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Title: Interprofessional Approach to Refugee Health

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dc:title Interprofessional Approach to Refugee Health
dc:creator Emer McGowan;Djenana Jalovcic;Sarah Quinn
dc:subject asylum;infectious disease;refugee;refugee health;trauma;infectious diseases
dc:description As global displacement reaches unprecedented levels, health and social care professionals increasingly find themselves supporting people with refugee experience whose health and wellbeing needs are complex, urgent, and often unmet. This timely and practical book provides essential guidance for professionals—particularly those new to working in this context—on how to deliver compassionate, culturally responsive, and effective care to forcibly displaced individuals and communities. 
 
Drawing on personal narratives of displacement, international research, global best practices, and firsthand professional experience, this volume addresses the many challenges refugees face in accessing appropriate health and social care, including trauma, chronic illness, mental health conditions, housing insecurity, and language barriers. Contributions from a diverse range of professionals—across nursing, occupational therapy, psychology, psychotherapy, physiotherapy, speech and language therapy, and more—highlight the interprofessional collaboration necessary to meet these multifaceted needs. 
 
Through real-life case studies, reflective prompts, and a strong focus on person-centred, equitable care, this book centres the lived experiences of refugees and emphasizes the importance of listening, learning, and adapting care to each individual’s story. A vital resource for practitioners, students, policymakers, and educators, this book bridges the gap between evidence and practice and empowers professionals to build inclusive and responsive systems of care for those affected by forced migration.
dc:date 2025-09-05T15:51:39Z
dc:rights ©2025 Emer McGowan, Djenana Jalovcic and Sarah Quinn, CC BY 4.0
dc:language en-GB
dc:identifier urn:uuid:54642469-38be-4028-924d-eba4d307b9d4 | 978-1-80511-661-5
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Outlines

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TOC Outline

  1. Cover
  2. Title page
  3. Copyright
  4. Contents
  5. Notes on Contributors
  6. List of Illustrations and Tables
    1. Illustrations
    2. Tables
  7. Foreword
  8. 0. Introduction
    1. Personal Narratives
    2. References
  9. I. Global Migrations
  10. 1. Global Migrations and Persons with Refugee Experiences
    1. Introduction
    2. Global Migration Trends and Context
    3. Major Migration Corridors and Forced Displacement
    4. Migration Risks and Humanitarian Concerns
    5. Reasons for Migration
    6. From Migration Motivations to Forced Displacement
    7. Refugee Experiences
    8. Healthy Immigrant Effect (HIE)
    9. Pre-Migration Experiences
    10. During/Under Migration Experiences
    11. Post-Migration Experiences
    12. Conclusion
    13. References
  11. 2. Refugee Rights Are Human Rights
    1. Introduction
    2. The International Protection of Persons with Refugee Experience
    3. Why Is Forced Migration a Global Phenomenon Today?
    4. Ali’s Story: Losing Your Fundamental Human Rights in Your Own Country
    5. Refugee Rights Are Human Rights: We Are All Born Equal
    6. The Human Right to Health
    7. Recognizing the Rights of Others
    8. References
  12. II. Including Refugee Experience in the Provision of Health and Social Care
  13. 3. Providing Person-Centred Care, Creating Therapeutic Space and Recognizing the Needs of Service Users
    1. Developing a Therapeutic Relationship
    2. Case Study
    3. Conclusion
    4. References
  14. 4. Recognizing the Needs of Refugees: A Healthcare Access Lens
    1. Introduction
    2. Refugee Needs for Consideration by Healthcare Professionals
    3. Recognizing Dynamic Socioeconomic Needs of Refugees
    4. Gender, Identity, and Sexual Orientation Care Need Dynamics for Refugees
    5. Cultural Misunderstandings and Communication Breakdown
    6. A Case Study on Refugee Social Integration
    7. Key Messages that Need to Be Recognised
    8. Policy Implications for Refugee Health
    9. Best Practices in Healthcare Delivery for Refugee Populations
    10. Conclusion
    11. References
