Homeless Afghan Refugee Presenting Psychiatric Symptoms: A Call to Action

Wednesday, 24 July 2013

Susan E. Jacobson, RN, MS
Inova Behavioral Health, Fairfax, VA

Learning Objective 1: The learner will be able to describe "demoralization" when advance practice nurses apply trauma informed care to the unique needs of refugees, immigrants and asylees.

Learning Objective 2: The learner will be able to explain an assertive approach to addressing the community mental health needs of refugees, immigrants and asylees.

Demoralization is a real threat to patients when advance practice nurses apply trauma informed care principles to the unique needs of refugees, immigrants and asylees. Indeed, the backbone of assertive community treatment has grown in anticipation of using patient strengths to support functioning. In this case study, the author uses the Harvard Program in Refugee Trauma to illustrate the real work that is occurring with refugees, immigrants, and asylees in a large metropolitan community setting. Mental Health care provided to emerging groups in community settings extends beyond place-bound services. This case study highlights the myriad of needs, and unique skills of the provider in a race to overcome the added complication of demoralization in providing competent treatment. Lessons learned are valuable to all mental health providers.