[Script Info]
Title: 
[Events]
Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text
Dialogue: 0,0:00:03.86,0:00:05.38,Default,,0000,0000,0000,,Hello, I'm Suzan Song,
Dialogue: 0,0:00:05.38,0:00:08.76,Default,,0000,0000,0000,,Director of the Division of Child,\NAdolescent, and Family Psychiatry
Dialogue: 0,0:00:08.76,0:00:10.29,Default,,0000,0000,0000,,of George Washington University,
Dialogue: 0,0:00:10.41,0:00:12.17,Default,,0000,0000,0000,,and a Humanitarian Protecting Advisor
Dialogue: 0,0:00:12.17,0:00:15.27,Default,,0000,0000,0000,,for survivors of forced displacement\Nglobally and domestically.
Dialogue: 0,0:00:15.43,0:00:17.11,Default,,0000,0000,0000,,There has been an unprecedent surge
Dialogue: 0,0:00:17.11,0:00:19.19,Default,,0000,0000,0000,,in the number\Nof displaced people worldwide,
Dialogue: 0,0:00:19.40,0:00:22.96,Default,,0000,0000,0000,,including refugees, asylum seekers,\Nundocumented immigrants
Dialogue: 0,0:00:23.23,0:00:24.74,Default,,0000,0000,0000,,and unaccompanied minors.
Dialogue: 0,0:00:25.34,0:00:28.07,Default,,0000,0000,0000,,Around the world,\Nmore than 65 million people
Dialogue: 0,0:00:28.07,0:00:31.76,Default,,0000,0000,0000,,are currently displaced\Nby war, armed conflict or persecution.
Dialogue: 0,0:00:32.06,0:00:35.80,Default,,0000,0000,0000,,As of early 2018,\Nalmost 31 million children worldwide
Dialogue: 0,0:00:36.03,0:00:37.99,Default,,0000,0000,0000,,were displaced by violence and conflict.
Dialogue: 0,0:00:38.21,0:00:39.80,Default,,0000,0000,0000,,If these current trends continue,
Dialogue: 0,0:00:40.05,0:00:43.01,Default,,0000,0000,0000,,one in one hundred people\Nwill be a refugee in the near future.
Dialogue: 0,0:00:43.01,0:00:46.33,Default,,0000,0000,0000,,Unfortunately, most refugees and \Nsurvivors of force-displacement
Dialogue: 0,0:00:46.33,0:00:48.47,Default,,0000,0000,0000,,will not receive\Nneeded mental health care.
Dialogue: 0,0:00:48.69,0:00:52.14,Default,,0000,0000,0000,,due to discrecy of services,\Nlack of access to qualified care,
Dialogue: 0,0:00:52.55,0:00:54.48,Default,,0000,0000,0000,,and stigma against mental disorders.
Dialogue: 0,0:00:54.90,0:00:57.47,Default,,0000,0000,0000,,Refugees are those who've fled \Ntheir country of origin
Dialogue: 0,0:00:57.47,0:00:59.50,Default,,0000,0000,0000,,due to well-founded fears of persecution
Dialogue: 0,0:00:59.50,0:01:03.31,Default,,0000,0000,0000,,based on race, religion,\Nnationality, political opinion
Dialogue: 0,0:01:03.31,0:01:05.36,Default,,0000,0000,0000,,or membership\Nin a particular social group.
Dialogue: 0,0:01:05.75,0:01:08.44,Default,,0000,0000,0000,,Where as refugees request\Nprotection while overseas
Dialogue: 0,0:01:08.44,0:01:10.56,Default,,0000,0000,0000,,and they're given\Npermission to enter the US,
Dialogue: 0,0:01:10.76,0:01:13.97,Default,,0000,0000,0000,,People seeking asylum also have \Na well-founded fear of persecution.
Dialogue: 0,0:01:14.32,0:01:16.84,Default,,0000,0000,0000,,But they seek protection\Nwhile inside the US.
Dialogue: 0,0:01:17.18,0:01:19.30,Default,,0000,0000,0000,,Refugees and\Nother conflict affected persons
Dialogue: 0,0:01:19.30,0:01:22.00,Default,,0000,0000,0000,,are reported to have\Na 15 to 30 percent prevalence
Dialogue: 0,0:01:22.00,0:01:23.34,Default,,0000,0000,0000,,of PTSD and depression,
Dialogue: 0,0:01:23.73,0:01:28.90,Default,,0000,0000,0000,,compared to the 3.5% prevalence of PTSD \Namong non-refugee populations.