  15. 5. Pathways to Healing: Expressive Arts Practice with Adolescent Refugees
    1. Introduction
    2. Using the Expressive Arts with Adolescent Refugees
    3. Interconnected Phases of Healing for Health Professionals
    4. Phases of Healing for Psychological Therapy Professionals
    5. The Case Study
    6. Health Professionals: Relationship-building and Stabilisation Using a Mental Health Toolkit
    7. Psychological Therapy Professionals
    8. Conclusion
    9. References
  16. 6. Promoting Interaction and Mutual Learning Between Local and Refugee Communities
    1. Introduction
    2. Communities in the Integration Process
    3. Community Garden Project: A Case Study
    4. Putting Learning into Practice
    5. References
  17. III. Professional Practice and Interprofessional Collaboration in Refugee Health
  18. 7. Evidence-Informed Practice and Learning Through Critical Reflection
    1. Evidence-Informed Practice
    2. Critical Reflection
    3. Conclusion
    4. References
  19. 8. Engagement and Disengagement: Reflecting on the Challenges for Professionals in Supporting Those Seeking Refuge
    1. Introduction
    2. Background
    3. Breaking Out of the Mould
    4. Human Displacement in Situations of Migration
    5. Stepping into the Breach
    6. Conclusion
    7. References
  20. 9. Ethical Practice and Personal Conduct in Refugee Health
    1. Values and Ethics in Interprofessional Health and Social Care
    2. Working Towards Health Equity and Social Justice: An Ethical Framework for Refugee Health
    3. Social Determinants of Health in Migrants and Persons with Refugee Experience
    4. Health Services for Persons with Refugee Experience as a Matter of Social Justice
    5. Human-Rights-Based Approach: A Self-Assessment Tool
    6. An Ethics Framework for Healthcare Services Provided to Refugees
    7. A Capabilities Approach to Refugee Health
    8. Research Ethics in Refugee Health
    9. The Importance of Personal Conduct in Interprofessional Refugee Health
    10. Conclusion
    11. References
  21. IV. Diversity in Society and in Healthcare
  22. 10. Culturally Responsive Practice in Refugee Health
    1. Understanding Relevant Concepts: Culture, Diversity and Health Equity
    2. Practice Experience: The Role of Occupational Therapists in Supporting Persons with Refugee Experience in Germany
    3. Cultural Influences on Understanding Illness and Pain
    4. An Interprofessional Perspective on Culturally Responsive Practice in Refugee Health
    5. Conclusion
    6. Recommended further reading
    7. References
  23. 11. Cross-Cultural Communication in Refugee Health
    1. The Relevance of Effective Communication in a Diverse Health System
    2. Counselling in the Context of Refugee Health
    3. The Structural Coupling of Those Involved Forms the Foundation of Counselling or the Counselling System
    4. Strategies for Effective Cross-cultural Communication in Refugee Health
    5. Cross-cultural Communication Strategies at the Interpersonal Level
    6. Enhancing Cross-cultural Communication through Interprofessional and Intersectoral Collaboration
    7. Conclusion
    8. References
  24. 12. Advanced Clinical Reasoning
    1. Introduction to Advanced Clinical Reasoning
    2. Using the ICF in Advanced Clinical Reasoning in Refugee Health
    3. What Language Means to Me: A Personal Story
    4. The Meaning of Illness and Education: A Personal Story
    5. Conclusion
    6. References
  25. 13. Advocacy and Empowerment in the Context of Refugee Health
    1. Health Advocacy
    2. Empowerment in the Context of Refugee Health
    3. The Need for Networking to Promote the Health of African Migrants and Refugees
    4. Conclusion
    5. References
  26. V. Social and Occupational Determinants of Mental Health for Refugees
  27. 14. Flight and Post-Traumatic Stress: Their Influence on a Person’s Identity
    1. Mental Health of Refugees
    2. Meaningful Activity and Accessibility
    3. Roles in Occupational Therapy Intervention
    4. Routines in Occupational Therapy Intervention
    5. Personal Causation in Occupational Therapy Intervention
    6. Narratives: Verbal and Nonverbal Communication in Occupational Therapy Intervention
    7. Social, Physical, Economic and Cultural Environment in Occupational Therapy Intervention
    8. Occupational Performance in Occupational Therapy Intervention
