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MENTAL HEALTH                                                                                 MENTAL HEALTH



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                                               doi:10.1186/s13033-017-0156-0        doi:10.1093/fampra/cmu017
                                             10. American Psychological Association,   18. Hollifield M, Verbillis-Kolp S, Farmer B,
                                               Presidential Task Force on Immigration.   et al. The refugee Health SCREENER-
                                               (2012). Crossroads: The psychology of   15 (RHS-15): Development and valida-
                                               immigration in the new century. Re-  tion of an instrument for anxiety,
                                               trieved from http://www.apa.org/top-  depression, and PTSD in refugees. Gen-
                                               ics/immigration/report.aspx          eral     Hospital     Psychiatry.
                                             11. Morris MD, Popper ST, Rodwell TC,   2013;35(2):202-209. doi:10.1016/j.gen-
                                               Brodine SK, Brouwer KC. Healthcare   hosppsych.2012.12.002
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                                             12. Health insurance. The Administration
                                               for   Children   and    Families.
                                               https://www.acf.hhs.gov/orr/pro-
                                               grams/refugees/health. Accessed Sep-
                                               tember 6, 2021.
                                             13. Refugee populations. Centers for Disease   Emily Liu and Melissa M. Donate are med-
                                               Control and Prevention. https://www.cdc   ical students at the UT Health Long School of
                                               .gov/coronavirus/2019-ncov/need-extra-  Medicine and serve as Wellness Coordinators
                                               precautions/refugee-populations.html#   at the San Antonio Refugee Health Clinic
                                               :~:text=Underlying%20medical%20con-  (SARHC). Zeba Bemat is a medical student
                                               ditions%20and%20lower%20access%20t  at the UT Health Long School of Medicine
                                               o%20care&text=However%2C%20after  and served as a previous Wellness Night Coor-
                                               %20their%20short-term,of%20
                                                                                 dinator. Anuradha S. Helekar, MD and Blake
                                               refugees%20may%20be% 20uninsured.
                                                                                 A. Harrell, DO are Wellness Night Resident
                                               Accessed September 6, 2021.
                                                                                 Coordinators and resident members of the
                                             14. Shannon PJ, Wieling E, Simmelink-Mc-
                                                                                 Bexar County Medical Society.
 Future opportunities for growth include   built through the dedication of faculty, resi-  facts/statistics/. Accessed September 6, 2021.   healthta.org/physical-mental-health/men-  Cleary J, Becher E. Beyond stigma: Bar-
 expansion of mental health services outside   dents and students. Furthermore, the expe-  3. Fact sheet: U.S. refugee resettlement. Na-  tal-health/. Accessed September 6, 2021.   riers to discussing mental health in
 of psychiatric care. Some patients express   rience of engaging our patients in these   tional Immigration Forum. https://immi-  7. Schlaudt VA, Miller AB. Refugee commu-  refugee populations. Journal of Loss and
 reluctance to see a psychiatrist, but would   vulnerable conversations has been a privi-  grationforum.org/article/fact-sheet-u-s-re  nities. APA PsycNet. https://psycnet.apa   Trauma.  2014;20(3):281-296.
 potentially be open to approaches such as   lege, and this opportunity has been invalu-  fugee-resettlement/. Published November   .org/record/2019-70450-017. Published   doi:10.1080/ 15325024.2014.934629
 talk therapy or support groups. In addition,   able to practice trauma-informed care and   5, 2020. Accessed September 6, 2021.   2019. Accessed September 6, 2021.   15. Song S. Mental Health Facts on Refugees,
 as student coordinators, we hope to engage   psychological first aid. We look forward to   4. Krogstad JM. Key facts about refugees to   8. Peterson C, Poudel-Tandukar K, Sanger   Asylum-seekers, & Survivors of Forced
 student volunteers more meaningfully   drawing on these experiences in our future   the U.S. Pew Research Center.   K, Jacelon CS. Improving mental health   Displacement. https://www.psychiatry.
 https://www.pewresearch.org/fact-tank   in Refugee Populations: A Review of in-  org/File%20Library/Psychiatrists/Cul-
 through Wellness Nights. Recently, Well-  practice as students and physicians.
 /2019/10/07/key-facts-about-refugees-  tervention studies conducted in the   tural-Competency/Mental-Health-Dis-
 ness Night staff held a training session for
    to-the-u-s/. Published August 20, 2020.   United States. Issues in Mental Health   parities/Mental-Health-Facts-for-Refuge
 RHS-15 survey administration, trauma-in-  References:   es.pdf. Accessed September 6, 2021.
 formed care and handling challenging pa-  1. What is a REFUGEE? Definition and   Accessed September 6, 2021.   Nursing.  2020;41(4):271-282.   16. Rohlof HG, Knipscheer JW, Kleber RJ.
           doi:10.1080/0161 2840.2019.1669748
 tient encounters. This also allows student   Meaning: USA for UNHCR. Definition   5. Center for Refugee services located in   9. Turrini G, Purgato M, Ballette F, Nosè M,   Somatization in refugees: A review. So-
 San Antonio, Texas. Center For Refugee
 volunteers from multiple disciplines to par-  and Meaning | USA for UNHCR.
 Services. https://sarefugees.org/. Pub-  Ostuzzi G, Barbui C. Common mental   cial Psychiatry and Psychiatric Epidemi-
 ticipate in screening.   https://www.unrefugees.org/refugee-
 lished August 20, 2021. Accessed Sep-  disorders in asylum seekers and refugees:   ology.  2014;49(11):1793-1804.
  Our work would not be successful with-  facts/what-is-a-refugee/. Accessed Sep-
 tember 6, 2021.   Umbrella review of prevalence and inter-  doi:10.1007 /s00127-014-0877-1
 out the years of trust that the SARHC and   tember 6, 2021.
 6. Mental Health. Refugee Health Technical   vention studies. International Journal of   17. Shannon PJ. Refugees' advice to physi-
 CRS have built within this community. It   2. Refugee statistics. USA for UNHCR.
 Assistance  Center.  https://refugee-  Mental Health Systems. 2017;11(1).   cians: How to ask about mental health.
 has been inspiring to see the relationships   https://www.unrefugees.org/  refugee-  Family Practice. 2014;31(4):462-466.
  30     SAN ANTONIO MEDICINE  •    October 2021                                             Visit us at www.bcms.org     31
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