Children and Youth (0–17)Mental Health AssessmentMental Health and Psychosocial SupportRefugeesEnglish
Mental Health in Refugees
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Overview
Refugees have high rates of mental health conditions due to pre-migration trauma, the migration journey, and post-migration stressors.
Common Conditions
- Post-traumatic stress disorder (PTSD)
- Depression
- Anxiety disorders
- Complicated grief
- Somatization
Screening
Consider using validated screening tools:
- PHQ-9 for depression
- GAD-7 for anxiety
- PC-PTSD-5 for PTSD
Note: Tools should be culturally validated and used with interpreters when needed.
Approach to Assessment
- Build trust over time
- Be aware of stigma around mental illness in many cultures
- Somatic symptoms may be the presenting complaint
- Normalize the experience of distress
Treatment Considerations
Psychotherapy
- Trauma-focused CBT
- EMDR
- Culturally adapted interventions
Pharmacotherapy
- SSRIs are first-line for depression and PTSD
- Start low, go slow
- Monitor for medication adherence and side effects
Referral Resources
Connect with local refugee mental health services and cultural community organizations.
Recursos externos
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