    9. Goals in Occupational Therapy Intervention
    10. Conclusion
    11. References
  28. Index
  29. About the Team
  30. This book need not end here…
  31. You may also be interested in:
  32. Back cover

Headings Outline

  • Contents
  • Notes on Contributors
  • List of Illustrations and Tables
    • Illustrations
    • Tables
  • Foreword
  • 0. Introduction
    • Personal Narratives
      • Personal Narrative 1: Before and After
        • Before
        • In Between
        • After
      • Personal Narrative 2: A Son of a Stateless Society
        • In Exile 
      • Personal Narrative 3: My Only Sorrow
    • References
  • I. Global Migrations
  • 1. Global Migrations and Persons with Refugee Experiences
    • Introduction
    • Global Migration Trends and Context
    • Major Migration Corridors and Forced Displacement
    • Migration Risks and Humanitarian Concerns
    • Reasons for Migration
    • From Migration Motivations to Forced Displacement
    • Refugee Experiences
    • Healthy Immigrant Effect (HIE)
    • Pre-Migration Experiences
    • During/Under Migration Experiences
    • Post-Migration Experiences
    • Conclusion
    • References
  • 2. Refugee Rights Are Human Rights
    • Introduction
    • The International Protection of Persons with Refugee Experience
    • Why Is Forced Migration a Global Phenomenon Today?
    • Ali’s Story: Losing Your Fundamental Human Rights in Your Own Country
    • Refugee Rights Are Human Rights: We Are All Born Equal
    • The Human Right to Health
    • Recognizing the Rights of Others
    • References
  • II. Including Refugee Experience in the Provision of Health and Social Care
  • 3. Providing Person-Centred Care, Creating Therapeutic Space and Recognizing the Needs of Service Users
    • Developing a Therapeutic Relationship
    • Case Study
      • Abridged case study transcript
        • Interprofessional collaboration in person-centred care
    • Conclusion
    • References
  • 4. Recognizing the Needs of Refugees: A Healthcare Access Lens
    • Introduction
    • Refugee Needs for Consideration by Healthcare Professionals
    • Recognizing Dynamic Socioeconomic Needs of Refugees
    • Gender, Identity, and Sexual Orientation Care Need Dynamics for Refugees
    • Cultural Misunderstandings and Communication Breakdown
    • A Case Study on Refugee Social Integration
    • Key Messages that Need to Be Recognised
    • Policy Implications for Refugee Health
    • Best Practices in Healthcare Delivery for Refugee Populations
    • Conclusion
    • References
  • 5. Pathways to Healing: Expressive Arts Practice with Adolescent Refugees
    • Introduction
    • Using the Expressive Arts with Adolescent Refugees
      • ‘But I’m no good at art’: embracing the use of theexpressive arts
      • The Expressive Arts as a Path to Healing
      • The Expressive Arts for Healthcare Professionals Working with Adolescent Refugees
      • Integration of the Expressive Arts into Psychotherapy Modalities 
    • Interconnected Phases of Healing for Health Professionals
      • Stabilisation and Relationship-Building 
      • Psychoeducation
      • Bearing Witness
    • Phases of Healing for Psychological Therapy Professionals
      • Trauma Memory Processing
      • Integration of Trauma Memories
      • Identity Development
    • The Case Study
      • Construction of the Case Study
      • Axmed’s Experiences: Pre-flight, Flight and Post-flight
    • Health Professionals: Relationship-building and Stabilisation Using a Mental Health Toolkit
      • Relationship-building
      • Stabilisation: Developing a Mental Health Toolkit for Axmed
      • Regulating the Body Using Breathing Techniques
      • The Seven-Eleven Breathing Technique Practised by Axmed:
      • Cultural Comforters
      • Nourishing Items
      • Calming and Grounding
      • Friends and Other Human Supports
      • Psychoeducation
      • Bearing Witness
    • Psychological Therapy Professionals
      • Trauma Memory Processing
      • Integration of Trauma Memories
      • Identity Development
    • Conclusion
    • References
  • 6. Promoting Interaction and Mutual Learning Between Local and Refugee Communities
    • Introduction
    • Communities in the Integration Process
      • Arriving in the New Community
      • The Role of Occupation
      • Supporting the Integration Process
      • What is the Role of Community Groups?
