What Strategies to Address Communication Barriers for Refugees and Migrants in Health Care Settings Have Been Implemented and Evaluated Across the WHO European Region?


Book Description

The provision of effective health care to linguistically and culturally diverse migrant populations has been identified as a crucial public health issue. This scoping review examines strategies which have been implemented and evaluated to address communication barriers experienced by refugees and migrants in health care settings across the WHO European Region. Four main types of strategy were identified: cultural mediation interpretation translation of health information and guidance and training for health care providers. These have been used to support access to health care management of specific diseases and promotion of health across a wide variety of health care settings. Intersectoral collaboration was seen as important in the development and implementation of strategies. Policy considerations include the development of national policies and the promotion of intersectoral dialogue to augment the knowledge base and resolve the common issues identified such as provision of training and confusion regarding the roles of mediators/interpreters that affect strategy implementation and evaluation.




What Strategies to Address Communication Barriers for Refugees and Migrants in Health Care Settings Have Been Implemented and Evaluated Across the WHO European Region?


Book Description

The provision of effective health care to linguistically and culturally diverse migrant populations has been identified as a crucial public health issue. This scoping review examines strategies which have been implemented and evaluated to address communication barriers experienced by refugees and migrants in health care settings across the WHO European Region. Four main types of strategy were identified: cultural mediation, interpretation, translation of health information, and guidance and training for health care providers. These have been used to support access to health care, management of specific diseases and promotion of health across a wide variety of health care settings. Intersectoral collaboration was seen as important in the development and implementation of strategies. Policy considerations include the development of national policies and the promotion of intersectoral dialogue to augment the knowledge base and resolve the common issues identified, such as provision of training and confusion regarding the roles of mediators/interpreters, that affect strategy implementation and evaluation.







World report on the health of refugees and migrants


Book Description

Worldwide, more people are on the move now than ever before, yet many refugees and migrants face poorer health outcomes than the host populations. Addressing their health needs is, therefore, a global health priority and integral to the principle of the right to health for all. The key is to strengthen and maintain health systems by ensuring that they are refugee- and migrant-sensitive and inclusive. Health outcomes are influenced by a whole host of determinants. However, refugees and migrants face additional determinants such as precarious legal status; discrimination; social, cultural, linguistic, administrative and financial barriers; lack of information about health entitlements; low health literacy; and fear of detention and deportation. This groundbreaking publication outlines current and future opportunities and challenges and provides several strategies to improve the health and well-being of refugees and migrants. It is an advocacy tool for national and international policy-makers involved in health and migration. Evidence on the health of refugees and migrants remains fragmented – comparable data across countries and over time are urgently needed to track progress towards the health-related United Nations Sustainable Development Goals. With only 8 years until the 2030 target date to transform our world, the time to act is now.




Health Promotion in Disease Outbreaks and Health Emergencies


Book Description

The book is exceptionally timely and will be of interest to many professionals, students and academics. I am not aware of any other book that covers this important topic. Glenn Laverack brings credibility and kudos having direct experience of health emergencies and seen as a leading academic thinker in health promotion. Dr James Woodall, Reader in Health Promotion, Leeds Beckett University Using specific examples to illustrate broader concepts, this text provides a solid introduction to health promotion in infectious disease outbreaks. Ella Watson-Stryker, Health Promotion Manager, Médecins Sans Frontières This book is timely given the current humanitarian and development scenarios in which health promoters and development communicators must work. There is a dire need for reference materials for practitioners which expand upon theoretical/scientific concepts and principles and provide practical, straightforward guidance to professionals working in the field. The increasing amount of public health emergencies, e.g. SARS, Ebola, Zika etc. require professionals to increase their preparedness to respond in outbreak or disaster situations and this book becomes a useful tool for needed action. Dr Erma Manoncourt, Vice-President of Membership and Co-Chair Global Working Group on the Social Determinants of Health, IUHPE, Paris, France. This is the first ever practical guide to the valuable role that health promotion can play in disease outbreaks and health emergencies. Over the past 20 years the number of disease outbreaks has increased alongside a significant role played out by international agencies involved in emergency responses. The book comprehensively covers the role that health promoters have in this new and exciting field of international work including data collection, communication, community capacity building and engagement and rumour management. Part 1 provides a detailed overview of the role of health promotion in disease outbreaks and health emergencies. Part 2 directly addresses the role of health promotion in two distinct types of disease outbreaks: person to person and vector borne disease transmission. Part 3 covers the role of health promotion in specialist areas of work in disease outbreaks and health emergencies. Health Promotion in Disease Outbreaks and Health Emergencies is essential reading for health promotion and public health students worldwide, as well as for UN agencies and international NGOs working in this emerging field.




