ارزیابی و درمان روانپزشکی پناهندگان

The Psychiatric Evaluation and Treatment of Refugees is designed to provide mental health clinicians with the foundational knowledge and skills they need to diagnose and treat refugees, who are disproportionately likely to suffer from posttraumatic stress disorder and psychosis in the short term and depression and anxiety in the long term. According to a report by the United Nations, as of 2018, there were 22 million refugees, forcibly displaced and unable to return to their country of origin based on their well-founded fear of persecution due to race, religion, nationality, political opinions, or membership in a specific social group. Refugees in the United States tend to share common characteristics, including the experience of forced migration from their homeland; multiple episodes of abusive and traumatic treatment prior to, during, and postmigration (including death of family members, torture, starvation, and prolonged periods living in unsafe refugee camps); and the bureaucratic nightmare of obtaining housing, medical care, and so forth. Providing these patients with mental healthcare can be both grueling and challenging, and this guide -- written by experts in intercultural psychiatry -- offers support and counsel to help clinicians understand and provide care to their patients, while caring for themselves and avoiding burnout. The book's content is compelling and timely: • Absolutely indispensable is the chapter on children and adolescents, who have borne the brunt of recent policy changes mandating family separation. The complex issue of acculturative stress for immigrant, refugee, and asylum-seeking children, youth, and families in the face of negative stereotyping and economic and educational disadvantage is addressed, as is mitigating the risk of long-term developmental trauma.• The Oregon Model, developed and launched by the editors and explained in depth in the book, is a research-grounded, team-based treatment model that accommodates the language of refugees, shows respect for their cultural traditions and behaviors, understands the traumas and tragedies of their life experience, and above all demonstrates empathy. • Psychiatric assessment and both biological and psychological treatment of individuals and families are covered in several chapters, which include techniques involved in adapting individual, group, and family psychotherapy. Each chapter includes clinical case examples to effectively illustrate diverse issues in assessment and treatment.• The psychiatric assessment and treatment of traumatized refugees raises a wide range of ethical issues, which are examined in a thoughtful and nuanced chapter, in which the author points out that the nature of the refugee experience invariably results in a blurring between the considerations of clinical ethics, which focuses primarily on the doctor-patient relationship, and the broader human rights domain which extends to the relationship of the individual and group to the state. The Psychiatric Evaluation and Treatment of Refugees will help mental healthcare providers deliver culturally and psychologically sensitive care to patients and clients grappling with past and present trauma and the trials of adjustment in a landscape that can be ethically challenging and emotionally overwhelming. "The Psychiatric Evaluation and Treatment of Refugees is a cutting-edge volume of contributions that help mental health professionals better understand the outcomes and solutions for the complicated mix of trauma and immigration with culture and worldview found in the treatment of refugee patients. Written by experts in cross-cultural psychiatry, the book holds a balance between up-to-date science and the collective experiential wisdom of the Intercultural Psychiatric Program at the Oregon Health & Science University, providing a key reference for psychiatrists and other mental health professionals working in cross-cultural trauma. The editors and authors of this volume have contributed to an understanding of the blend of necessary science/evidence and compassion that gives mental health providers insight as to how to understand and treat these often traumatized patients"--Publisher's description "The Psychiatric Evaluation and Treatment of Refugees is a cutting-edge volume of contributions that help mental health professionals better understand the outcomes and solutions for the complicated mix of trauma and immigration with culture and worldview found in the treatment of refugee patients. Written by experts in cross-cultural psychiatry, the book holds a balance between up-to-date science and the collective experiential wisdom of the Intercultural Psychiatric Program at the Oregon Health & Science University, providing a key reference for psychiatrists and other mental health professionals working in cross-cultural trauma. The editors and authors of this volume have contributed to an understanding of the blend of necessary science/evidence and compassion that gives mental health providers insight as to how to understand and treat these often traumatized patients"-- Provided by publisher Cover 1 Half Title 2 Title Page 4 Copyright 5 Contents 6 Contributors 10 Acknowledgments 12 Foreword 14 Preface 20 1 Overview of Cultural and Diagnostic Issues 24 2 Diagnosis and Treatment 44 3 Psychological Treatment: NARRATIVE EXPOSURE THERAPY 54 4 Psychotherapy for Postmigration Stress 70 5 Psychobiology and Psychopharmacology 82 6 The Oregon Model: THE INTERCULTURAL PSYCHIATRIC PROGRAM 96 7 Children and Adolescents 108 8 Asylum Seekers 126 9 Geriatric Psychiatric Problems Among Refugees 142 10 Contemporary Refugee Crisis at the United States–Mexico Border 152 11 Training Residents to Treat Refugees 166 12 Ethical Challenges Confronting Psychiatrists in the Field of Refugee Mental Health 182 13 Overview, Perspectives, and Research Needs 198 Postscript 208 Index 212 Back Cover 224