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Hello, I'm Suzan Song,

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Director of the Division of Child,[br]Adolescent, and Family Psychiatry

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of George Washington University,

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and a Humanitarian Protecting Advisor

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for survivors of forced displacement[br]globally and domestically.

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There has been an unprecedent surge

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in the number[br]of displaced people worldwide,

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including refugees, asylum seekers,[br]undocumented immigrants

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and unaccompanied minors.

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Around the world,[br]more than 65 million people

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are currently displaced[br]by war, armed conflict or persecution.

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As of early 2018, almost 31 million[br]children worldwide

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were displaced by violence and conflict.

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If these current turns continue,

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one in one hundred people will

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be a refugee in near future.

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Unfortunately, most refugees and [br]survivors of force-displacement

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will not receive needed mental [br]health care.

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due to discrecy of services, lack of [br]access of qualified care,

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and stigma against mental disorders.

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Refugees are those who fled [br]their country urgent

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due to well-funded fear of [br]persecution.

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based on race, religion, nationality, [br]political opinion

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or membership on a particular [br]social group.

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Worse refugees request protection [br]all overseas

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are given permission to enter the US.

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People seeking asylum also have [br]well-funded fear persecution.

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But the basic protection well [br]inside the US.

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Refugees and other conflict defected [br]person are reported to have fifteen

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to thirty percent prevalence PTSD and [br]depression,

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compare to the 3.5% of prevalence of PTSD [br]among non-refugee populations.

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The strongest predictor support [br]mental health

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are exposure to torture and a cue of [br]number traumatic events.

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But torture, separation from family, [br]stressful asylum processes,

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isolation and disadvantage in the host [br]country

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all worsen mental health.

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The post-migration environment may prolong[br]detention.

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Insecure immigration status,

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poor access of services and limitation [br]on work

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and education can worsen mental health.

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These do not provide the full scope of[br]emotional issues

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that many conflict defected person face

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including complicated grief, [br]complex trauma,

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despair, isolation, anger and lack [br]of trust.

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Many people are experiencing [br]normal responses

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to vary abnormal experiences.

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Over time, most refugees shall low or [br]no symptoms

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a small number show pattern of gradual [br]recovery

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and a small minority remain chronic.

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So we need to evaluate the distinction

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between situational forms 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 [br]interplay of exposure

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to past magnific experiences

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on going daily stressors

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and the core psycho social[br]system that one is invented in.

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A psychiatrist can help this population

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with culturally[br]competent clinical work

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with refugees and asylum seekers.

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At the policy level by conducting [br]asylum evaluations

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and at the advocacy level by[br]promoting equity of access

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sustainability of services for refugees

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and forcibly displaces people.

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And by partnering with[br]inter-disciplinary community member

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such as lawyers, educators and [br]policy makers

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to provide a safe system for

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which refugee and survivor

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of forced displacement can rely on.