Oxford Textbook of Migrant Psychiatry

Description

Migrant psychiatry is an evolving subdiscipline within cultural psychiatry that deals with the impact of migration on the mental health of those who have migrated and those who work with these groups and provide services to them. Stress related to migration affects migrants and their extended families either directly or indirectly. The process of migration is not just a phase, but leads on to a series of adjustments, including acculturation, which may occur across generations. Factors such as changes in diet, attitudes and beliefs, and overall adjustment are important in settling down and making the individuals feel secure. This period of adjustment will depend upon the individual migrant's pre-migration experiences, migration process and post-migration experiences, but also upon an individual's personality, social support and emotional response to migration. Socio-demographic factors, such as age, gender, educational, and economic status will all play a role in post-migration adjustment. In order to understand the impact on individuals, not only the type of migration and different stressors, but also the types of psychological mechanisms at a personal level and the resources and processes at a societal level need to be explored. Despite the number of refugees and asylum seekers around the world increasing at an astonishing rate, the mental health needs of migrants are often ignored by policy makers and clinicians. The Oxford Textbook of Migrant Psychiatry is designed to serve as the comprehensive reference resource on the mental health of migrants, bringing together both theoretical and practical aspects of the mental health needs of refugees and asylum seekers for researchers and professionals. Individual chapters summarise theoretical constructs related to theories of migration, the impact of migration on mental health and adjustment, collective trauma, individual identity and diagnostic fallacies. The book also covers the practical aspects of patient management including cultural factors, ethnopsychopharmacology, therapeutic interaction and therapeutic expectation, and psychotherapy. Finally, the book will examine special clinical problems and special patient groups. Part of the authoritative Oxford Textbooks in Psychiatry series, this resource will serve as an essential reference for psychiatrists, mental health professionals, general practitioners/primary care physicians, social workers, policy makers and voluntary agencies dealing with refugees and asylum seekers. Cover Series Page Oxford Textbook of Migrant Psychiatry Copyright Dedication Foreword Preface Contents Abbreviations Contributors SECTION 1 Background 1 Introduction 2 Geopolitics of migration and refugees 3 Political and institutional determinants of migration policies 4 Prejudice, ethnic discrimination, and double jeopardy in migrants 5 Global cultures as a consequence of globalization of mental health 6 Gender perspectives in migration 7 A psychosocial approach to working with victims of trafficking with means of sexual exploitation 8 The new face of exploited children in Europe 9 Mental health needs of lesbian, gay, bisexual, and transgender migrants 10 Urbanization and its impact on migrant mental health 11 Trauma and migration 12 Collective trauma SECTION 2 Pre-migration 13 Mental health issues of child refugees and migrants 14 Vulnerability, psychopathology, and creativity of the children and adolescents of migrants 15 Effects of migration on women’s psychosocial health: focus on the Mediterranean region 16 Experiences of elderly migrants in a new country 17 Families migrating together 18 Psychosocial and mental health impacts of migration on ‘left-behind’ children of international migrant workers 19 Forced migration 20 Out-migration and social capital 21 Micro-migration 22 Disability and forced migration SECTION 3 Migration 23 Internal migration 24 General health needs of migrants and refugees 25 Physical migration 26 Physical and psychological resilience and migration 27 Migration governance and mental health 28 Refugees and asylum seekers 29 High-skilled migration and mental health: challenges and solutions SECTION 4 Post-migration 30 Sociocultural phenomenology of world migrations 31 The cross-cultural assessment of migrants 32 Refugee and asylum seekers’ experiences 33 Principles for the management of physical and mental health care in migrants 34 Managing relationships and psychotherapy 35 Community-based mental health care and narrative exposure therapy 36 Migrant acculturation and adaptation 37 Cultural bereavement, cultural congruity, and identities 38 Intercultural mediation in mental health care 39 Working with interpreters 40 Migration and mental health care in the European Union 41 Refugees, torture, and dehumanization 42 Refugee, migrant, and asylum seeker experiences: the Balkan perspective 43 Needs of child refugees and economic factors 44 Media setting the agenda: the various shapes of media othering 45 Immigration: migrant perspective 46 Early assessment of mental health and options for documentation of torture in newly arrived asylum seekers 47 Safety for children: how can we support parents and caregivers in reception centres and early phases of resettlement? 48 Women and migration: psychopathology 49 Children and vulnerable groups services 50 Ethics and migrant psychiatry: principles, challenges, and solutions 51 Mental health of refugees in primary care 52 Separate or integrated services? 53 Specialist services: practice SECTION 5 Psychotherapeutic techniques 54 Handling cultural differences between patient and clinician 55 Therapeutic skills and therapeutic expectations in the treatment of migrant individuals and their families 56 Psychiatric disorders in refugees and immigrants: treatment goals and planning 57 Psychopharmacology and refugees, asylum seekers, and migrants 58 Psychotherapy and refugees SECTION 6 Special issues 59 Intercultural counselling and psychotherapy with new immigrants and refugees 60 Post-traumatic stress disorder in refugee and migrant mental health 61 Race and racism’s impact on mental wellness 62 Psychiatric emergencies in asylum seekers 63 Suicide among refugees: the silent story 64 Acculturation and suicide-related risk among Latin American migrants 65 Resettlement stressors and family factors in refugee child and adolescent psychopathology 66 Identifying service needs 67 Separate services or integrated services 68 An early intervention framework for the emotional health and well-being of unaccompanied minors 69 Transforming identities: meeting the needs of refugee and asylum-seeking children in a child and adolescent mental health service in the National Health Service 70 International medical graduates’ contributions to psychiatry—a historical review 71 Dynamics of international medical graduates’ migration: challenges and opportunities 72 Developing psychiatric services for migrants, refugees, and asylum seekers 73 Use of telepsychiatry for the management of mental health problems in migrants 74 Returning migrants: mental and physical health needs 75 What next? Index