Sydney Children's Hospital, School of Psychiatry, University of NSW, Sydney, NSW, Australia.
Curr Opin Psychiatry. 2012 Jul;25(4):285-92. doi: 10.1097/YCO.0b013e3283548676.
This article reviews evidence about the impact of immigration detention and other restrictive immigration policies on the mental health of children, young people and the adults who care for them. We review the implications of this for clinicians attempting to assess or work with incarcerated child and adult refugees and asylum seekers.
There are increasing numbers of adults and children seeking asylum across the globe and many nations use incarceration and other harsh and interceptive immigration practices. There is mounting evidence of the psychological harm associated with detention of already vulnerable adults and children. Australia is used as a case study.
Clinicians are required to consider the intersection of mental health assessment and treatment with human rights violations, and the impact of restrictive immigration policies, not only on asylum seekers and refugees but also on clinicians, clinical practice and professional ethics.
综述目的:本文综述了移民拘留和其他限制移民政策对儿童、青少年以及照顾他们的成年人心理健康的影响的证据。我们回顾了这些证据对试图评估或与被监禁的儿童和成年难民及寻求庇护者合作的临床医生的影响。
最新发现:全球寻求庇护的成年人和儿童人数不断增加,许多国家采用监禁和其他严厉和干预性的移民做法。越来越多的证据表明,拘留已经脆弱的成年人和儿童与心理伤害有关。澳大利亚被用作案例研究。
总结:临床医生需要考虑心理健康评估和治疗与侵犯人权以及限制移民政策的影响之间的交叉,这些影响不仅发生在寻求庇护者和难民身上,也发生在临床医生、临床实践和职业道德上。