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Refugee Health:. Challenges of Providing Culturally Competent or Relevant Care Frances Saad, B.A., Psychology, MSW student, School of Social Work Family Medicine Research Institute Department of Family Medicine State University of New York at Buffalo. Demographics.

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refugee health

Refugee Health:

Challenges of Providing Culturally Competent or Relevant Care

Frances Saad, B.A., Psychology, MSW student, School of Social Work

Family Medicine Research Institute

Department of Family Medicine

State University of New York at Buffalo

© 2005 CDHS College Relations Group Buffalo State College/SUNY at Buffalo Research Foundation

demographics
Demographics
  • 25.8 million immigrants in the US - 1997
  • Major resettlement sites:
      • New York
      • California
      • Florida
      • Texas
      • New Jersey

© 2005 CDHS College Relations Group Buffalo State College/SUNY at Buffalo Research Foundation

categories of immigrants
Categories of Immigrants
  • Documented
  • Undocumented
  • Refugees
  • Asylum Seekers

© 2005 CDHS College Relations Group Buffalo State College/SUNY at Buffalo Research Foundation

western new york
Western New York
  • 10,000 new arrivals since 1996
  • 82% of new arrivals settle in 5 upstate counties:
      • Oneida
      • Erie
      • Monroe
      • Onondaga
      • Broome

© 2005 CDHS College Relations Group Buffalo State College/SUNY at Buffalo Research Foundation

health concerns
Health Concerns
  • Mental Health Issues
    • Torture
    • Violence
    • Post traumatic stress
    • Rape
    • Depression/anxiety
    • Psychosis

Refs: Refugee Reports

SAMHSA

© 2005 CDHS College Relations Group Buffalo State College/SUNY at Buffalo Research Foundation

health concerns6
Health Concerns
  • Infectious diseases
  • Malnutrition
  • Pregnancy
  • Lack of immunizations
  • Chronic diseases

© 2005 CDHS College Relations Group Buffalo State College/SUNY at Buffalo Research Foundation

Ackerman 1997

screening results
Screening results:
  • Over 55% of refugees are PPD +.
  • 5% are positive for Hep. B Antigen.
  • 31% positive for ova & parasites - including giardia.

© 2005 CDHS College Relations Group Buffalo State College/SUNY at Buffalo Research Foundation

screening results8
Screening results:
  • Erie County cares for 19% of arrivals.
  • 73% of refugees came from five countries:
          • Bosnia
          • Vietnam
          • Ukraine
          • Serbia
          • Belarus

© 2005 CDHS College Relations Group Buffalo State College/SUNY at Buffalo Research Foundation

what we did
What we did:

© 2005 CDHS College Relations Group Buffalo State College/SUNY at Buffalo Research Foundation

what we did10
What We Did:
  • Research
  • Collaborate
  • Involve medical students
  • Improve access
  • Provide communication
  • Screen and integrate
  • Educate community

© 2005 CDHS College Relations Group Buffalo State College/SUNY at Buffalo Research Foundation

slide11
© 2005 CDHS College Relations Group Buffalo State College/SUNY at Buffalo Research Foundation