Medical

Join the Conversation

Tuesday, July 7th to Wednesday, September 30th

Please join us in an online, open forum on telehealth. NCB is providing an opportunity for clinicians to ask each other questions, share observations and adapted telehealth protocols for the SoT population via an online forum and technical exchange. This conversation will be a forum for peer-led informational exchange. NCB staff will assist in facilitating and monitoring the conversation.

Directions: Please watch Eugene Augusterfer’s presentation and interview Telemedicine in Mental Health first. Then feel free to join us in this open forum. All are welcome to join this forum, whether you have an account on Healtorture.org or not. For more information on using the forum, please read the directions on the first post. Please keep your comments respectful, relevant, factual, and do not share identifying information about clients per client privacy and HIPAA regulations. This forum will be open from July 6, 2020 through September 30, 2020.

Tele-Therapy Software

(Updated 6/25/2020)

Below are some tele-health software and tips shared with us by a variety of different organizations through various channels including NCB's Advisory Group and our listserv. Please check your state and local regulations and verify any information before moving forward with any platform. If you would like to share information with us to post, please email Ann Lundberg, NCB Logistics and Communications Coordinator, at alundberg@cvt.org.

Caring for Refugees and Survivors of Torture: Integrative Medicine, The Mind-Body Connection, and Internal Energy Arts

PRESENTER: Michael Grodin, MD – Professor of Psychiatry, Family Medicine, Bioethics, and Human Rights; Co-Founder, Boston Center for Refugee Health and Human Rights; Medical Ethicist Boston Medical Center; Medical Acupuncturist

TOPIC: Integrating Complementary and Alternative Medicine (Qigong, Tai Chi, Acupuncture and more) into mental health treatment of torture survivors. This webinar is 90 minutes long, and contains both a presentation, and a discussion period.

This is the first in the Advanced Clinicians webinar series.

 

Suggested discussion questions

Do you anticipate applying CAM

Improving Well-Being for Refugees in Primary Care: A Toolkit for Providers

CVT’s NEW Toolkit for Providers Working with Refugees

Meet Paw, a refugee from Burma seeking medical care in the U.S. for her headaches, nightmares and physical pain. She’s unfamiliar with the U.S. primary care system and she doesn’t speak English. Waiting alone at her first doctor appointment, Paw wonders, “How will the doctor understand me? What if I don’t like my interpreter? Will I ever be healthy again?” Paw’s questions don’t end there. They’re only a few of several listed in in CVT’s new manual, “Improving Well Being for Refugees in Primary Care: A Toolkit for Providers.”  Paw is a fictional character whose real-life experiences mirror those of clients in CVT’s Healing Hearts program.

Dental

Torture survivors who migrate to the United States often face numerous dental needs requiring immediate periodontal care. One study which assessed the oral health status of 216 refugee torture survivors living in the United States found that 90% of the survivors required immediate intervention and 76% had untreated cavities (Singh et al, 2008).  While treatment options may be available, very few dentists receive training to address the unique demands and challenges when providing care to a vulnerable population.

Managing chronic pain in survivors of torture

Amris K, Williams AC. Pain Manag. 2015;5(1):5-12. 

All generalist and specialist clinicians are likely to encounter torture survivors among refugees and asylum seekers. A minority of people survive torture and a smaller minority reach a developed country; those who do tend to be the more resilient and resourceful. They have many health, social and welfare problems; persistent pain in the musculoskeletal system is one of the most common. There is little specific evidence on pain in survivors of torture; the guidelines on interdisciplinary specialist management are applicable.

Psychological, social and welfare interventions for psychological health and well-being of torture survivors

Patel N, Kellezi B, Williams ACDC. Cochrane Database of Systematic Reviews 2014, Issue 11. 

This article is a systematic literature review, assessing the beneficial and adverse effects of psychological, social and welfare interventions for torture survivors, and comparing these effects with those reported by active and inactive controls.

Nine RCTs were included in this review. All were of psychological interventions; none provided social or welfare interventions. The nine trials provided data for 507 adults; none involved children or adolescents.

Knowledge and quality of life in female torture survivors

Pabilonia W, Combs SP, Cook PF. Torture. 2010;20(1):4-22.

Immigrant women represent disadvantaged and vulnerable members of the torture survivor population.They tend to be isolated and have negative coping strategies resulting in poor health and well-being. The purpose of this pilot study is to develop and evaluate an educational and interactive women's health-based programme using health promotion and empowerment strategies, with the intent of using the knowledge gained to contribute to an ongoing women's health programme.

Little is currently known about health-based interventions for the

Socio-demographic and dietary factors associated with excess body weight and abdominal obesity among resettled Bhutanese refugee women in Northeast Ohio, United States

Bhatta MP, Assad L, Shakya S. Int J Environ Res Public Health. 2014 Jun 25;11(7):6639-52. 

Studies of obesity and related health conditions among the Bhutanese, one of the largest refugee groups resettled in the United States in the past five years, are limited. This study examined the factors associated with excess body weight (body mass index ≥ 23 kg/m2) and abdominal obesity (waist circumference > 80 cm) in a community-based sample of 18-65 year old Bhutanese refugee women in Northeast Ohio. A Nepali-language questionnaire was used to measure socio-demographic and dietary factors.

Intergenerational differences in acculturation experiences, food beliefs and perceived health risks among refugees from the Horn of Africa in Melbourne, Australia

Wilson A, Renzaho A. Public Health Nutr. 2015 Jan;18(1):176-88. 

This study investigates the differences in acculturation experiences between parent and adolescent refugees from the Horn of Africa in Melbourne, Australia and explores food beliefs and perceived health risks from an intergenerational perspective. Eritrean, Ethiopian, Somali and Sudanese refugees were studied.

Qualitative analysis identified differences between parents and adolescents in relation to lifestyle, diet and physical activity. Views regarding health consequences of their changed diets also differed.

What changes upon resettlement: understanding difference in pre- and post-resettlement dietary habits among South-Asian refugees

Dharod JM. Ecol Food Nutr. 2015;54(3):209-23. 

This study was conducted with the Montagnard (or Degar) refugee women (n = 42) to understand their pre-resettlement living conditions and estimate pre- and post-resettlement differences in their intake of major food groups. In-depth interviews were conducted with the participants in their homes by multilingual Montagnard women fluent in English and their tribal languages. Most of the participants did not receive education and 39% reported household incomes of $500 or less per month.

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