INTRODUCTION Every year, approximately 900,000 refugees apply for asylum around the world. [1] Among asylum seekers, histories of human rights abuses and torture are quite frequent, [2,3,4] and among foreign-born patients in urban primary care clinics, the prevalence of histories of torture it could be as high as 11% overall [5,6] with much higher rates among subgroups. An asylum seeker is defined as a person who cannot or does not want to return to his or her country of citizenship due to persecution or a well-founded fear of persecution due to race, religion, nationality, membership of a particular social group or political opinion; he is already in the United States; and is requesting admission to a port of entry. [7] In 2012, nearly 30,000 people from a wide variety of countries in Asia and Africa were granted asylum in the United States [7]. Asylum seekers are particularly vulnerable as they often suffer psychological consequences of their experiences. There are significant long- and short-term consequences of human rights violations, including, but not limited to, post-traumatic stress disorder (PTSD), major depressive disorder, chronic pain syndromes, and physical limitations resulting from physical trauma. [8,9,10,11,12] Refugee asylum seekers face many barriers to accessing healthcare, including emotional and mental health issues, discrimination, significant resettlement challenges, fear of deportation, social assimilation, and language barriers . [13,14,15,16,17,28,29,20]Health system and asylum seekersThe health system currently does not offer practical opportunities to address the mental health problems of asylum-seeking refugees, partly due to the lack of a paradigm for routine and efficient treatment and detection modalities and a host of other areas... middle of paper... and psychiatric treatment requires adaptation to the needs of the individual or community. Shouldn't we facilitate other support modalities to fill the lack of validity and effectiveness of current diagnostic and therapeutic approaches? The United States is home to many immigrant groups and serves as a beacon for people seeking protection. As health care providers in the United States, we are privileged to work with diverse populations, including asylum seekers and refugees, providing and participating in global health services on our home turf and seeking to adequately care for and address the well-being of people caught between cultures. and systems. The United States welcomes thousands of refugees every year. This welcome can be extended and supported by broadening our cultural understanding and addressing mental illnesses and the psychosocial factors that impact their health.
tags