubMedCrossRefGoogle Scholar
  77. Rousseau, C., Mekki-Berrada, A., & Moreau, S. (2001). Trauma and extended separation from family among Latin American and African refugees in Montreal. Psychiatry: Interpersonal and Biological Processes, 64(1), 40–59.CrossRefGoogle Scholar
  78. Rousseau, C., Rufagari, M. C., Bagilishya, D., & Measham, T. (2004). Remaking family life: Strategies for re-establishing continuity among Congolese refugees during the family reunification process. Social Science & Medicine, 59(5), 1095–1108.CrossRefGoogle Scholar
  79. Rousseau, C., Said, T. M., Gagne, M. J., & Bibeau, G. (1998). Between myth and madness: The premigration dream of leaving among young Somali refugees. Culture, Medicine and Psychiatry, 22, 385–411.PubMedCrossRefGoogle Scholar
  80. Ryan, D. A., Benson, C. A., & Dooley, B. A. (2008). Psychological distress and the asylum process: A longitudinal study of forced migrants in Ireland. The Journal of Nervous and Mental Disease, 196(1), 37–45.PubMedCrossRefGoogle Scholar
  81. Ryan, D. A., Kelly, F. E., & Kelly, B. D. (2009). Mental health among persons awaiting an asylum outcome in western countries. A literature review. International Journal of Mental Health, 38(3), 88–111.CrossRefGoogle Scholar
  82. Schweitzer, R., Melville, F., Steel, Z., & Lacharez, P. (2006). Trauma, post-migration living difficulties and social support as predictors of psychosocial adjustment in resettled Sudanese refugees. The Australian and New Zealand Journal of Psychiatry, 40, 170–187.CrossRefGoogle Scholar
  83. Semprun, J. (1994). L’écriture ou la vie. Paris, France: Gallimard.Google Scholar
  84. Silove, D. (1999). The psychosocial effects of torture, mass human rights violations, and refugee trauma: Toward an integrated conceptual framework. The Journal of Nervous and Mental Disease, 187(4), 200–207.PubMedCrossRefGoogle Scholar
  85. Silove, D., Austin, P., & Steel, Z. (2007). No refuge from terror: The impact of detention on the mental health of trauma-affected refugees seeking asylum in Australia. Transcultural Psychiatry, 44(3), 359–393.PubMedCrossRefGoogle Scholar
  86. Silove, D., Sinnerbrink, I., Field, A., Manicavasagar, V., & Steel, Z. (1997). Anxiety, depression and PTSD in asylum-seekers: Associations with pre-migration trauma and post-migration stressors. The British Journal of Psychiatry, 170(4), 351–357.PubMedCrossRefGoogle Scholar
  87. Sjölund, B. H. (Ed.). (2007). RCT field manual on rehabilitation. Copenhagen, Denmark: Rehabilitation and Research Centre for Torture Victims.Google Scholar
  88. Steel, Z., Chey, T., Silove, D., Marnane, C., Bryant, R. A., & van Ommeren, M. (2009). Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement: A systematic review and meta-analysis. Journal of the American Medical Association, 302(5), 537–549.PubMedCrossRefGoogle Scholar
  89. Steel, Z., Frommer, N., & Silove, D. (2004). Part I—The mental health impacts of migration: The law and its effects: Failing to understand: Refugee determination and the traumatized applicant. International Journal of Law and Psychiatry, 27(6), 511–528.PubMedCrossRefGoogle Scholar
  90. Steel, Z., Momartin, S., Bateman, C., Hafshejani, A., Silove, D., Everson, N., et al. (2004). Psychiatric status of asylum seeker families held for a protracted period in a remote detention centre in Australia. Australian and New Zealand Journal of Public Health, 28(6), 527–536.PubMedCrossRefGoogle Scholar
  91. Steel, Z., Momartin, S., Silove, D., Coello, M., Aroche, J., & Tay, K. W. (2011). Two year psychosocial and mental health outcomes for refugees subjected to restrictive or supportive immigration policies. Social Science & Medicine, 72(7), 1149–1156.CrossRefGoogle Scholar
  92. Steel, Z., Silove, D., Bird, K., McGorry, P., & Mohan, P. (1999). Pathways from war trauma to posttraumatic stress symptoms among Tamil asylum seekers, refugees, and immigrants. Journal of Traumatic Stress, 12(3), 421–435.PubMedCrossRefGoogle Scholar
