The asylum debacle in Australia: a challenge for psychiatry.
OBJECTIVE
To examine the mental health consequences of contemporary Australian policies pertaining to asylum seekers and to consider the possible roles of psychiatrists in responding to this issue.


METHODS
Historical and political factors driving policy are considered. The results of Australian studies examining the mental health of asylum seekers are reviewed.


RESULTS
Available research shows high rates of trauma, posttraumatic stress disorder (PTSD) and depression in asylum seekers. The conditions of the postmigration environment influence outcomes. Psychiatrists working with other agencies continue to advocate for this group. Important roles include the provision of clinical services, undertaking and disseminating research, acting as expert witnesses and consultants, and writing reports for refugee applicants.


CONCLUSIONS
Complex political motivations steer asylum policy. Psychiatric formulations are important in considering the impact of contemporary policy, but a wider ecological model is needed to understand acts of desperation displayed by asylum seekers,particularly those in long-term detention. Sustained effort will be needed to alter a policy of exclusion that has become entrenched.
Silove
Derrick
D
Psychiatry Research and Teaching Unit, School of Psychiatry, University of New South Wales, Sydney, Australia. d.silove@unsw.edu.au
D001315:Australia; D004641:Emigration and Immigration; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000209:etiology* / Q000523:psychology*; D008875:Middle Aged; D012036:Refugees / Q000523:psychology*