While these efforts by the host health care professionals are essential, physicians need to weigh the risk of causing dependency and passivity, or a take-it-for-granted attitude on the part of the refugee. Medically trained interpreters are preferable to family members or nontrained interpreters, because the latter may express his or her own views, emotions and beliefs during the translation.15 To minimize these occurrences, physicians need to monitor patients' facial expressions. I am an immigrant myself and a counselor. See Answer. Thank you for the article. Thank you for writing this inspiring article. I suddenly realize that I am mimicking the works of their teachers, using the white board to spell feeling words so they can complete that sessions worksheets. Noncompliance with medication and treatment protocol is often a problem. Enter your email address to subscribe and receive an email anytime a new article is posted at CT Online. Immigrants. Refugee assistance involves a complex web of collaboration between individuals and agencies.3 Most new refugees have a sponsoring agency in the community to assist with the resettlement process, and this agency is a valuable resource for the physician. spanning a global professional context are covered in a final chapter. in addition, clinicians carry their own sets Models of Health Care: Interprofessional Approaches to Serving Immigrant Populations. 2022 Jan-Mar 01;39(1):47-51. doi: 10.1097/CNJ.0000000000000822. Once their immediate basic health and social needs are met, refugees should be encouraged to participate in the provision of support for others in the community.5 The model of using focused group meetings may offer a non-threatening means for the newcomers to express their concerns and needs in their new country.16, Patients sense whether their physicians care about them as people, regardless of cultural differences.16 Some practical suggestions for physicians who treat patients from different cultures are listed in Table 2.34. Bridging Refugee Youth and Children's Services, Episode 57: Connecting Cross-Border Families [Podcast], Making Public Systems Work Better for Immigrant Families, Racial Equity Resources for Child Welfare Professionals, Cultural competency in working with immigrant families, Child Welfare Information Gateway is a service of the, U.S. Department of Health & Human Services, Philosophy and Key Elements of Family-Centered Practice, Family-Centered Practice Across the Service Continuum, Creating a Family-Centered Agency Culture, Risk Factors That Contribute to Child Abuse and Neglect, People Who Engage in Child Abuse or Neglect, Overview: Preventing Child Abuse & Neglect, Public Awareness & Creating Supportive Communities, Child Abuse and Neglect Prevention Programs, Developing & Sustaining Prevention Programs, Evidence-Based Practice for Child Abuse Prevention, Introduction to Responding to Child Abuse & Neglect, Differential Response in Child Protective Services, Responding to Child Maltreatment Near Fatalities and Fatalities, Trauma-Informed Practice in Child Welfare, Collaborative Responses to Child Abuse & Neglect, Supporting Families With Mental Health and Substance Use Disorders, Introduction to Family Support and Preservation, In-Home Services Involved With Child Protection, Resources for Managers of Family Support and Preservation Services, Transition to Adulthood and Independent Living, Overview: Achieving & Maintaining Permanency, Recruiting and Retaining Resource Families, Permanency for Specific Youth Populations, Working With Children, Youth, and Families in Permanency Planning, Working With Children, Youth, and Families After Permanency, Resources for Administrators and Managers About Permanency, Children's Bureau Adoption Call to Action, Adoption and Guardianship Assistance by State, For Adoption Program Managers & Administrators, For Expectant Parents Considering Adoption and Birth Parents, Administering & Managing Child Welfare Agencies & Programs, Evaluating Program and Practice Effectiveness, ndice de Ttulos en Espaol (Spanish Title Index), National Foster Care & Adoption Directory, Child Welfare Information Gateway Podcast Series, Culturally responsive child welfare agencies, How the Child Welfare System Can Better Respond to Needs of Children from Immigrant Families, SIJS Caseworkers Toolkit for Children in Federal Custody, Refugees and the U.S. Child Welfare System: A Toolkit for Service Providers, How the Child Welfare System Can Better Respond to Needs of Children From Immigrant Families, Episode 57: Connecting Cross-Border Families. I A M in Gratitude for your words of wisdom! Culture shapes and influences individual health and mental health beliefs, family practices, human behavior, and even the outcomes of interventions (Ortiz Hendricks & Fong, 2006, p. 136. Over 40 million immigrants live in the United States today, according to Pew Research Center more than in any other country. One study reported that 17 percent of the pediatric refugees had weights below the fifth percentile, and that only 39 percent of the pediatric refugees had adequate immunizations.11 Also, children are not immune to the trauma, including sexual trauma, related to the refugee experience. Racism and discrimination further oppress immigrants in the U.S., and put all immigrant groups at risk. Although refugees want to become assimilated into the U.S. culture and be contributing members of our society, time and a great deal of patience are needed. Cultural Competence Secrets to Success With Immigrant Families: Spreading and Adapting 2Gen Working Practices [Webinar]