Migration And Health In The European Union


Book Description

"This book can be read by anyone with an interest in migration and health, whether as an advocate for migrants health, as a student in a health profession, researcher or policy maker. It provides an ample orientation to the field in the European context. Among other important raised issues, it underlines an all too often neglected fact; health is a human right. By involving broad issues and problem areas from a variety of perspectives, the volume illustrates that migration and health is a field that can not be allocated to a single discipline." Carin Bjrngren Cuadra, Senior Lecturer, Malm University, Sweden Migrants make up a growing share of European populations. However, all too often their situation is compounded by problems with accessing health and other basic services. There is a need for tailored health policies, but robust data on the health needs of migrants and how best these needs can be met are scarce. Written by a collaboration of authors from three key international organisations (the European Observatory on Health Systems and Policies, the EUPHA Section on Migrant and Ethnic Minority Health, and the International Organization for Migration), as well as leading researchers from across Europe, the book thoroughly explores the different aspects of migration and health in the EU and how they can be addressed by health systems. Structured into five easy-to-follow sections, the volume includes: Contributions from experts from across Europe Key topics such as: access to human rights and health care; health issues faced by migrants; and the national and European policy response so far Conclusions drawn from the latest available evidence Comprehensive information on different aspects of health and migration and how they can best be addressed by health systems is still not easy to find. This book addresses this shortfall and will be of major value to researchers, students, policy-makers and practitioners concerned with migration and health in an increasingly diverse Europe.




Skin Disorders in Migrants


Book Description

This richly illustrated book is a comprehensive guide to the dermatologic disorders that may be encountered in refugees and other migrants. It will equip readers to diagnose and treat a diverse range of skin diseases and conditions, including, but not limited to, infections caused by bacteria, viruses, fungi, and parasites, dermatologic manifestations of sexually transmitted diseases, dermatoses associated with malnutrition, pigmentary disorders, bullous diseases, connective tissue diseases, and benign and malignant cutaneous neoplasias. Attention is drawn to various neglected tropical skin diseases and to the characteristic signs of torture and genital mutilations. Helpful information is also provided on the significance of skin color and the relevance of ethnic and genetic factors. The clinical chapters are complemented by discussion of the circumstances that give rise to migration, such as poverty, war, and environmental conditions. This enables the reader to gain a more rounded understanding of patients’ circumstances that in turn will positively impact on patient care. This book will be of wide interest to dermatologists, whether experienced or in training, as well as to general physicians and researchers.




Inequalities in Health Care for Migrants and Ethnic Minorities


Book Description

Vol. 1 examines how much is known about migrant and ethnic minority health and where the barriers to scientific progress lie. Vol. 2 is concerned with the changes that are needed to improve the matching of health services to the needs of these groups.




Public Health Aspects of Mental Health Among Migrants and Refugees


Book Description

The increasing number of refugees, asylum seekers, and irregular migrants poses a challenge for mental health services in Europe. This review found that these groups are exposed to risk factors for mental disorders before, during, and after migration. The prevalence of psychotic, mood, and substance-use disorders in these groups varies but overall resembles that in the host populations. Refugees and asylum seekers, however, have higher rates of post-traumatic stress disorder. Poor socioeconomic conditions are associated with increased rates of depression five years after resettlement. Refugees, asylum seekers, and irregular migrants encounter barriers to accessing mental health care. Good practice for mental health care includes promoting social integration, developing outreach services, coordinating health care, providing information on entitlements and available services, and training professionals to work with these groups. These actions require resources and organizational flexibility.




