Your browser doesn't support javascript.
loading
Asylum seeker trauma in a student-run clinic: reducing barriers to forensic medical evaluations.
Gallagher, Aaron; Steiner, Gabriela; Michel, Martha; Nava Gonzales, Cesar; Mendez-Contreras, Sabrina; Lu, Alice; Armendariz, Marcos; DeFries, Triveni; Barakat, Suzanne; Kivlahan, Coleen.
Afiliação
  • Gallagher A; Human Rights Collaborative, University of California, San Francisco, San Francisco, CA, USA School of Medicine, University of California, San Francisco, San Francisco, CA, USA.
  • Steiner G; Human Rights Collaborative, University of California, San Francisco, San Francisco, CA, USA School of Medicine, University of California, San Francisco, San Francisco, CA, USA.
  • Michel M; Human Rights Collaborative, University of California, San Francisco, San Francisco, CA, USA.
  • Nava Gonzales C; Human Rights Collaborative, University of California, San Francisco, San Francisco, CA, USA School of Medicine, University of California, San Francisco, San Francisco, CA, USA.
  • Mendez-Contreras S; Human Rights Collaborative, University of California, San Francisco, San Francisco, CA, USA School of Medicine, University of California, San Francisco, San Francisco, CA, USA.
  • Lu A; Human Rights Collaborative, University of California, San Francisco, San Francisco, CA, USA School of Medicine, University of California, San Francisco, San Francisco, CA, USA.
  • Armendariz M; Human Rights Collaborative, University of California, San Francisco, San Francisco, CA, USA School of Medicine, University of California, San Francisco, San Francisco, CA, USA.
  • DeFries T; Human Rights Collaborative, University of California, San Francisco, San Francisco, CA, USA Division of General Internal Medicine, University of California, San Francisco, San Francisco, CA, USA.
  • Barakat S; Human Rights Collaborative, University of California, San Francisco, San Francisco, CA, USA Department of Community and Family Medicine, University of California, San Francisco, San Francisco, CA, USA.
  • Kivlahan C; Human Rights Collaborative, University of California, San Francisco, San Francisco, CA, USA Department of Community and Family Medicine, University of California, San Francisco, San Francisco, CA, USA.
Torture ; 32(3): 49-64, 2022.
Article em En | MEDLINE | ID: mdl-36519196
ABSTRACT
Introduction This research, through the analysis of the case-law of the Inter-American Court of Human Rights (IACtHR), seeks to shed light on the nexus between families of the missing' claims, their agency and State compliance with reparations. The IACtHR has a unique follow-up system in the area of reparations, where victims can directly address the judges during hearings. This paper suggests that victims' participation - before and after the judgment- pervades the legal rigidity of international jurisdictions and contributes to a better understanding of reparations.

INTRODUCTION:

The number of forcibly displaced immigrants seeking asylum in the United States continues to rapidly increase. Movement from Latin America to the United States was the third-largest migration worldwide in 2017 (Leyva-Flores et al., 2019). As migration patterns change, understanding the background and trauma profile of newly displaced populations is essential to meet their health needs and aid successful resettlement. University-affiliated student-run asylum clinics conduct a growing number of forensic medical evaluations of asylum seekers and provide a vital lens to study changes in this population's profile over time.

METHODS:

A retrospective review was conducted of the first 102 asylum seekers receiving forensic medical evaluations between 2019 and 2021 at a university-affiliated student- run clinic, reporting demographics; trauma, medical, and mental health histories; referral patterns; and legal outcomes. Bivariate statistics were used to investigate the relationship between past trauma and mental health outcomes.

RESULTS:

Clients reported an average of 4.4 different types of physical, psychological, and sexual ill-treatment per person. The current mental health burden was extensive with 86.9 percent of clients reporting symptoms of PTSD and/or depression. Clinician-student teams evaluated clients within a clinic structure deploying a continuous improvement model to reduce common barriers to forensic evaluations and promote longitudinal follow- up and referrals.

DISCUSSION:

This study demonstrates the complexity of trauma exposure reported by asylum seekers, contributes to the evidence on how trauma results in mental health outcomes, and describes trauma-centred clinic adaptations that reduce barriers to forensic evaluations known to improve the rates of legal protection.
Assuntos
Palavras-chave
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Refugiados / Clínica Dirigida por Estudantes Tipo de estudo: Prognostic_studies Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: Torture Assunto da revista: CIENCIAS SOCIAIS / REABILITACAO / TRAUMATOLOGIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Refugiados / Clínica Dirigida por Estudantes Tipo de estudo: Prognostic_studies Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: Torture Assunto da revista: CIENCIAS SOCIAIS / REABILITACAO / TRAUMATOLOGIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos