The book's content is compelling and timely: ¿ Absolutely indispensable is the chapter on children and adolescents, who have borne the brunt of recent policy changes mandating family separation. The complex issue of acculturative stress for immigrant, refugee, and asylum-seeking children, youth, and families in the face of negative stereotyping and economic and educational disadvantage is addressed, as is mitigating the risk of long-term developmental trauma.¿ The Oregon Model, developed and launched by the editors and explained in depth in the book, is a research-grounded, team-based treatment model that accommodates the language of refugees, shows respect for their cultural traditions and behaviors, understands the traumas and tragedies of their life experience, and above all demonstrates empathy. ¿ Psychiatric assessment and both biological and psychological treatment of individuals and families are covered in several chapters, which include techniques involved in adapting individual, group, and family psychotherapy. Each chapter includes clinical case examples to effectively illustrate diverse issues in assessment and treatment.¿ The psychiatric assessment and treatment of traumatized refugees raises a wide range of ethical issues, which are examined in a thoughtful and nuanced chapter, in which the author points out that the nature of the refugee experience invariably results in a blurring between the considerations of clinical ethics, which focuses primarily on the doctor-patient relationship, and the broader human rights domain which extends to the relationship of the individual and group to the state.
The Psychiatric Evaluation and Treatment of Refugees will help mental healthcare providers deliver culturally and psychologically sensitive care to patients and clients grappling with past and present trauma and the trials of adjustment in a landscape that can be ethically challenging and emotionally overwhelming.
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