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Mental health assessments in refugees and asylum seekers: evaluation of a tablet-assisted screening software

MORINA, Naser
et al
October 2017

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Mental health problems resulting from persecution and forced migration are very common among refugees and asylum seekers and evolve into a major public health challenge. Language barriers often prevent timely access to appropriate health care, leading to chronic trajectories and abortive social integration. Tools for multilingual screening and assessment could be of great benefit for this particularly vulnerable population as well as for policy makers. This study aimed at testing the reliability, feasibility and usability of the Multi-Adaptive Psychological Screening Software (MAPSS), a newly developed Audio Computer-Assisted Self-Interview Software (ACASI) for touchscreen devices, for screening purposes in a clinical setting. In a randomized cross-over design including both MAPSS and paper-pencil clinician-administered interviews, 30 treatment-seeking refugees completed clinical measures and a feasibility questionnaire to rate the user interface of MAPSS. Five professionals performed given tasks in MAPSS and completed usability questionnaires for the administration interface.

Conflict and Health 2017 11:18

https://doi.org/10.1186/s13031-017-0120-2

Central African Republic: People with disabilities at high risk - 4 years into conflict, more support, protection needed

HUMAN RIGHTS WATCH
June 2017

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People with disabilities in the Central African Republic have faced violent attacks, forced displacement, and ongoing neglect in the humanitarian response, Human Rights Watch said today. A peace accord signed on June 19, 2017, offers a chance to help this abused and marginalized group.

People with disabilities face high risk from violent attacks and forced displacement and are being neglected by aid groups as conflict in the Central African Republic intensifies.

New Human Rights Watch research in the country shows that people with a range of disabilities are often unable to flee violence, are especially vulnerable to attack while trying to flee, and face unsafe and unhealthy conditions in displacement camps.

This video and blog page report on the problems faced by people with disabilities as conflict in the Central African Republic intensifies. People with a range of disabilities are often unable to flee violence, are especially vulnerable to attack while trying to flee, and face unsafe and unhealthy conditions in displacement camps.

Immigration and disability / Review of disability studies - Vol 13, No 2

THE REVIEW OF DISABILITY STUDIES
June 2017

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The latest issue of the Review of Disability Studies is out! Dive into this issues' topics ranging for Disability Studies in Physical Recreation, Social Participation of Children, Immigrants in Australia, Anxiety as a Tool for Critical Disability Studies, Film Genre and Mental Illness and much more.

Mental health and trauma in asylum seekers landing in Sicily in 2015: a descriptive study of neglected invisible wounds

CREPET, Anna
RITA, Francesco
REID, Anthony
et al
January 2017

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Abstract

 

Background

 

In 2015, Italy was the second most common point of entry for asylum seekers into Europe after Greece. The vast majority embarked from war-torn Libya; 80,000 people claimed asylum that year. Their medical conditions were assessed on arrival but their mental health needs were not addressed in any way, despite the likelihood of serious trauma before and during migration. Médecins sans Frontières (MSF), in agreement with the Italian Ministry of Health, provided mental health (MH) assessment and care for recently-landed asylum seekers in Sicily. This study documents mental health conditions, potentially traumatic events and post-migratory living difficulties experienced by asylum seekers in the MSF programme in 2014–15.

 

Methods

 

All asylum seekers transiting the 15 MSF-supported centres were invited to a psycho-educational session. A team of psychologists and cultural mediators then provided assessment and care for those identified with MH conditions. Potentially traumatic events experienced before and during the journey, as well as post-migratory living difficulties, were recorded. All those diagnosed with MH conditions from October 2014 to December 2015 were included in the study.

 

Results

 

Among 385 individuals who presented themselves for a MH screening during the study period, 193 (50%) were identified and diagnosed with MH conditions. Most were young, West African males who had left their home-countries more than a year prior to arrival. The most common MH conditions were post traumatic stress disorder (31%) and depression (20%). Potentially traumatic events were experienced frequently in the home country (60%) and during migration (89%). Being in a combat situation or at risk of death, having witnessed violence or death and having been in detention were the main traumas. Lack of activities, worries about home, loneliness and fear of being sent home were the main difficulties at the AS centres.

