1. © 2005 CDHS College Relations Group Buffalo State College/SUNY at Buffalo Research Foundation Refugee Health: Challenges of Providing Culturally Competent or Relevant Care Frances Saad, B.A., Psychology, MSW student, School of Social Work Family Medicine Research Institute Department of Family Medicine State University of New York at Buffalo

2. © 2005 CDHS College Relations Group Buffalo State College/SUNY at Buffalo Research Foundation Demographics b 25.8 million immigrants in the US - 1997 b Major resettlement sites: –New York –California –Florida –Texas –New Jersey

3. © 2005 CDHS College Relations Group Buffalo State College/SUNY at Buffalo Research Foundation Categories of Immigrants b Documented b Undocumented b Refugees b Asylum Seekers

4. Western New York b 10,000 new arrivals since 1996 b 82% of new arrivals settle in 5 upstate counties: –Oneida –Erie –Monroe –Onondaga –Broome © 2005 CDHS College Relations Group Buffalo State College/SUNY at Buffalo Research Foundation

5. Health Concerns b Mental Health Issues TortureTorture ViolenceViolence Post traumatic stressPost traumatic stress RapeRape Depression/anxietyDepression/anxiety PsychosisPsychosis Refs:Refugee Reports SAMHSA © 2005 CDHS College Relations Group Buffalo State College/SUNY at Buffalo Research Foundation

6. Health Concerns b Infectious diseases b Malnutrition b Pregnancy b Lack of immunizations b Chronic diseases Ackerman1997 © 2005 CDHS College Relations Group Buffalo State College/SUNY at Buffalo Research Foundation

7. Screening results: b Over 55% of refugees are PPD +. b 5% are positive for Hep. B Antigen. b 31% positive for ova & parasites - including giardia. © 2005 CDHS College Relations Group Buffalo State College/SUNY at Buffalo Research Foundation

8. Screening results: b Erie County cares for 19% of arrivals. b 73% of refugees came from five countries: »Bosnia »Vietnam »Ukraine »Serbia »Belarus © 2005 CDHS College Relations Group Buffalo State College/SUNY at Buffalo Research Foundation

9. What we did: © 2005 CDHS College Relations Group Buffalo State College/SUNY at Buffalo Research Foundation

10. What We Did: b Research b Collaborate b Involve medical students b Improve access b Provide communication b Screen and integrate b Educate community © 2005 CDHS College Relations Group Buffalo State College/SUNY at Buffalo Research Foundation