title: Clinical issues in mental health service delivery to refugees.
abstract: Serious limitations exist in the delivery of mental health services to refugees throughout the resettlement process. Having survived harrowing physical and psychological traumas prior to reaching refugee camps, many refugees encounter mental health services in overseas camps that are characterized by fragmentation, instability, language barriers, and severe staff shortages. Refugees requiring mental health intervention after resettlement in the United States confront additional barriers, including frequent misdiagnosis, inappropriate use of interpreters and paraprofessionals, and culturally inappropriate treatment methods. Suggestions for improving mental health services for refugee populations emphasize modifying diagnostic assumptions and treatment approaches, recognizing potential problems associated with using interpreters and paraprofessionals, and examining the role of consultation, prevention, and outreach services in addressing refugee mental health concerns.
authors.affiliation: Center for Health Sciences, University of California, Los Angeles 90024.
authors.forename: E
authors.initials: E
authors.lastname: Gong-Guy
authors.forename: R B
authors.initials: RB
authors.lastname: Cravens
authors.forename: T E
authors.initials: TE
authors.lastname: Patterson
mesh_terms: D000069:Acculturation; D003156:Community Mental Health Services / Q000639:trends*; D003431:Cross-Cultural Comparison; D006301:Health Services Needs and Demand / Q000639:trends*; D006801:Humans; D008016:Life Change Events; D001523:Mental Disorders / Q000517:prevention & control* / Q000523:psychology; D012036:Refugees / Q000523:psychology*; D014481:United States