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.
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