Recent immigration trends indicate that the United States is home to a remarkably diverse and rapidly growing population of displaced persons. Many of these individuals have survived exceptional trauma and are thus particularly vulnerable to trauma-related behavioral health disorders. Mental health professionals are commonly asked to assess immigrants within this population in the service of immigration court decision making. These assessments present a variety of challenges for clinicians, including the assessment and documentation of trauma-related symptoms across cultural bounds. The Trauma Symptom Inventory-2 (TSI-2) may be uniquely suited to the demands of immigration court assessments, but it has not been previously examined in a culturally diverse sample. The current study provided an examination of the TSI-2 within a sample of immigrants with histories of trauma. De-identified TSI-2 data were drawn from several clinicians' existing immigration assessment files. Reliability and standardization sample comparison results indicated that the TSI-2 exhibits sufficient internal consistency within this population, and that immigrants with histories of trauma generally respond similarly to individuals in trauma-specific clinical samples (with several notable exceptions). Specific clinical implications are discussed. (PsycINFO Database Record
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Australas Psychiatry
December 2024
Queensland Children's Hospital, Brisbane, QLD, Australia.
Objective: To stimulate discussion on how the RANZCP can contribute more constructively to the debate over Australia's immigration policies.
Conclusions: Updated in March 2024, RANZCP Position Statement 46, titled: 'The provision of mental health services for asylum seekers and refugees', continues the College's advocacy for a compassionate stance towards asylum seekers and refugees on the grounds of preventing or improving their mental health. College statements over the last decade have raised concerns about policies that are designed to deter boat arrivals; and recently, have endorsed the High Court's NZYQ decision to mandate community release of detained non-Australian citizens deemed to have failed 'the character test' under the .
J Immigr Minor Health
November 2024
University of Pennsylvania School of Nursing, Philadelphia, USA.
In this paper, we describe a research protocol for surveying and interviewing Latinx immigrants recently arrived at the US southern border, and we raise important and unique issues that need to be considered with this population. The main objective is to share experiences, challenges, opportunities, and essential considerations (which we call lessons learned) that researchers should take into account when working with this vulnerable study population. The six lessons learned focus on: (1) fostering relationships with community partners; (2) participant consent and compensation; (3) linguistic and cultural fluency of researchers; (4) adapting data collection procedures to the environment and conditions; (5) establishing trust with participants and being trustworthy; and (6) addressing the ethical considerations of research with immigrant populations and the positionality of researchers.
View Article and Find Full Text PDFJ Am Acad Psychiatry Law
December 2024
Dr. Franks is an adult psychiatrist in private practice, Boulder, CO. Dr. Ali is a fellow in child and adolescent psychiatry, Boston Children's Hospital, Boston, MA. Dr. Adi is Assistant Professor of Psychiatry, Department of Psychiatry, University of Colorado School of Medicine, Aurora, CO. At the time of writing, Dr. Franks and Dr. Ali were psychiatry residents, Department of Psychiatry, University of Colorado School of Medicine, Aurora, CO.
Soc Psychiatry Psychiatr Epidemiol
July 2024
Division of Psychiatry, UCL, Maple House, 149 Tottenham Court Road, London, W1T 7NF, UK.
Purpose: In 2012, the UK government announced legislation changes and heightened immigration controls designed to create a 'hostile environment for illegal migration.' We measured changes in psychological distress among people from minoritised ethnic groups compared to White British controls before and throughout the implementation of these policies.
Methods: We used the UK Household Longitudinal Survey to estimate difference-in-difference models for six ethnic groups (Bangladeshi, African, Caribbean, Indian, Pakistani, and White British) in three eras: pre-policy (2009-2012); (2) transition (2012-2016); and (3) ongoing policy (2016-2020).
Brain Spine
April 2024
Institute for Disability and Rehabilitation Research, Ontario Tech University, 2000 Simcoe Street North, Oshawa, Ontario, L1H 7K4, Canada.
Introduction: Understanding healthcare utilization by Canadians with back problems informs healthcare planning nationally.
Research Question: What is the prevalence of utilization of healthcare providers (medical doctors, chiropractors, physiotherapists, nurses), and associated characteristics among Canadians with chronic back problems (2001-2016)?
Material And Methods: This population-based study used Canadian Community Health Survey data (2001-2016) restricted to respondents with chronic back problems (aged ≥12 years). We used self-reported consultation with healthcare providers (medical doctors, chiropractors, physiotherapists, nurses) from 2001-2010, and self-reported regular healthcare provider from 2015-2016.
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