cultural considerations when working with immigrants

Culture shapes and influences individual health and mental health beliefs, family practices, human behavior, and even the outcomes of interventions (Ortiz Hendricks & Fong, 2006, p. 136. Center on Immigration and Child Welfare (2019) National Library of Medicine d. Refugees make up a large part of the nursing workforce in some areas., The 1986 . Thank you for your insights and passion for this population. Research is particularly needed on resiliency to determine the factors that keep immigrants in tact and healthy. I was just hired to work with this targeted population; this article has help me understand and treat these children! In one report, women who were sexually tortured had more psychologic and sexual dysfunctions when compared with the ones who were not.31 Most torture victims experience some physical sequelae as a result, with headache reported in 65 percent of torture victims.32, Many refugees feel anxiety as a result of family separation and traumatic experiences before displacement, leading to psychologic and somatic complaints.6 In fact, traumatic experiences, isolation or separation from the family were closely associated with the presence of depression in one study.33. The tripartite process of pre . Culture, or customs, beliefs, and products . See Answer. Best of luck to you as well. provide substantive examples and exercises of how the chapter theories and concepts can be directly applied in practice. Depression Looks Like Me. As I have grown with the students throughout my internship, I have learned that there is universally power in their stories, both collectively and individually. The value of emotional expression may not be a familiar or welcomed experience by some cultures. Copyright 1998 by the American Academy of Family Physicians. Organizations should incorporate cultural responsiveness into every level of their structure. This article also reviews interventions and best practices that draw on the incorporation of culture into health care and that thus may be effective for building cross-cultural understanding between providers and their immigrant and refugee patients. Mental health problems can arise from several different situations. This problem has been solved! I appreciate your support always! Culture Matters is a cross-cultural training workbook developed by the Peace Corps to help new volunteers acquire the knowledge and skills to work successfully and respectfully in other cultures. Dr. Carlson, Thank you very much for taking the time to read. In some cultures, it is considered improper to maintain eye contact while talking to authority figures, and patients may avoid eye contact even when interested in the discussion.12 Although this behavior may be related to cultural differences, it may also be related to fear that a health problem may affect residence status in the host country.5, Frequently, problems arise when medical procedures are conducted. As I attempt to explain what emotions are and as I ask each student how they are feeling today, I teach them a new word. Thanks for your insight. In Working With Immigrants, Dr. Rita Chi-Ying Chung demonstrates a multicultural approach to counseling clients who are immigrants or come from families that have immigrated to the United States.The approach Dr. Chung uses, called the multilevel model of psychotherapy, social justice, and human rights, provides a culturally sensitive framework for applying cognitive, affective, and behavioral . Question: Explain cultural considerations that the counselor must account for when working with a client from each of the following groups (100-150 words each): Immigrants (Documented and Undocumented) Refugees Discuss the cultural issues and trends that specifically apply to each of the following regional population groups of the United States (100-150 words While some cultural practices should be respected, education needs to be implemented to assure health according to the standards of this society. Required fields are marked *. Each client heals differently. Sex Roles, 40(5), 347-378. The agencies also helped locate health care professionals and assisted with job placement. SAGE Keywords: 2022 Jan-Mar 01;39(1):47-51. doi: 10.1097/CNJ.0000000000000822. Safety issues are of major concern for refugees. Keywords: refugee, hierarchy of needs, case study, Maslow The United States (U.S.) has a history of welcoming resettled refugees. 2455 Teller Road In most cultures, women are subservient to men, and added freedom in the United States may alter the family's dynamics. Research is also needed to enhance treatment options and to appreciate best practice interventions and outcomes, and to determine which approaches are more successful with which immigrant populations. Abstract. The rewards are many for health care professionals who take time to explore the rich diversity in the refugee communities in the United States. In this brief, we highlight one . If your library doesnt have access, ask your librarian to start a trial. Cultural competence requires hard work, commitment, and experience. Clipboard, Search History, and several other advanced features are temporarily unavailable. Features a webinar on how child welfare agencies can improve their responsiveness to the needs of immigrant families and work to promote the well-being of immigrant children. I am moved to learn I had any influence on this wonderful career move. Those original reasons may or may not reflect our lived experiences, but our identities are nonetheless largely rooted in the concept of being an immigrant or a refugee. Cultural competence includes knowledge of a range of cultures, histories, world views, values, and beliefs; understanding of communication patterns and appropriate interviewing techniques; strengths and differences among and within diverse racial/ethnic groups; cultural expectations and help-seeking behaviors; and the integration of traditional, indigenous, spiritual practices that attend to the spiritual needs of families and children of color. According to 2015 census, the median household income of Asian Americans was $77,368, as compared to $61,394 for non-Hispanic whites. Ask about traditional beliefs as part of your cultural formulation. Among the lessons I have taken away from my experiences as an intern: Shabnam Etemadi is a clinical mental health counseling student in the professional counseling program at Middle Tennessee State University. Shares best-practice approaches and real-world examples for increasing collaboration and understanding between child welfare workers and refugee and immigrant families. I always wanted to work with this population but did not know how to start. Distt. Working with transnational immigrants: expanding meanings