  93. Steel, Z., Silove, D., Brooks, R., Momartin, S., Alzuhairi, B., & Susljik, I. (2006). Impact of immigration detention and temporary protection on the mental health of refugees. The British Journal of Psychiatry, 188(1), 58–64.PubMedCrossRefGoogle Scholar
  94. Steel, Z., Silove, D., Phan, T., & Bauman, A. (2002). Long-term effect of psychological trauma on the mental health of Vietnamese refugees resettled in Australia: A population-based study. The Lancet, 360, 1056–1062.CrossRefGoogle Scholar
  95. Suarez-Orozco, C., Bang, H. J., & Kim, H. Y. (2011). I felt like my heart was staying behind: Psychological implications of family separations and reunifications for immigrant youth. Journal of Adolescent Research, 26(2), 222–257.CrossRefGoogle Scholar
  96. Suicide Prevention Australia. (2011). Submission to the joint select committee on Australia’s immigration detention network. Retrieved from http://www.aph.gov.au/Senate/committee/immigration_detention_ctte/immigration_detention/submissions.htm
  97. Taylor, K. (2009). Asylum seekers, refugees, and the politics of access to health care: A UK perspective. British Journal of General Practice, 59, 765–772.PubMedCrossRefGoogle Scholar
  98. Taylor, D., & Hattenstone, S. (2012, January 6). Child asylum seekers win compensation for 13-month detention. The guardian. Retrieved from http://www.guardian.co.uk/uk/2012/jan/06/child-asylum-seekers-win-compensation
  99. The Refugee Forum. (2012). By the numbers: Refugee statistics 1989–2011. Available from Human Rights Research and Education Centre of the University of Ottawa Web site, http://www.cdp-hrc.uottawa.ca/projects/refugee-forum/projects/documents/REFUGEESTATSCOMPREHENSIVE1999-2011.pdf
  100. Tseng, W.-S., Cheng, T.-A., Chen, Y.-S., Hwang, P.-L., & Hsu, J. (1993). Psychiatric complications of family reunion after four decades of separation. The American Journal of Psychiatry, 150, 614–619.PubMedGoogle Scholar
  101. Turner, S. W., Bowie, C., Dunn, G., Shapo, L., & Yule, W. (2003). Mental health of Kosovan Albanian refugees in the UK. The British Journal of Psychiatry, 182, 444–448.PubMedCrossRefGoogle Scholar
  102. United Nations High Commissioner for Refugees. (2010). Convention and protocol relating to the status of refugees. Retrieved from http://www.unhcr.org/protect/PROTECTION/3b66c2aa10.pdf
  103. United Nations High Commissioner for Refugees. (2013). UNHCR global appeal 2013 update—Populations of concern to UNHCR. Retrieved from http://www.unhcr.org/50a9f81b27.html
  104. Vaage, A. B., Thomsen, P. H., Silove, D., Wentzel-Larsen, T., Van Ta, T., & Hauff, E. (2010). Long-term mental health of Vietnamese refugees in the aftermath of trauma. The British Journal of Psychiatry, 196, 122–125.PubMedCrossRefGoogle Scholar
  105. Van Ommeren, M., de Jong, J. J. T., Sarma, B., Komproe, I., Thapa, S. B., & Cardena, E. (2001). Psychiatric disorders among tortured Bhutanese refugees in Nepal. Archives of General Psychiatry, 58(5), 475–482.PubMedCrossRefGoogle Scholar
  106. Weinstein, H., Dansky, L., & Iacopino, V. (1996). Torture and war trauma survivors in primary care practice. The Western Journal of Medicine, 165(3), 112–118.PubMedGoogle Scholar
  107. Williams, A. (1990). Families in refugee camps. Human Organization, 42(2), 100–109.Google Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Janet Cleveland
    • 1
  • Cécile Rousseau
    • 2
  • Jaswant Guzder
    • 3
  1. 1.CSSS de la Montagne Research CentreMontrealCanada
  2. 2.Centre de recherche et de formation, CSSS de la MontagneMontréalCanada
  3. 3.Center for Child Development and Mental HealthInstitute of Community and Family PsychiatryMontrealCanada

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