A Refugee Rose of competencies and capabilities for mental healthcare of refugees
In this paper, I set out the challenges of care for refugees and suggest approaches to assessment and intervention. I discuss clinical interventions that can address the immediate concern of the clinician in a bio-psycho-social framework, and the value of considering eco-social and structural influe...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-03-01
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| Series: | BJPsych Open |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S2056472422000114/type/journal_article |
| _version_ | 1811156925422764032 |
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| author | Kamaldeep Bhui |
| author_facet | Kamaldeep Bhui |
| author_sort | Kamaldeep Bhui |
| collection | DOAJ |
| description | In this paper, I set out the challenges of care for refugees and suggest approaches to assessment and intervention. I discuss clinical interventions that can address the immediate concern of the clinician in a bio-psycho-social framework, and the value of considering eco-social and structural influences that can hinder recovery and perpetuate inequalities. Refugees face multiple adversities before, during and after escaping from life-threatening situations, political violence, torture and persecution. They present with complex health needs and encounter hostility from host countries and public services, which see their needs as an additional demand on the public purse. Regrettably, existing care practice and training of professionals do not often include skills for working across cultures, including cultural formulations and fair assessment, cultural adaptation of interventions, cultural competence and cultural consultation methods, including clinical ethnography and exploration of cultural identity and explanatory models. There are little data on effective and kind models of interpretation and translation. Care systems are rarely designed to fully address the needs of refugees. Health practitioners are not trained to address structural and institutional racism and discrimination, which leads to exclusion of the most marginalised, with little attention to social justice and fair processes as part of appropriate healthcare. |
| first_indexed | 2024-04-10T04:58:09Z |
| format | Article |
| id | doaj.art-81fd7e369c9443b5a8544c3b202bd2fc |
| institution | Directory Open Access Journal |
| issn | 2056-4724 |
| language | English |
| last_indexed | 2024-04-10T04:58:09Z |
| publishDate | 2022-03-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Open |
| spelling | doaj.art-81fd7e369c9443b5a8544c3b202bd2fc2023-03-09T12:29:19ZengCambridge University PressBJPsych Open2056-47242022-03-01810.1192/bjo.2022.11A Refugee Rose of competencies and capabilities for mental healthcare of refugeesKamaldeep Bhui0https://orcid.org/0000-0002-9205-2144Department of Psychiatry and Nuffield Department of Primary Care Health Sciences, University of Oxford, UK; East London NHS Foundation Trust, UK; Oxford Health NHS Foundation Trust, UK; and World Psychiatric Association Collaborating Centre in Research, Training, Policy and Practice, UKIn this paper, I set out the challenges of care for refugees and suggest approaches to assessment and intervention. I discuss clinical interventions that can address the immediate concern of the clinician in a bio-psycho-social framework, and the value of considering eco-social and structural influences that can hinder recovery and perpetuate inequalities. Refugees face multiple adversities before, during and after escaping from life-threatening situations, political violence, torture and persecution. They present with complex health needs and encounter hostility from host countries and public services, which see their needs as an additional demand on the public purse. Regrettably, existing care practice and training of professionals do not often include skills for working across cultures, including cultural formulations and fair assessment, cultural adaptation of interventions, cultural competence and cultural consultation methods, including clinical ethnography and exploration of cultural identity and explanatory models. There are little data on effective and kind models of interpretation and translation. Care systems are rarely designed to fully address the needs of refugees. Health practitioners are not trained to address structural and institutional racism and discrimination, which leads to exclusion of the most marginalised, with little attention to social justice and fair processes as part of appropriate healthcare.https://www.cambridge.org/core/product/identifier/S2056472422000114/type/journal_articleRefugeemental healthcultureethnographyeco-social |
| spellingShingle | Kamaldeep Bhui A Refugee Rose of competencies and capabilities for mental healthcare of refugees BJPsych Open Refugee mental health culture ethnography eco-social |
| title | A Refugee Rose of competencies and capabilities for mental healthcare of refugees |
| title_full | A Refugee Rose of competencies and capabilities for mental healthcare of refugees |
| title_fullStr | A Refugee Rose of competencies and capabilities for mental healthcare of refugees |
| title_full_unstemmed | A Refugee Rose of competencies and capabilities for mental healthcare of refugees |
| title_short | A Refugee Rose of competencies and capabilities for mental healthcare of refugees |
| title_sort | refugee rose of competencies and capabilities for mental healthcare of refugees |
| topic | Refugee mental health culture ethnography eco-social |
| url | https://www.cambridge.org/core/product/identifier/S2056472422000114/type/journal_article |
| work_keys_str_mv | AT kamaldeepbhui arefugeeroseofcompetenciesandcapabilitiesformentalhealthcareofrefugees AT kamaldeepbhui refugeeroseofcompetenciesandcapabilitiesformentalhealthcareofrefugees |