Over the years, war, ethnic cleansing, and genocide around the world have resulted in attacks on and widespread torture of civilians. Mental health professionals serving the needs of refugees in the US can better treat psychiatric disorders resulting from trauma (eg, depression, PTSD) if they have an understanding of cross-cultural needs of the patient.
TIPSHEET: ADDRESSING CROSS-CULTURAL NEEDS OF REFUGEES AFFECTED BY TRAUMA
■Keep in mind that violence has severe and pernicious effects, with symptoms that may remit but can easily be reactivated
■Be culturally sensitive and aware of the effects of massive trauma
■Have an empathetic interpreter who can accurately translate verbal and nonverbal communication and who is emotionally in tune with patients
■Do not hurry the patient; take the time to learn the full scope of the patient's life experiences
■Take a trauma history, noting its effects on the patient—psychological, medical, and social
■Actively treat depression, sleep disorders, and nightmares with appropriate medications
■Inquire about aggressive behavior or intolerance, which can cause family and social problems
■Be prepared for a chronic course of mental disability, with remissions and exacerbations
■Provide a safe, confidential, trusting relationship with an American professional—the most helpful aspect of the therapeutic encounter
For more information on clinical symptoms displayed by victim refugees and treatment options, please see “A Model for Treating Refugees Traumatized by Violence," by J. David Kinzie, MD, from which this Tipsheet was adapted.