Immigration, Cultural Identity, and Mental Health


Book Description

""Cultural Identity and Mental Health is a unique book because it defines culture and identity from a developmental perspective; therefore delving more deeply into the psychological, social and biological aspects of the immigrant and refugee experience in the U.S.A. and it explains how these experiences help to shape the development of the person's cultural identity. The book presents a very detailed discussion on the concept of acculturation and reviews all of the available literature on the subject. It also covers the sociological, anthropological, political and economic aspects of the immigrant and refugee experience and how these variables impact on mental health, thus presenting the experience of migration from a very broad and humanistic perspective. This book embarks on a deep exploration of the psychodynamic experience of immigration, while at the same time covering the epidemiological risk factors and protective factors related to the immigrant experience; thus, presenting ample and up to date empirically-based data. The book has a unique chapter addressing the true and accurate statistics of immigrant criminality and explores and analyzes this data under a new lens, helping to dispel the myths that result from contemporary anti-immigrant rhetoric. It also explains the types of crimes committed by immigrants, immigrants as victims of crime, cultural crimes, and motivations and the explanatory narratives presented by those who violate immigration laws. In addition, it also covers the history of immigrant criminality in the United States. The book has another important chapter addressing Immigrant Narratives and the role and importance of the personal-historical narrative in life-story construction, and the narrative as a therapeutic tool that can help to repair the trauma of loss and dislocation suffered by many immigrants when they leave their country of origin and begin a life in a new host country. It also introduces the role of the new immigrant narratives in contemporary literature and how this literature can be used by teachers and parents to help integrate the experiences of the different generations of the immigrant family, as well as to educate the younger generations of Americans about the country's new cultural diversity. There is a chapter that explains the new concept of Transnational Identities that result from the improved communication technologies, as well as from more accessible travel, which have deeply changed the immigrant experience and are part of the new phenomenon of globalization. Another interesting chapter analyzes the phenomenon of Return Migrations comparing the points of view of the returning immigrant with those of the ones who stayed behind, further analyzing this topic from a psychological and socioeconomic perspective. It also explains the psychological meaning of Pilgrimages in which the pilgrim visits, not necessarily the land of his or her actual birth or upbringing, but the land of the ancestral family history, in an attempt to bridge the gaps between the generations and to better integrate the pilgrim's sense of ethnic and cultural identity. In addition, this book also has an extensive and well-documented chapter on the refugee experience, outlining the current world-wide refugee crisis and explaining the sociopolitical reasons behind the crisis, as well as offering new evidence-based treatments for this population. This is a very comprehensive and well-written book that covers adults, children, adolescents and families and describes the sociocultural experience of the various generations of immigrants in their adaptation to life in the U.S. It also explores the immigration-related family separations as well as the psychological impact faced by the children that stay behind and later re-unify with their parents in the U.S., as well as those families that are separated by deportation. Finally, the book also presents a comprehensive chapter on culturally-sensitive and culturally-competent evidence-based mental health treatments for the various generations of these populations, including recommendations on ethno-pharmacology. One of the many strengths of the book are the very compelling and clearly explained clinical cases, which help to illustrate the theoretical concepts that are presented in each chapter. This book is a very timely and very valuable contribution to the bio-psycho-social study of the immigrant experience to the U.S. in its first generation and beyond, and is an essential tool for students and professionals in the social sciences, in the fields of social work, psychology, medicine and psychiatry, and for members of government organizations responsible for urban planning, policy and budgets, as well as for agencies dealing with the reception, placement and assistance of immigrants and refugees. ""--