Psychiatric disorders in an African refugee camp

This article describes a study of the prevalence of psychiatric disorders among the clients of a community mental health service in the Kakuma refugee camp in Kenya. It is based on the case logbook maintained by the nurse-manager over a period of three years. Post-traumatic stress disorder was the most common diagnosis. Findings suggest that it is feasible to establish a low-cost community mental health service in refugee camps in low-income countries such as Kenya. Such a service is likely to attract an immediate and growing demand for assistance.

Problems of Ethiopian Ex-Combatants

This article describes the problems of former Ethiopian soldiers with their reintegration into civil life. During an anthropological fied study, 60 excombatants were interviewed. They reportedfeeling frustrated about the lack f interest in their living conditions on the part of the Ethiopian public and Ethiopian and Western Non Governmental Organisations (NGOs). They felt that they had no future perspective. Some of them admitted knowing former sodiers who had contacted HIV/AIDS, or who were guilty of criminal violence.

Book / article reviews:Olav Ofastad- Conflict management in International Peace Operations: a handbook for officers and soldiers

Olav Ofastad (2003) Conflict management in International Peace Operations: a handbook for officers and soldiers. Oslo, Norwegian Defence International Centre.

The tent of stories

The tent of stories is a method of engaging refugee children in storytelling and social interaction. Through the tent and a ‘story-stone’ a safe and structured environment is created. Different ways of processing a story are explained. In dealing with stories, children learn to use their imagination as a valuable coping strategy. Like any good method the ‘tent of stories’ evolved through interaction with the children it was meantfor. This article tells the story of the ‘tent of stories’ itself

Narrative Exposure Therapy in Children: a Case Study

In this article a form of psychotherapy for trauma-tised children and adolescents (KIDNET) is described. This approach is based on Narrative Exposure Therapy (NET), a short-term treatment method for traumatised adults. The description of KIDNET is illustrated with a detailed report of the successful treatment of a severely traumatised 13-year old refugee child

Keywords: child, adolescent, cognitive behavioural therapy, Narrative Exposure Therapy, NET, PTSD, refugees organised violence, war, Somalia.

 

Developing basic mental health modules for health care workers in Afghanistan

In this article we describe our experiences with the development of mental health raining modules for doctors, nurses, midwives and village health volunteers in the context of a general basic health care programme in Eastern Afghanistan. The article contains references to resources to be used by developing mental health care training modules for health workers.

Keywords: mental health, training. Introduction

Managing uncertainty; coping styles of refugees in western countries

This article presents the results of a research project whose objective was to describe and analyse how people seeking asylum in the Netherlands2 make sense f their experience. The broader aim of this study was to provide information that could lead to improved mental health care (Kramer, Bala, Dijk van, & Öry, 2003). This article accordingly ends with suggestions to implement the study’s findings in other countries where refugees face uncertainty.

Key words: asylum seekers, coping, qualitative research, refugees

 

Not talking about traumatic experiences: harmful or healing? Coping with war memories in southwest Uganda

Although there has been peace in most parts of Uganda since 1986, in Mbarara district in southwest Uganda nobody talks about their war experience; there is one big conspiracy fsilence. According to the people who live there, it is not good to talk, it can be dangerous and can make you ill. This article deals with the question why these people keep silent about their horrifying war experiences. It appears that the community and the social and cultural institutions have been destroyed. People have no public space to share their memories of the war.

Community-based interventions in the wake of terrorism: the overview; the balance between awareness and fear; citizens and resilience

preface

This overview of community-based interventions in the wake of terrorism is one of the four products of Impacts EU-project: Citizens and Resilience, the balance between awareness and fear. It offers brief descriptions of best-practice community-based interventions in the context of psychosocial care following a terrorist attack.

Prevalence and Risk Factors of Posttraumatic Stress Disorder in Older Adults

Background: Posttraumatic stress disorder (PTSD) has scarcely been researched in the elderly. There is no population-based information on prevalence and risk factors in older persons. Patients with PTSD are often not recognized or incorrectly diagnosed. As the disorder has great implications for the quality of life, a correct diagnosis and treatment are crucial. Increased knowledge on vulnerability factors for PTSD can facilitate diagnostic procedures and health management in the elderly.

 

Pages