    • Community Garden Project: A Case Study
      • Background to the Irish Context
      • Context within the Garden
      • Inclusion of Local Refugees and Asylum Seekers from a Local’s Perspective
      • Impact of Inclusion of Asylum Seekers and Refugees from a Local’s Perspective
      • What is the Future for the Garden?
    • Putting Learning into Practice
    • References
  • III. Professional Practice and Interprofessional Collaboration in Refugee Health
  • 7. Evidence-Informed Practice and Learning Through Critical Reflection
    • Evidence-Informed Practice
    • Critical Reflection
      • How Critical Reflection Works
      • Reflection and Professional Identity
      • Reflection and Interprofessional Collaboration
      • Reflective Writing
      • Application of Reflective Writing in Practice
      • Critical Reflection in Refugee Health
    • Conclusion
    • References
  • 8. Engagement and Disengagement: Reflecting on the Challenges for Professionals in Supporting Those Seeking Refuge
    • Introduction
    • Background
    • Breaking Out of the Mould
    • Human Displacement in Situations of Migration
    • Stepping into the Breach
    • Conclusion
    • References
  • 9. Ethical Practice and Personal Conduct in Refugee Health
    • Values and Ethics in Interprofessional Health and Social Care
    • Working Towards Health Equity and Social Justice: An Ethical Framework for Refugee Health
    • Social Determinants of Health in Migrants and Persons with Refugee Experience
    • Health Services for Persons with Refugee Experience as a Matter of Social Justice
    • Human-Rights-Based Approach: A Self-Assessment Tool
    • An Ethics Framework for Healthcare Services Provided to Refugees
    • A Capabilities Approach to Refugee Health
    • Research Ethics in Refugee Health
    • The Importance of Personal Conduct in Interprofessional Refugee Health
    • Conclusion
    • References
  • IV. Diversity in Society and in Healthcare
  • 10. Culturally Responsive Practice in Refugee Health
    • Understanding Relevant Concepts: Culture, Diversity and Health Equity
      • People as Products and Creators of Culture: The Constructivist Understanding of Culture
      • From Culture to Diversity: Health Equity in a Diverse Society
    • Practice Experience: The Role of Occupational Therapists in Supporting Persons with Refugee Experience in Germany
    • Cultural Influences on Understanding Illness and Pain
    • An Interprofessional Perspective on Culturally Responsive Practice in Refugee Health
      • Thought Experiment: Interprofessional Culture Tour
      • Narrative 1
      • Narrative 2
      • Narrative 3
    • Conclusion
    • Recommended further reading
    • References
  • 11. Cross-Cultural Communication in Refugee Health
    • The Relevance of Effective Communication in a Diverse Health System
    • Counselling in the Context of Refugee Health
      • Basic Aspects of Counselling
    • The Structural Coupling of Those Involved Forms the Foundation of Counselling or the Counselling System
      • Making Counselling Content ‘Palatable’ for the Client: Viability, Connectivity and Experience of Difference
      • New Information as a Disturbance of the Known: Perturbation Tolerance of the Clients
      • A Person’s Scope of Action Determines the Integration of the New: The Contingency of the Clients Seeking Advice
      • What Is the Benefit of a Systemic-Constructivist Approach to Counselling in Refugee Health
    • Strategies for Effective Cross-cultural Communication in Refugee Health
      • Setting Up Culturally Responsive Structures and Services
    • Cross-cultural Communication Strategies at the Interpersonal Level
      • Effective and Respectful Communication in Patient Care across Language Barriers
      • Utilizing Translation Tools or Services
      • Utilizing Non-verbal Communication
      • Using Visual Aids
      • Investing in Language Learning
      • Working with Interpreters and Cultural Mediators
      • Recommended Further Information on How to Work with Interpreters
