Assessing and Treating Refugees Suffering from the Effects of Trauma
Presenter: Clare Pain MD, MSc., FRCPC
Date: November 28, 2012
This presentation will cover the following topics:
- The issue of why we over and under-diagnose refugees with mental illness
- Consideration of factors such as: pre or post-hearing; the Personal Information Form (PIF); discussions with the lawyer; cautions against using ‘silos'; and Kleinman's cultural formulation
- The post-migration refugee experience
- Canadian Centre for Victims of Torture (CCVT) as an example of a non-medical model.
- Consider the way you think about refugees and whether you think of them as patients or distressed people
- Feel more equipped to talk to refugees before deciding if a mental health referral is necessary
- Understand that settlement is usually more important than the treatment of past trauma.
Clare Pain MD, MSc., FRCPC is an Associate Professor at the Department of Psychiatry, University of Toronto; Director of the Psychological Trauma Program at Mount Sinai Hospital, Toronto; Co-project director of the Toronto Addis Ababa Psychiatry Project (TAAPP) www.utoronto.ca/ethiopia; and Coordinator of the University of Toronto-Addis Ababa Collaboration Program (TAAAC) www.taaac.ca. These educational partnerships between the University of Toronto and Addis Ababa University Ethiopia are targeted at developing capacity and sustainability in health human resources for necessary service expansion and delivery. Clare's clinical focus is on the assessment and treatment of patients, including refugees, who continue to suffer from the effects of psychological trauma. She has lectured and taught extensively on various aspects of psychological trauma including trans-cultural aspects; and increasingly on global mental health. She has published a number of articles including two books: "Trauma and the Body: a Sensorimotor Approach to Psychotherapy" with Pat Ogden and Kekuni Minton (Norton 2006); and "The Impact of Early Life Trauma on Health and Disease: The Hidden Epidemic" an edited book with Eric Vermetten and Ruth Lanius (Cambridge University Press 2010).
In addition to having presented a webinar for the Refugee Mental Health project, Clare serves as one of the Subject Matter Experts for the project's online course and Community of Practice (CoP).