Family physician practising in Toronto, Ont, and is a faculty member in the Department of Family and Community Medicine at the University of Toronto.
Family physician practising in London, Ont, and is a faculty member in the Department of Family Medicine at Western University in London.
Can Fam Physician. 2018 Aug;64(8):567-573.
To provide a framework for primary care providers to approach developmental disabilities in both refugee and nonrefugee immigrant populations.
Ovid MEDLINE was searched from January 2005 to February 2017 using subject headings and for relevant English-language articles. Most of the content and recommendations in this review are derived from the Canadian Paediatric Society's Caring for Kids New to Canada website.
As family physicians, it can be daunting to care for newcomer families who arrive without previous developmental disability or delay screening and diagnoses. Disruption to families and education, decreased health literacy, witnessed traumatic events, and culturally specific barriers can affect the presentation of developmental concerns among refugees and immigrants. Surveillance and screening for developmental concerns in a culturally sensitive manner using evidence-based tools are cornerstones of early intervention.
For refugees in particular, in light of the inequities they have faced before migration and during their migration trajectory, screening for developmental disabilities and intervening provides an opportunity to help achieve equitable outcomes for refugee children and optimize their health and well-being.
为初级保健提供者提供一个框架，以处理难民和非难民移民群体中的发育障碍问题。
使用主题词和 对 2005 年 1 月至 2017 年 2 月期间的 Ovid MEDLINE 进行了检索，以获取相关的英文文章。本综述的大部分内容和建议均源自加拿大儿科学会的“关爱新移民儿童”网站。
作为家庭医生，为没有先前发育障碍或延迟筛查和诊断的新移民家庭提供护理可能会令人望而却步。家庭和教育的中断、健康素养的降低、目睹创伤性事件以及特定于文化的障碍都可能影响难民和移民中发育问题的表现。使用基于证据的工具以文化敏感的方式对发育问题进行监测和筛查是早期干预的基石。
特别是对于难民而言，鉴于他们在移民前和移民过程中所面临的不平等，筛查发育障碍并进行干预为帮助实现难民儿童的公平结果以及优化他们的健康和福祉提供了机会。