 

Conclusion

 

MH conditions, potentially traumatic events and post-migratory living difficulties are commonly experienced by recently-arrived ASs, this study suggests that mental health and psychosocial support and improved living circumstances should be integrated into European medical and social services provided by authorities in order to fulfil their humanitarian responsibility and reduce the burden of assimilation on receiving countries.

 

Keywords

 

Immigration Asylum seekers Refugee Mental health Italy Europe Traumatic event Operational research

Mental health and trauma in asylum seekers landing in Sicily in 2015: a descriptive study of neglected invisible wounds

CREPET, Anna
RITA, Francesco
REID, Anthony
et al
January 2017

Expand view

While the medical conditions of newly migrated asylum seekers to Sicily were being addressed, the mental health of those who may have experienced trauma before, during, or after their migration was not addressed. "Médecins sans Frontières (MSF), in agreement with the Italian Ministry of Health, provided mental health (MH) assessment and care for recently-landed asylum seekers in Sicily. This study documents mental health conditions, potentially traumatic events and post-migratory living difficulties experienced by asylum seekers in the MSF programme in 2014–15." 

Ageing in the twenty-first century : a celebration and a challenge

UNITED NATIONS POPULATION FUND (UNPF)
HELP AGE INTERNATIONAL
2012

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"This report, a collaborative effort of the United Nations and other major international organizations working in the area of population ageing, sheds light on progress towards implementing this Plan. It aims to raise awareness about the speed of population ageing and, more generally, about the experience of being old in our changing world. It recommends moving urgently to incorporate ageing issues into national development plans and poverty reduction strategies. It also shows that abuse, neglect and violence against older persons are much more prevalent than currently acknowledged, and points the way towards more effective prevention strategies and stronger legislation that can protect their human rights"

The feasibility of a universal pension in Belize

KNOX-VYDMANOV, Charles
June 2011

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"This study assesses the feasibility of putting in place a universal pension in Belize. The report is structured into five sections. Section one looks at the situation of older people in Belize today in terms of demographics, health, work and poverty. Section two considers the adequacy of the existing social security system, assessing coverage and, in particular, the effectiveness of the NCP in reaching the poorest older people. Following on from this analysis, section three outlines the rationale for a universal pension in Belize, both in terms of the pension system, and the impacts it would have on reducing the poverty of older people, their families and Belizean society as a whole. Section four then assesses the affordability of a universal pension, and section five considers key issues to take into account in implementation"

Making a living last longer : insights into older people's livelihood strategies

ERB, Susan
2011

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This research report explores the challenges faced by older people in securing a sustainable livelihood in four countries. The research found that older people face significant barriers in achieving livelihood security due to lack of regular, predictable and sufficient cash income such as non-contributory pensions. Gender, destitution, and emergency preparedness emerged as cross-cutting issues that affect older people’s livelihood challenges regardless of location. The research also found that older people have only limited access to microfinance institutions (MFIs) and banks, and therefore to credit and savings facilities. It concludes by highlighting key guiding principles for governments, community-based organisations, NGOs, MFIs and others working to support older people to achieve greater livelihood security

Achieving income security in old age for all Tanzanians : a study into the feasibility of a universal social pension

DANIEL, Smart
et al
May 2010

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"This report summarises the findings of an investigation into the feasibility of achieving universal access to old age income security through a social pension in Tanzania." The feasibility study provides an analysis of the cost, fiscal sustainability and financing options for a universal pension and concludes that introducing income security payments for all older Tanzanians is likely to significantly reduce old age poverty

Securing our common future : why investing in reducing age based vulnerabilities is necessary in the global economic crisis : background issues paper

BEALES, Sylvia
September 2009

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"This paper argues that comprehensive age friendly social policy responses to both the financial crisis and to demographic transition are necessary and affordable, and that a focus on investment in the health, livelihoods and economic security of the older poor for the benefit of future generations is more urgent than ever"