    • Enhancing Cross-cultural Communication through Interprofessional and Intersectoral Collaboration
      • Exercise: Interprofessional Collaboration to Prepare Information Material
    • Conclusion
    • References
  • 12. Advanced Clinical Reasoning
    • Introduction to Advanced Clinical Reasoning
    • Using the ICF in Advanced Clinical Reasoning in Refugee Health
    • What Language Means to Me: A Personal Story
    • The Meaning of Illness and Education: A Personal Story
    • Conclusion
    • References
  • 13. Advocacy and Empowerment in the Context of Refugee Health
    • Health Advocacy
    • Empowerment in the Context of Refugee Health
    • The Need for Networking to Promote the Health of African Migrants and Refugees
    • Conclusion
    • References
  • V. Social and Occupational Determinants of Mental Health for Refugees
  • 14. Flight and Post-Traumatic Stress: Their Influence on a Person’s Identity
    • Mental Health of Refugees
      • Trauma and PTSD and the Importance of the Ability to Act
      • Activity and Occupational Therapy
      • Occupational Therapy and People with PTSD
    • Meaningful Activity and Accessibility
      • Flight and PTSD Influence Identity
      • Important Aspects for Identity Work in Occupational Therapy
    • Roles in Occupational Therapy Intervention
      • Future (New) Roles
      • Current Roles
      • Past (Old) Roles
      • Dysfunctional Roles
    • Routines in Occupational Therapy Intervention
      • Routines Help in Saving Energy
      • Rituals in Therapy Sessions
    • Personal Causation in Occupational Therapy Intervention
      • The Occupational Therapist’s Attitude
      • Promotion of Personal Causation through Activity
      • Focus on Perception
      • Promotion of Creativity
      • Different Ways to Express Personal Causation
      • Handling Emotions
    • Narratives: Verbal and Nonverbal Communication in Occupational Therapy Intervention
      • Narratives at the Beginning of the Intervention
      • Narratives in Later Phases of the Intervention
    • Social, Physical, Economic and Cultural Environment in Occupational Therapy Intervention
      • The Occupational Therapist as a Health Advocate
    • Occupational Performance in Occupational Therapy Intervention
      • Fostering Self-Efficacy
      • Taking Action as Soon as Possible
      • Execution of Action
      • The Personal Causation and External Perception Do Not Match
      • Finding Trust in One’s Own Ability to Act without Pressure
      • Relaxation Techniques
    • Goals in Occupational Therapy Intervention
      • Overwhelming the Affected Individuals with Goal Setting
      • Possible Approach to Goal Setting
    • Conclusion
    • References
  • Index
  • About the Team
  • This book need not end here…
    • Share
    • Donate
    • We invite you to connect with us on our socials!
    • Read more at the Open Book Publishers Blog
  • You may also be interested in:
  • Contents
    • Landmarks

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A smiling girl with curly hair tied with colourful clips leans out of a square fabric window of a tent, wearing a bright green zip-up hoodie and looking directly at the camera with joy. N/A N/A N/A ch8.xhtml#epubcfi(/4[McGowan_0479_indexed-EPUB]/2[Container059]/8/2[Container056]/2) N/A
Arrow diagram showing five sequential stages of engagement: ‘Entering into the reality of the other person’, ‘Honesty about reality’, ‘Faithfulness to the reality’, ‘Openness to possibilities’, and ‘Potential for reality change’. The arrow flows left to right, emphasising progression towards change. N/A N/A N/A ch8.xhtml#epubcfi(/4[McGowan_0479_indexed-EPUB]/2[Container059]/26/2[Container057]/2) N/A
Diagram with four pairs of opposing blue arrows separated by vertical black bars. The pairs are: ‘Health Professional’ versus ‘Patient’, ‘Provider’ versus ‘Consumer’, ‘Them’ versus ‘Us’, and ‘Person’ versus ‘Object’. The design highlights contrasts in perspectives within healthcare interactions. N/A N/A N/A ch8.xhtml#epubcfi(/4[McGowan_0479_indexed-EPUB]/2[Container059]/56/2[Container058]/2) N/A
