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Hello, I'm Suzan Song,

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Director of the Division of Child,
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
globally and domestically.

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There has been an unprecedent surge

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in the number
of displaced people worldwide,

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including refugees, asylum seekers,
undocumented immigrants

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and unaccompanied minors.

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Around the world,
more than 65 million people

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are currently displaced
by war, armed conflict or persecution.

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As of early 2018, almost 31 million
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 
survivors of force-displacement

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will not receive needed mental 
health care.

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due to discrecy of services, lack of 
access of qualified care,

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and stigma against mental disorders.

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Refugees are those who fled 
their country urgent

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due to well-funded fear of 
persecution.

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based on race, religion, nationality, 
political opinion

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or membership on a particular 
social group.

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Worse refugees request protection 
all overseas

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are given permission to enter the US.

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People seeking asylum also have 
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

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to thirty percent prevalence PTSD and 
depression,

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

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The strongest predictor support 
mental health

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

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But torture, separation from family, 
stressful asylum processes,

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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.

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Insecure immigration status,

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poor access of services and limitation 
on work

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and education can worsen mental health.

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These do not provide the full scope of
emotional issues

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that many conflict defected person face

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including complicated grief, 
complex trauma,

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despair, isolation, anger and lack 
of trust.

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Many people are experiencing 
normal responses

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to vary abnormal experiences.

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Over time, most refugees shall low or 
no symptoms

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a small number show pattern of gradual 
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 
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
system that one is invented in.

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A psychiatrist can help this population

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with culturally
competent clinical work

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with refugees and asylum seekers.

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At the policy level by conducting 
asylum evaluations

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and at the advocacy level by
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
inter-disciplinary community member

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such as lawyers, educators and 
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.