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Hello. I am Suzan Song, Director of the Division of
Child, Adolescent, and Family
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Psychiatry of George Washington University.
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and Huminatarian Protecting Advisor for survivor
of force displacement globally and domesticaly.
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There has been an unprecedent surge and a number
of displaced people of worldwide,
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including refugees, asylum seekers, undocumented
immigrants
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and under competied miners.
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Around the world, more than 65 million people
are currently displaced by
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war, arm conflict or persecution.
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As of early 2018, almost 30 million children worldwide were
displaced by violence and conflict.
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If these current turns continue, one on one hundred
people will be refugee in near future.
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And unfortunately, most refugee and survivors of force displacement will not received needed mental health care.
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due to discrecy of services, lack of access of qualified care, and stigma against mental disorder.
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Refugee are those who fled their country urgent due to well funded fear persecution.
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based on face, religion, nationality, political opinion
or membership on particular social group.
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Worse refugee request protection all overseas
are given permission to enter the US.
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People seeking asylum also have a well funded fear persecution.
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But the basic protection well inside the US.
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Refugees and other conflict defected person are reported
to have fifteen to thirty percent prevailance PTSD and depression,
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compare to the 3.5% of prevailance of PTSD among non refugee
population.
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The strongest predictor support mental health are exposure to torture and a cue of number traumatic events.
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But torture, separation from family, stressful silent processes,
isolation and disadvantage in the host country
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all worsen mental health.
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The post migration environment may prolong detention,
insecure immigration status,
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poor access of services and limitation on work
and education can worsen mental health.
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These are not provide the full scope of emotional
issues that many conflict defected person face
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including complicated grief, complex trauma,
despair, isolation, anger and lack of trust.
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Many people are experiencing normal responses
to vary abnormal experience.
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of normal experiences
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Overtime, most refugee shall low or no symptoms
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a small number show pattern of gradual recovery
and small minority remain chronic.
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So we need to evaluate the distinction between situational
form of distress
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and a clear mental disorder for refugees.
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We do this by focusing on a dynamic interplay of exposure
to past magnific experience
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on going daily stressors and the core psychosocial
system that one is invented in.
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Psychiatrist can help this population with culturally
competent clinical work
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with refugee and asylum seekers.
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At policy level by conducting asylum evaluation and at
the advocacy level by promoting equity of access
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sustainability of services for refugee and
forcibly displaces people.
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And by partnering inter disiplinary community member such as lawyer, educators and policy makers
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to provide system for with refugee and survivor of
force displacement can rely on.