ABSTRACT
Forced migration is increasing across the globe and the geopolitical context of providing equitable healthcare for new arrivals is perplexing for our systems of care and our personal practice of medicine. Refugees and people seeking asylum are forced to flee their countries – places we might see in the news – due to conflict and persecution. Many arrive in the UK having been threatened, detained, beaten or tortured. Sometimes perceived as being demanding or disengaged, many assumptions are made about asylum seekers and refugees. They are in fact a diverse group with their own important skills, often demonstrating phenomenal resilience in the face of extreme adversity; however, they are likely to have competing priorities and health may be low on their agenda.
This chapter explores further:
Differentiating the important statutory processes and definitions governing asylum applications that have an impact on health and well-being.
Identifying where barriers for forced exiles in accessing and utilising healthcare can be diminished.
Consultation skills that facilitate safe and effective care for vulnerable migrants.
Complexities of mental health for people who are displaced and traumatised, mindful of diverse cultural determinants that influence help-seeking behaviour.
Advocacy and liaison with other bodies including voluntary and community organisations.
The risks of vicarious traumatisation and how to mitigate them.