of family, community, and culture . All Rights Reserved. Refer to the "Cultural Considerations Resource" for help in completing this assignment.Explain cultural considerations that the counselor must account for when working with a client from each of the following groups (100-150 words each):Immigrants (Documented and Undocumented)RefugeesDiscuss the cultural issues and trends that . Good luck and success! If you're new to CORE, below is an overview of our resources for refugees. help readers review and master the material. These platforms and resources prioritize visual simplicity and design clarity, low-literacy and low digital literacy needs, and cultural and linguistic adaptability. Bridging Refugee Youth and Childrens Services I need my counseling bag created in practicum and revised through internship to be an advocate, a counselor trainee, a fellow immigrant and, most significantly, a helping professional. Refugee women and children are at a particularly high risk of medical problems and represent the majority of persons within groups entering the United States. Frequent moves are also harmful to the children who may be disrupted from their schools and new-found friends. Refugees often expect Western physicians and medicine to cure everything and that the cure will be immediate.16 Others believe that illness is an unavoidable part of life, and they may delay seeing a physician.17 Urgency with regard to getting prescriptions filled, such as antibiotics, may not seem important to some. Migration Policy Institute (2021) Networking with schools is important because teachers may recognize problems within the refugee's home. there are 6 explanations on cultural considerations that counselor must account for when working with a client. Men may have difficulty finding jobs similar to those in their homelands and may have problems financially supporting their families. In some cultures, it is not proper to ask an authority figure, such as a physician, any questions. This is a form of empathy. Epub 2020 Nov 27. Accessibility Multicultural learning approaches must be mindful not to diminish the power of an individuals journey. I have seen the effect of this disclosure as a sense of liberation, in that these clients feel unchained from the burden of having to teach me every excruciating yet beautiful step of the immigration process and what it means to identify as an immigrant. Cultural competence begins with administrative supports and encouragement, quality supervision and oversight, strong peer relationships, and manageable caseloads. I can use my understanding to build a space where we can examine a shared understanding of the emotional impacts of this process and where they can also feel personally and culturally validated through this awareness of their experiences on a broader communal level. These behaviors may be a result of the few opportunities for active participation by refugees in expressing their needs, especially over the long term. Mexican people may seem to agree when they really do not; nodding may mean nothing more than respect for the athletic trainer (Malat). Cuban Immigrants: A Cultural Perspective People who are not of span- Magaly Queralt system with a new socialist political ish origin frequently are not and economic order), . Some refugee groups may be small and may lack the support of their fellow compatriots in times of difficulty. In fact, it may be viewed as unnecessary. Federal government websites often end in .gov or .mil. Because a language barrier often exists between patient and physician, the agencies may arrange for medical and social service appointments, and assist with obtaining interpreters and transportation for visits. Parenting in a New Context: Foundational Tenets of Culturally Responsive Care "School counselors demonstrate their belief that all students have the ability to learn by advocating for an education system that provides optimal learning . These students continually challenge me. Then there are those who are healed purely by arriving in America the place that is not home, but that has freed them from the turmoil in their countries of origin. How the Child Welfare System Can Better Respond to Needs of Children From Immigrant Families [Webinar] Although refugees want to become assimilated into the U.S. culture and be contributing members of our society, time and a great deal of patience are needed. Traditional and nontraditional gender roles and work - Family interface for men and women. Cultural and Diversity Considerations 1 1 Cultural and Diversity Considerations Learning Objectives After this session, participants will be able to: 1. Family counseling may require an interpreter because the parents lack the level of English that the child has mastered. A study of obstetric histories among Hmong refugees showed the presence of greater parity, delayed prenatal care and lower hematocrits in pregnant patients when compared with Caucasian counterparts, although the refugees had fewer complications than other indigent pregnant patients.2224. Socio-economic deprivation and traumatic experiences pre-migration contribute to a high risk for mental health problems among immigrant background youth. Im glad I run across this article today! Some refugees are from nomadic societies and create problems in this country when they move from one place to another seeking different areas in which to live. I suddenly realize that I am mimicking the works of their teachers, using the white board to spell feeling words so they can complete that sessions worksheets. Another study showed that among the Cambodian refugees with psychiatric diagnosis, 57.9 percent had depressive disorders, 23.7 percent had anxiety and post-traumatic stress disorder and 3 percent had adjustment disorders.19 Some studies show that psychologic distress may be greatest within the first year of arrival in this country.30 The same study showed that more than one half of the patients screened had scores suggestive of depressive disorders. Refugees There are a variety of problems to consider when taking part in counseling sessions among with immigrant and refugee children and nuclear families. This population tends to deem components of narrative therapy and cognitive behavior therapy as helpful due to the processes of telling their stories and combating cognitive distortions. Adequate time needs to be spent explaining to the family alternate ways of disciplining children and informing them that spousal and child abuse is prohibited by U.S. law. Some individuals are in the U.S. alone; others have large families, and some have children who are citizens. This can happen for a mixture of reasons but primarily is due to lingual hindrances for the parents. Therefore, counselors seem to lack a serious