Addressing the Invisible Affliction: An Assessment of Behavioral Health Services for Newly Resettled Refugees in the United States
Document Type
Journal Article
Publication Date
2-15-2019
Journal
Journal of International Migration and Integration
Volume
20
Issue
1
DOI
10.1007/s12134-018-0603-z
Keywords
Behavioral health; Depression; Integration; Psychiatry; PTSD; Refugee health; Resettlement
Abstract
The behavioral health needs of refugees in the USA remain insufficiently studied due to a lack of data on their assessment, referral, and treatment during the resettlement process. This study examines the current behavioral health service provisions for this population through individual interviews of refugee resettlement agency staff in the District of Columbia, Maryland, Virginia, and a nationwide survey of state refugee health coordinators. The results reveal shortfalls in behavioral health screening, clinical resources, and other federally mandated services along with linguistic and cultural obstacles facing refugees with potential behavioral health needs. This study offers actionable policy and procedural recommendations on the federal, state, and local levels to address these shortfalls. This includes increasing funding for healthcare entitlement programs and refugee resettlement agencies, improving screening procedures and treatment protocols, expanding federal and state oversight of mandated behavioral health services, and establishing community-partnered programs to reduce cultural and stigma-related barriers to behavior health care.
APA Citation
Afkhami, A., & Gorentz, K. (2019). Addressing the Invisible Affliction: An Assessment of Behavioral Health Services for Newly Resettled Refugees in the United States. Journal of International Migration and Integration, 20 (1). http://dx.doi.org/10.1007/s12134-018-0603-z