Several men wrapped in grey blankets lie or sit on the floor of a bare, dimly lit room with peeling walls, calendars on the wall, and a sense of exhaustion and hardship in their expressions. N/A N/A N/A partIV.xhtml#epubcfi(/4[McGowan_0479_indexed-EPUB]/2[Container064]/4/2[Container062]/2) N/A
A simplified hexagonal framework diagram highlighting viability, with counselling at the centre and other concepts faded out. N/A N/A N/A ch11.xhtml#epubcfi(/4[McGowan_0479_indexed-EPUB]/2[Container073]/40/2[Container066]/2) N/A
A simplified hexagonal framework diagram highlighting connectivity, with counselling at the centre and other concepts faded out. N/A N/A N/A ch11.xhtml#epubcfi(/4[McGowan_0479_indexed-EPUB]/2[Container073]/64/2[Container067]/2) N/A
A simplified hexagonal framework diagram highlighting experience of difference, with counselling at the centre and other concepts faded out. N/A N/A N/A ch11.xhtml#epubcfi(/4[McGowan_0479_indexed-EPUB]/2[Container073]/92/2[Container068]/2) N/A
A simplified hexagonal framework diagram highlighting perturbation tolerance, with counselling at the centre and other concepts faded out. N/A N/A N/A ch11.xhtml#epubcfi(/4[McGowan_0479_indexed-EPUB]/2[Container073]/102/2[Container069]/2) N/A
Hexagonal diagram with ‘Counselling’ in the centre. Surrounding it are six labelled hexagons: ‘Structural coupling’, ‘Viability’, ‘Connectivity’, ‘Experience of difference’, ‘Perturbation tolerance’, and ‘Contingency’. The highlighted hexagon, ‘Experience of difference’, notes that only content offering a difference to existing knowledge will be processed by clients. N/A N/A N/A ch11.xhtml#epubcfi(/4[McGowan_0479_indexed-EPUB]/2[Container073]/108/2[Container070]/2) N/A
Hexagonal diagram with ‘Counselling’ in the centre. Six surrounding hexagons are labelled: ‘Structural coupling’, ‘Viability’, ‘Connectivity’, ‘Experience of difference’, ‘Perturbation tolerance’, and ‘Contingency’. The highlighted hexagon, ‘Perturbation tolerance’, states that clients have only limited ability to deal with perturbations of counselling content. N/A N/A N/A ch11.xhtml#epubcfi(/4[McGowan_0479_indexed-EPUB]/2[Container073]/122/2[Container071]/2) N/A
Hexagonal diagram with ‘Counselling’ in the centre. Six surrounding hexagons are labelled: ‘Structural coupling’, ‘Viability’, ‘Connectivity’, ‘Experience of difference’, ‘Perturbation tolerance’, and ‘Contingency’. The highlighted hexagon, ‘Contingency’, states that clients’ scope of action determines how and where they integrate new content. N/A N/A N/A ch11.xhtml#epubcfi(/4[McGowan_0479_indexed-EPUB]/2[Container073]/142/2[Container072]/2) N/A
Flowchart illustrating the International Classification of Functioning, Disability and Health model. ‘Health condition (disorder or disease)’ is central, linking to ‘Body Functions and Structures’, ‘Activities’, and ‘Participation’. Environmental and personal factors are shown below as influencing all components. Double arrows depict interrelations between elements. N/A N/A N/A ch12.xhtml#epubcfi(/4[McGowan_0479_indexed-EPUB]/2[Container076]/38/2[Container075]/2) N/A
An elderly man with greying hair and beard embraces a small crying child tightly in his arms outside a tent in a barren landscape, both wearing worn clothing, with love and protection evident in the gesture. N/A N/A N/A partV.xhtml#epubcfi(/4[McGowan_0479_indexed-EPUB]/2[Container080]/4/2[Container079]/2) N/A
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Featured book cover N/A N/A N/A further-reading.xhtml#epubcfi(/4[McGowan_0479_indexed-EPUB]/2[Container096]/4/4/2[Container091]/2) N/A
Featured book cover N/A N/A N/A further-reading.xhtml#epubcfi(/4[McGowan_0479_indexed-EPUB]/2[Container096]/6/4/2[Container093]/2) N/A
Featured book cover N/A N/A N/A further-reading.xhtml#epubcfi(/4[McGowan_0479_indexed-EPUB]/2[Container096]/8/4/2[Container095]/2) N/A
Back cover of Interprofessional Approach to Refugee Health N/A N/A N/A back-cover.xhtml#epubcfi(/4/2/2) N/A