Abstract
Immigrant and refugee youth have higher rates of trauma than youth who are not transnational. While youth are incredibly resilient, trauma and toxic stress can result in poor health outcomes that persist throughout life. However, clinical interventions can promote resilience and decrease the negative impact of trauma. This article will review the principles of trauma-informed care and its application for the care of immigrant and refugee youth and their families by sharing concrete and feasible strategies for primary care providers and systems.
Highlights
The past decades have seen increasing rates of migration for children and families across international borders
Depression, anxiety, behavioral issues, and post-traumatic stress syndrome (PTSD) are associated with trauma and have higher prevalence in immigrant and refugee youth than their counterparts who have not experienced similar processes of acculturation or discrimination [26,27,28]
Partnerships with other individuals and agencies in your area outside of health care can be an invaluable resource for trauma-informed care (TIC) with refugee and immigrant youth
Summary
The past decades have seen increasing rates of migration for children and families across international borders. In 2017, as many as 30 million children and youth under the age of 18 were forcibly displaced Seventeen million of these youth experienced violence or conflict in their home country, and approximately 13 million were eligible for refugee status [1]. Many of these children experienced significant trauma prior to migration, through civil war or unrest, destructive effects of climate change, gang or drug related violence, or poverty [2]. Upon arrival in new countries, immigrant youth and families may experience xenophobia and discrimination [3,4,5] While these youth possess enormous resilience and strength, the experiences of repeated and prolonged exposure to trauma place them at risk for adverse health outcomes. This article will provide a brief and practical review of TIC and 10 concrete and feasible clinical pearls for promoting a trauma-informed practice with this population
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