Global age-friendly cities : a guide

WORLD HEALTH ORGANIZATION (WHO)
2007

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Informed by WHO's approach to active ageing, the purpose of this guide is to engage cities to become more age-friendly so as to tap the potential that older people represent for humanity. An age-friendly city encourages active ageing by optimising opportunities for health, participation and security in order to enhance the quality of life of older people. Working with groups on 33 cities in all WHO regions, WHO asked older people in focus groups to describe the advantages and barriers they experience in 8 areas of city living. The results from these led to the development of a set of age-friendly city checklists

National fact sheet India (provisional data) : 2005-2006 National family health survey (NFHSIII)

INTERNATIONAL INSTITUTE FOR POPULATION SCIENCES, MUMBAI
2007

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This fact sheet presents provisional information on key indicators and trends at a national level from the 2005-2006 National Family Health Survey (NFHS-3), the third in the NFHS series of surveys. The survey provides information on population, health and nutrition in India and each of its 29 states, based on a sample of households which is representative at national and state levels. NFHS-3 provides trend data on key indicators and includes information on several new topics, such as HIV/AIDS-related behaviour and the health of slum populations. For the first time, NFHS-3 also provides information on men and unmarried women. In addition, HIV prevalence is measured at the national level and for selected states. The NFHS-3 fieldwork was conducted by 18 Research Organisations between December 2005 and August 2006

The state of world population 2005. The promise of equality : gender equity, reproductive health and the Millennium Development Goals

UNITED NATIONS POPULATION FUND (UNFPA)
2005

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This edition of UNFPA's annual report explores the extent to which the world is meeting the targets outlined in the Millennium Development Goals. It assesses progress, examines shortfalls and provides examples of interventions that have resulted in improvements in the lives of individuals, in families and countries. It highlights the importance of women's education, access to reproductive health services and stopping gender-based violence

Age and security : how social pensions can deliver effective aid to poor older people and their families. Summary report

HELPAGE INTERNATIONAL
2004

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This is a summary of a report published by HelpAge International, which highlights the benefits of non-contributory pensions for older people. Social pension schemes (either universal or means tested) are in place in a number of developing countries, including Senegal, South Africa, Argentina, Brazil, Bangladesh and India and the evidence shows that they are effective means of ensuring that basic material needs are met. The report argues that social pensions will: help achieve the Millennium Development Goals; contribute to the human rights agenda; effectively target aid at minimum cost and improve the life chances of orphans and vulnerable children

How high is infant mortality in Central and Eastern Europe and the CIS?

ALESHINA, Nadezhda
REDMOND, Gerry
November 2003

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Official statistics seem to suggest that in post-communist Europe infant mortality rates have significantly decreased through the 1990s. As infant mortality rate is a key indicator of the Millennium Development Goals, reliable measurement is crucial to assess progress. This paper argues that official counts may understate the gravity of the problem in at least 15 countries in the region. This may be due to unclear definitions of 'live birth' and 'stillbirth', misreporting of infant deaths, nonregistration of births or deaths. The paper also discusses the uncertainties associated with survey based estimates, and call for further work to be done to improve collection of data and effectiveness of surveys

Missing..... mapping the adverse child sex ratio in India

OFFICE OF THE REGISTRAR GENERAL AND CENSUS COMMISSIONER, INDIA (ORGCC)
MINISTRY OF HEALTH AND FAMILY WELFARE (MoHFW)
UNITED NATIONS POPULATION FUND (UNFPA)
June 2003

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This publication provides data and maps illustrating the adverse sex ratio in four states in India (Punjab, Haryana, Delhi and Gujarat), where there are less than 900 girls for 1000 boys

World population in 2300 : highlights

UNITED NATIONS SECRETARIAT (UN). Department of Economic and Social Affairs
2003

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A set of population projections to the year 2300 for each country of the world. All projection scenarios share the same assumptions about the steady decline of mortality after 2050 and the consequent increase of life expectancy. In addition, in all scenarios, international migration is assumed to be zero after 2050

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