Designed to establish a foundational framework for working with trauma-exposed immigrants and refugees, this important work introduces innovative approaches to address client mental health problems while supporting adjustment to life in a new country. This practice-oriented book emphasizes the relevance of Western approaches while reorienting Western concepts to be more culturally sensitive from a domestic and international perspective. Grounded in critical thinking and strengthened by an ecological systems perspective, the book presents six different models for applying and integrating Western theory and related practice strategies for working with individuals, families, groups, communities, organizations, volunteers, and local workforces.
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UNIT I. BASIC DEFINITIONS AND CONSTRUCTS
Key terms
Assessment/Eligibility stage
Post Decision assistance
Citizenship
Reflection Questions
Case Study
Introduction
The Migration Process
Pre-migration experiences
Experiences in transit based on immigration status
Post-migration resettlement: The refugee experience
Key elements of adjustment
Implications for the field
Case Study
Reflective Questions
Summative Points
Glossary
Health Considerations
Mental Health Conderations
UNIT II. THEORETICAL ORIENTATIONS AND RE-ORIENTATION
Defining Transnational Practice
Relevance of a Transnational Perspective for Direct Practice
Historical Perspective: A look back at perspectives applied to immigrants
Defining transnational practice as the client’s process
Western theoretical approaches: Current foundations for practice
Examination of methods for adapting practice methods to focus on transnational processes
Implications for professionals
Reflective Questions
Critical Thinking Exercises
Case Study
Summative Points
Group vs. Personal Discrimination
Contexts of Everyday Discrimination: The Workplace
Contexts of Everyday Discrimination: Neighborhoods and Communities
Coping with Discrimination: Forbearance or Confrontation?
Conclusion
Summative Points
Case Study
Reflective Questions
A Postcolonial Feminist Social Work Perspective
Risk Factors for Poor Mental Health Outcomes
Globalization and Global Inequality
U.S. Immigration Policies of Detention and Deportation
Mental Health Promotion through Collective Resistance and Empowerment
Resistance to Economic Insecurity
Resisting Deportation and Detention
Becoming Stronger Allies
Implications for Mental Health Providers
UNIT III. INTERVENTION MODALITIES USING AN INTEGRATIVE APPROACH
The Evolution of Practice with Individuals
Central themes when conducting therapy with trauma-exposed immigrants and refugees
Practice considerations with trauma-exposed immigrants and refugees
Culturally-sensitive direct practice with immigrants and refugees
Summative Points
Glossary
Literature Review
Relevance of the Family for Immigrants and Refugees
Stages of Migration
Common Problems and Potential Harm with Impaired Family Connections
Provider Response and the Application of Practice Principals
History and Focus of El Manual de Salud Emocional (Manual of Emotional Health)
Stages of Migration and Resultant Difficulties
Topics and Activities for the Immigrant Women’s Groups
Discussion and Implications for Future Groups
The Meaning of Community
Why Community Practice?
Theoretical Foundations
Community “Best Practices”: Working in Partnership with Transnational Populations Collaborative and Community-Driven
Application of Community-Based Practices
Implications for Professionals Working in Community-Based Settings
Introduction
The Cultural Mergence Model
Multilevel Elements of the Cultural Mergence Model
Application with Trauma-Exposed New Immigrants
Introduction
Setting the context
Ecological Framework for analysis: An integrative approach to training
Setting the scene and planning and building the foundations for effective capacity building
Professional preparation prior to departure
Facilitating a Learning and Training Needs Assessment (LTNA)
Reflective Questions
Summative Points
Glossary
UNIT IV. PRACTICAL APPLICATIONS WITH TRAUMA-EXPOSED IMMIGRANTS AND REFUGEES
Refugee Trauma and the Challenges Facing Forced Émigrés and Transnational Migrants
Detrimental Effects of Torture
Multiple domains of marginalization
Interdisciplinary Treatment of Torture Survivors and Forced Émigrés
Conclusion
Introduction
Working with Migrant Women Experiencing Intimate Partner Violence, Sexual Violence, and Human Trafficking
Working with Women Experiencing Sexual Violence and Intimate Partner Violence
Conclusion
The Importance of Language
Defining sexual orientation, gender identity, gender expression
Identity Formation and Practice Considerations
Sexual Identity: The Cass Model (1979)
A Context for LGBTQ Health
Theory to Practice Integration
The Gay Affirmative Practice Framework
Applying a trauma-informed lens when working with LGBTQ immigrants and refugees
Final Thoughts
Summative Points
Children and Trauma
Migration, Trauma, loss and Displacement and Resilience among refugee and immigrant children
Refugee and Immigrant Mental Health Symptoms and Service Utilization
Barriers to Mental Health Care Access
Strategies for Improving Services for Refugee and Immigrant Children
Example of a culturally responsive trauma-focused treatment program for refugee youth
Case Study
Summative Points
Reflective Questions
UNIT V. CONSOLIDATION
Introduction
Relevance of pre-migration and post-migration experiences
The role of culture
Transnational Practice: A culturally-relevant approach to supporting immigrant and refugee clients.
Treatment modalities: Lessons learned
Specific needs among immigrant and refugee communities: Lessons learned
The common denominators of transnational practice
Collaborating and connecting: Building a transnational workforce
Reflective Questions
The Current Migration Crisis
Social Work’s Rich History
Social Work is a Global, Human Rights Profession
Human Needs and Human Rights
A Structural Framework for Settlement Practice
War Refugees: Trauma Related to Terror and Persecution
Environmental Refugees: Trauma Related to Natural Disasters
The Plight of Immigrant Children in the United States
A Framework for Trauma-Informed Care
Implications for Social Workers
Micro Issues
Macro Issues
Reflective Questions
KEY FEATURES:
- In-depth discussions of theoretical practices show readers how to engage immigrants and refugees in the most culturally appropriate and relevant manner possible.
- Coverage of unique topics including practice with survivors of torture, women, LGBTQ immigrants/refugees, and youth provide guiding frameworks and examples for effective practice.
- Reflective questions and case studies provide substantive examples and exercises of how the chapter theories and concepts can be directly applied in practice.
- Implications for transnational practice and ethical standards spanning a global professional context are covered in a final chapter.
- Chapter highlights and summative points help readers review and master the material.
- A comprehensive appendix offers resources and websites to further inform practice.