Dialogue: 0,0:01:29.26,0:01:31.40,Default,,0000,0000,0000,,The strongest predictors\Nof poor mental health
Dialogue: 0,0:01:31.40,0:01:34.59,Default,,0000,0000,0000,,are exposure to torture and\Na cumulative number of traumatic events.
Dialogue: 0,0:01:34.59,0:01:38.59,Default,,0000,0000,0000,,But torture, separation from family, \Nstressful asylum processes,
Dialogue: 0,0:01:38.76,0:01:41.36,Default,,0000,0000,0000,,isolation and disadvantage\Nin the host country
Dialogue: 0,0:01:41.47,0:01:43.17,Default,,0000,0000,0000,,all worsen mental health.
Dialogue: 0,0:01:43.49,0:01:46.52,Default,,0000,0000,0000,,The post-migration environment,\Nmainly prolonged detention,
Dialogue: 0,0:01:46.64,0:01:48.52,Default,,0000,0000,0000,,insecure immigration status,
Dialogue: 0,0:01:48.86,0:01:52.71,Default,,0000,0000,0000,,poor access of services\Nand limitations on work and education
Dialogue: 0,0:01:52.97,0:01:54.42,Default,,0000,0000,0000,,can worsen mental health.
Dialogue: 0,0:01:54.74,0:01:57.60,Default,,0000,0000,0000,,These do not provide the full scope of\Nemotional issues
Dialogue: 0,0:01:57.60,0:01:59.77,Default,,0000,0000,0000,,that many conflict defected person face
Dialogue: 0,0:01:59.96,0:02:02.94,Default,,0000,0000,0000,,including complicated grief, \Ncomplex trauma,
Dialogue: 0,0:02:03.23,0:02:07.01,Default,,0000,0000,0000,,despair, isolation,\Nanger and lack of trust.
Dialogue: 0,0:02:07.17,0:02:09.75,Default,,0000,0000,0000,,Many people are experiencing \Nnormal responses
Dialogue: 0,0:02:09.88,0:02:11.98,Default,,0000,0000,0000,,to very abnormal experiences.
Dialogue: 0,0:02:12.16,0:02:15.21,Default,,0000,0000,0000,,Over time, most refugees\Nshow low or no symptoms.
Dialogue: 0,0:02:15.59,0:02:18.06,Default,,0000,0000,0000,,A small number show\Na pattern of gradual recovery
Dialogue: 0,0:02:18.35,0:02:20.20,Default,,0000,0000,0000,,and a small minority remain chronic.
Dialogue: 0,0:02:20.95,0:02:24.71,Default,,0000,0000,0000,,So we need to evaluate the distinction\Nbetween situational forms of distress
Dialogue: 0,0:02:24.86,0:02:26.90,Default,,0000,0000,0000,,and a clear mental disorder for refugees.
Dialogue: 0,0:02:27.35,0:02:30.45,Default,,0000,0000,0000,,We do this by focusing on a dynamic \Ninterplay of exposure
Dialogue: 0,0:02:30.45,0:02:32.32,Default,,0000,0000,0000,,to past traumatic experiences,
Dialogue: 0,0:02:32.60,0:02:34.09,Default,,0000,0000,0000,,ongoing daily stressors
Dialogue: 0,0:02:34.34,0:02:37.30,Default,,0000,0000,0000,,and the core psycho social systems\Nthat one is embedded in.
Dialogue: 0,0:02:37.58,0:02:39.56,Default,,0000,0000,0000,,Psychiatrists can help these populations
Dialogue: 0,0:02:39.56,0:02:43.44,Default,,0000,0000,0000,,with culturally competent clinical work\Nwith refugees and asylum seekers.
Dialogue: 0,0:02:43.75,0:02:46.72,Default,,0000,0000,0000,,At a policy level by conducting \Nasylum evaluations
Dialogue: 0,0:02:46.72,0:02:50.18,Default,,0000,0000,0000,,and at the advocacy level\Nby promoting equity of access,
Dialogue: 0,0:02:50.42,0:02:54.12,Default,,0000,0000,0000,,sustainability of services for refugees\Nand forcibly displaces people,
Dialogue: 0,0:02:54.12,0:02:56.91,Default,,0000,0000,0000,,and by partnering\Nwith inter-disciplinary community members
Dialogue: 0,0:02:56.91,0:02:59.48,Default,,0000,0000,0000,,such as lawyers,\Neducators and policy makers
Dialogue: 0,0:02:59.66,0:03:02.14,Default,,0000,0000,0000,,to provide a safe system\Nfor which refugees
Dialogue: 0,0:03:02.14,0:03:04.54,Default,,0000,0000,0000,,and survivors of forced displacement\Ncan rely on.