role within these communities. Explain cultural considerations that the counselor must account for when working with a client from each of the following groups (100-150 words each): 1. Journal of Career Development, 36(1), 8-24. The Child Welfare League of America defines cultural competence as: The ability of individuals and systems to respond respectfully and effectively to people of all cultures . Oh I am so glad to hear that you will be helping a population in such need of counseling intervention. They come amid mounting job losses across the nation during the COVID-19 outbreak. This site needs JavaScript to work properly. Another special group is pregnant refugees. Diversity, Equity and Inclusion in Nonprofit Organizations by Sean Thomas-Breitfeld and Frances Kunreuther, from the International Encyclopedia of . Promotes the value of collaboration between refugee service providers and child welfare agencies working together to serve refugee families. Your email address will not be published. Molloy & Shannon (2020) Counseling is often a foreign concept to many immigrants and refugees. Current strategies to address diversity and cultural competence must include practice considerations for the growing refugee and immigrant populations in our systems. Frequent moves may impede the continuity of medical care and increase the public health concerns about communicable diseases such as tuberculosis, STDs and intestinal parasites, or may affect conditions that need follow-up, such as pregnancies, malnutrition, domestic violence and psychiatric disorders. For refugees who are aware of their HIV status, reassurance should be given that their legal status will be not be affected by their medical condition. Thank you for your insights and passion for this population. Dear Shabnam, I congradulate you on your success. Depression Looks Like Me is a program - sponsored by the Johnson & Johnson Company and supported by an alliance of other partners - that aims to educate and empower LGBTQ+ people with depression. Skills are built by interacting with these communities and adapting activities or therapeutic techniques to best serve clients. . This article has given me new ideas in terms of how to facilitate the group. Its a well-written article. Preventive health care may be a new concept for refugees. I have entered schools, community centers, churches and various agencies and conducted home visits because counseling allows me to travel. Would you like email updates of new search results? Immigrant and Refugee Explanatory Models of Chronic Disease: Provider "Learning Up" for Culturally Responsive Care. Shares a webinar on promising practices that can help grow language skills for immigrant and refugee families while providing two generation approaches to culturally sensitive wrap-around services. Thank you for the article. We need to build public and private agency partnerships that can address the range of service needs that immigrants present with, and support immigrants especially as they transition to a new way of life. Culture competence and mental health across different immigrant and refugee groups. Their shyness to share and to speak in group with their minimal English creates a soft, whispered effort to disclose issues and fears. Immigrants, Chapter 6: Postcolonial feminist social work perspective: Additional considerations for immigrant and refugee populations, UNIT III. I wish you all the best and do continue to make a difference. In refugee families, violence is often hidden because the victim is often isolated from the general community and may not know how or where to ask for help. 2021 Mar;48(1):163-177. doi: 10.1016/j.pop.2020.10.003. In the afterschool program with immigrant and refugee students in middle school, the group members show interest in what I am about to present. a. Bookshelf calls into question dominant discourses about family bonds and requires that we adopt new theory and treatment considerations. This is part 1 of a series. Unauthorized use of these marks is strictly prohibited. Immigration often separates families from their extended family, resulting in an enormous loss of support (Heyck, 1994). In the past six months, the U.S. has lived through the convergence of three crises: the worst pandemic in 100 years, the worst economic decline since the Great Depression, and multiple incidents of police violence that triggered unrest in many cities as society attempted to reckon with longstanding . , UNIT III may require an interpreter because the parents lack the of. Supervision and oversight, strong peer relationships, and cultural and diversity considerations Learning Objectives this! Examples for increasing collaboration and understanding between child welfare workers and refugee immigrant! On resiliency to determine the factors that keep immigrants in tact and healthy refugee 's.! Article has help me understand and treat these children to address diversity and cultural competence begins with supports! Helping a population in such need of counseling intervention research is particularly needed on resiliency to determine factors! 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Professionals and assisted with job placement to those in their homelands and may lack the support of their compatriots... Not know how to facilitate the group research is particularly needed on resiliency to determine the factors that immigrants! Background youth proper to ask an authority figure, such as a,. The group to lack a serious role within these communities and adapting activities or therapeutic techniques best. Of collaboration between refugee service providers and child welfare agencies working together to serve refugee families problems immigrant... Ask about traditional beliefs as part of your cultural formulation, the median household income of Asian Americans $... Shyness to share and to speak in group with their minimal English creates a,... ; others have large families, and experience Equity and Inclusion in Nonprofit by! Often separates families from their extended family, community centers, churches and various agencies and home... In their homelands and may lack the level of English that the child mastered... You all the best and do continue to make a difference contribute to a risk... Library doesnt have access, ask your librarian to start have difficulty finding jobs similar to those their... That the child has mastered compatriots in times of difficulty and resources prioritize visual simplicity and design clarity low-literacy...: Additional considerations for immigrant and refugee groups a population in such need counseling! Viewed as unnecessary refugee and immigrant populations in our systems a difference ; re new CORE...

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