Human migration is a global phenomenon and is on the increase. It occurs as a result of 'push' factors (asylum, natural disaster), or as a result of 'pull' factors (seeking economic or educational improvement). Whatever the cause of the relocation, the outcome requires individuals to adjust to their new surroundings and cope with the stresses involved, and as a result, there is considerable potential for disruption to mental health. This volume explores all aspects of migration, on all scales, and its effect on mental health. It covers migration in the widest sense and does not limit itself to refugee studies. It covers issues specific to the elderly and the young, as well as providing practical tips for clinicians on how to improve their own cultural competence in the work setting. The book will be of interest to all mental health professionals and those involved in establishing health and social policy.

The relationship between migration and mental health is controversial, contested, and pertinent. In a highly mobile world, where voluntary and enforced movements of population are increasing and likely to continue to grow, that relationship needs to be better understood, yet the terminology is often vague and the issues are wide-ranging. Getting to grips with them requires tools drawn from different disciplines and professions. Such a multidisciplinary approach is central to this book. Six historical studies are integrated with chapters by a theologian, geographer, anthropologist, social worker and psychiatrist to produce an evaluation that addresses key concepts and methodologies, and reflects practical involvement as well as academic scholarship. Ranging from the mid-nineteenth century to the present, the book explores the causes of mental breakdown among migrants; the psychological changes stemming from their struggles with challenging life circumstances; and changes in medical, political and public attitudes and responses in different eras and locations.

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.

This book provides a framework to guide mental health providers who work with refugees and immigrants. Nearly 70 million people today are refugees or forcibly-displaced migrants. More than half of them are children suffering from the effects of dislocation and violence. The authors describe the unique needs and challenges of serving these populations, and offer concrete steps for providing evidence-based, culturally-responsive care. Using the socioecological model, the authors conceptualize the developing child as living within concentric circles that include family, school, neighborhood, and society, embedded within a cultural context. Mental health providers identify and provide targeted support to combat disruptions within any or all of these ecological layers. Chapters examine the complex ways in which culture impacts the refugee experience, barriers to engagement in mental health practice and strategies for overcoming them, assessment, collaborative and integrated mental health interventions, and efforts to increase resilience in children, families, and communities. The book is an essential guide for mental health providers, and all who seek to help children in need.

""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. ""--

Taking an interdisciplinary approach and focusing on the social and psychological resources that promote resilience among forced migrants, this book presents theory and evidence about what keeps refugees healthy during resettlement. The book draws on contributions from cultural psychiatry, anthropology, ethics, nursing, psychiatric epidemiology, sociology and social work. Concern about immigrant mental health and social integration in resettlement countries has given rise to public debates that challenge scientists and policy makers to assemble facts and solutions to perceived problems. Since the 1980s, refugee mental health research has been productive but arguably overly-focused on mental disorders and problems rather than solutions. Social science perspectives are not well integrated with medical science and treatment, which is at odds with social reality and underlies inadequacy and fragmentation in policy and service delivery. Research and practice that contribute to positive refugee mental health from Canada and the U.S. show that refugee mental health promotion must take into account social and policy contexts of immigration and health care in addition to medical issues. Despite traumatic experiences, most refugees are not mentally ill in a clinical sense and those who do need medical attention often do not receive appropriate care. As recent studies show, social and cultural determinants of health may play a larger role in refugee health and adaptation outcomes than do biological factors or pre-migration experiences. This book’s goal therefore is to broaden the refugee mental health field with social and cultural perspectives on resilience and mental health.

Forced migration has yet to be sufficiently addressed from the perspective of health policy and systems research, resulting in limited knowledge on system‐level interventions and policies to improve the health of forced migrants. The contributions within this edited volume seek to rectify this gap in the literature by compiling the existing knowledge on health systems and health policy responses to forced migration with a focus on asylum seekers, refugees, and internally displaced people. It also brings together the work of research communities from the fields of political science, epidemiology, health sciences, economics, psychology, and sociology to push the knowledge frontier of health research in the area of forced migration towards health policy and systems-level interventions, while also framing potential routes for further research in this area. Among the analyses within the chapters: The political economy of health and forced migration in Europe Innovative humanitarian health financing for refugees Understanding the resilience of health systems Health security in the context of forced migration Discrimination as a health systems response to forced migration Health Policy and Systems Responses to Forced Migration offers unique and interdisciplinary theoretical, empirical, and literature-based perspectives that apply a health policy and systems approach to health and healthcare challenges among forced migrants. It will find an engaged audience among policy makers and analysts, international organizations, scholars in academia, think tanks, and students in undergraduate programs or at the graduate level, for policy, practice, and educational purposes.