Knowledge of specific situations can assist physicians in determining the focus of the office visit. Although adult refugees are screened for HIV prior to their U.S. entry, they may become infected just before coming to the United States or become infected soon after entering the country. Thank you for your courage to advocate and to help this group. It is not hard to imagine the possibility of depression and health problems among immigrants, particularly single individuals or families, struggling financially with little education and job skills, with little social support and often enormous social isolation, and with extensive life-long histories of trauma. In the past six months, the U.S. has lived through the convergence of three crises: the worst pandemic in 100 years, the worst economic decline since the Great Depression, and multiple incidents of police violence that triggered unrest in many cities as society attempted to reckon with longstanding . In a Word document, provide short answers to the statements below. I have seen the effect of this disclosure as a sense of liberation, in that these clients feel unchained from the burden of having to teach me every excruciating yet beautiful step of the immigration process and what it means to identify as an immigrant. Some refugee groups may be small and may lack the support of their fellow compatriots in times of difficulty. www.sagepub.com. Running head: SHORT ANSWERS 1 Short Answers: Cultural Consideration Students Women of the "sandwich" generation and multiple roles: The case of Russian immigrants of the 1990s in Israel. For physicians and others to effectively provide services to refugees, a needs assessment should be done. Cultural Considerations In Addiction Treatment This article will help you be more effective, confident, and competent in working with clients from culturally different backgrounds. They come amid mounting job losses across the nation during the COVID-19 outbreak. show readers how to engage immigrants and refugees in the most culturally appropriate and relevant manner possible. Wishing you all the best in life today , tomorrow and always. Simulating the Refugee Experience to Cultivate Cultural Competence and Sensitivity. "School counselors demonstrate their belief that all students have the ability to learn by advocating for an education system that provides optimal learning . I know that my struggles are unique and that my story holds value for me. For example, when working with adolescent immigrant youth, the child confirms or cancels appointments and makes decisions regarding mental health concerns more often than the parents. This article describes the different ways culture affects health care, in terms of patient-related factors, health care provider-related factors, and health care system-related factors. offers resources and websites to further inform practice. Mental health problems can arise from several different situations. Those original reasons may or may not reflect our lived experiences, but our identities are nonetheless largely rooted in the concept of being an immigrant or a refugee. I have entered schools, community centers, churches and various agencies and conducted home visits because counseling allows me to travel. These linguistic tools facilitate their connection to the program and to each other. They may also have witnessed torture or death of their neighbors, relatives and even parents, which may affect their mental well-being. 2019 Mar-Apr;80(2):113-115. doi: 10.18043/ncm.80.2.113. Cultural competence requires hard work, commitment, and experience. It may be preferable to prescribe as few medicines as possible at a single visit, with extra time given to help the patient understand the treatment protocol. How the Child Welfare System Can Better Respond to Needs of Children From Immigrant Families [Webinar]
Additionally, women with children may be reluctant to go to shelters, because they are an unfamiliar setting. Agencies need to help workers keep abreast of new policies and procedures, and changing state and federal laws. In one report, women who were sexually tortured had more psychologic and sexual dysfunctions when compared with the ones who were not.31 Most torture victims experience some physical sequelae as a result, with headache reported in 65 percent of torture victims.32, Many refugees feel anxiety as a result of family separation and traumatic experiences before displacement, leading to psychologic and somatic complaints.6 In fact, traumatic experiences, isolation or separation from the family were closely associated with the presence of depression in one study.33. Cultural responsiveness with immigrant and refugee children and families requires more than just learning about their culture. Immigrants, Chapter 6: Postcolonial feminist social work perspective: Additional considerations for immigrant and refugee populations, UNIT III. "Cultural competence is a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals and enable that system, agency, or those professionals to work effectively in cross-cultural situations." ~ Terry Cross et al. SHORT ANSWERS 2 1. Hello, would you like to continue browsing the SAGE website? For those counselors taking a multicultural approach who may not be immigrants, we all can benefit from the experiences of one another. New immigrants are more likely to live in resource-poor communities, and are isolated from other communities that might offer support and services. "Cultural issues" is a complex construct that often seems vague and indirect. One cannot pick up a newspaper or turn on the television without confronting the seemingly unending dramas of wars and conflicts between nations. State the four elements of cross cultural communication 2 The Importance of Cultural Competency Health care workers need to be aware of, and sensitive to . Many refugees, before entering the United States, have resided in United Nations camps located in countries adjacent to their homelands. The following guidelines are useful to consider whenever you are working with a minority or culturally diverse group or individual; they are generic enough to be . That word being mood. When we discuss stereotypes and bullying, they are also learning these words along with the concepts. 6 A study of undocumented immigrants (15%), documented immigrants (73%), and US-born Latinos (12%) treated in a Hispanic mental health program found that those who were undocumented were more likely to have anxiety, adjustment, and alcohol use disorders. 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