Tags

Type your tag names separated by a space and hit enter

A mixed-method study of expert psychological evidence submitted for a cohort of asylum seekers undergoing refugee status determination in Australia.
Soc Sci Med. 2013 Dec; 98:106-15.SS

Abstract

The levels of exposure to conflict-related trauma and the high rates of mental health impairment amongst asylum seekers pose specific challenges for refugee decision makers who lack mental health training. We examined the use of psychological evidence amongst asylum decision makers in New South Wales, Australia, drawing on the archives of a representative cohort of 52 asylum seekers. A mixed-method approach was used to examine key mental health issues presented in psychological reports accompanying each asylum application, including key documents submitted for consideration of asylum at the primary and review levels. The findings indicated that the majority of decision makers at both levels did not refer to psychological evidence in their decision records. Those who did, particularly in the context of negative decisions, challenged the expert findings and rejected the value of such evidence. Asylum seekers exhibiting traumatic stress symptoms such as intrusive thoughts and avoidance, as well as memory impairment, experienced a lower acceptance rate than those who did not across the primary and review levels. The findings raise concern that trauma-affected asylum seekers may be consistently disadvantaged in the refugee decision-making process and underscore the need to improve the understanding and use of mental health evidence in the refugee decision-making setting. The study findings have been used to develop a set of guidelines to assist refugee decision makers, mental health professionals and legal advisers in improving the quality and use of psychological evidence within the refugee decision-making context.

Authors+Show Affiliations

Psychiatry Research and Teaching Unit, School of Psychiatry, University of New South Wales, NSW, Australia. Electronic address: alvin.tay@unsw.edu.au.Psychiatry Research and Teaching Unit, School of Psychiatry, University of New South Wales, NSW, Australia.Faculty of Law, University of New South Wales, NSW, Australia.Psychiatry Research and Teaching Unit, School of Psychiatry, University of New South Wales, NSW, Australia.Faculty of Law, University of New South Wales, NSW, Australia.Faculty of Law, University of New South Wales, NSW, Australia.Faculty of Law, University of New South Wales, NSW, Australia.School of Psychology, University of New South Wales, NSW, Australia.Psychiatry Research and Teaching Unit, School of Psychiatry, University of New South Wales, NSW, Australia.Psychiatry Research and Teaching Unit, School of Psychiatry, University of New South Wales, NSW, Australia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24331888

Citation

Tay, Kuowei, et al. "A Mixed-method Study of Expert Psychological Evidence Submitted for a Cohort of Asylum Seekers Undergoing Refugee Status Determination in Australia." Social Science & Medicine (1982), vol. 98, 2013, pp. 106-15.
Tay K, Frommer N, Hunter J, et al. A mixed-method study of expert psychological evidence submitted for a cohort of asylum seekers undergoing refugee status determination in Australia. Soc Sci Med. 2013;98:106-15.
Tay, K., Frommer, N., Hunter, J., Silove, D., Pearson, L., San Roque, M., Redman, R., Bryant, R. A., Manicavasagar, V., & Steel, Z. (2013). A mixed-method study of expert psychological evidence submitted for a cohort of asylum seekers undergoing refugee status determination in Australia. Social Science & Medicine (1982), 98, 106-15. https://doi.org/10.1016/j.socscimed.2013.08.029
Tay K, et al. A Mixed-method Study of Expert Psychological Evidence Submitted for a Cohort of Asylum Seekers Undergoing Refugee Status Determination in Australia. Soc Sci Med. 2013;98:106-15. PubMed PMID: 24331888.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A mixed-method study of expert psychological evidence submitted for a cohort of asylum seekers undergoing refugee status determination in Australia. AU - Tay,Kuowei, AU - Frommer,Naomi, AU - Hunter,Jill, AU - Silove,Derrick, AU - Pearson,Linda, AU - San Roque,Mehera, AU - Redman,Ronnit, AU - Bryant,Richard A, AU - Manicavasagar,Vijaya, AU - Steel,Zachary, Y1 - 2013/09/18/ PY - 2013/03/31/received PY - 2013/08/20/revised PY - 2013/08/20/accepted PY - 2013/12/17/entrez PY - 2013/12/18/pubmed PY - 2014/4/20/medline KW - Administrative decision making KW - Asylum seekers KW - Posttraumatic stress disorder KW - Refugee status determination KW - Refugees SP - 106 EP - 15 JF - Social science & medicine (1982) JO - Soc Sci Med VL - 98 N2 - The levels of exposure to conflict-related trauma and the high rates of mental health impairment amongst asylum seekers pose specific challenges for refugee decision makers who lack mental health training. We examined the use of psychological evidence amongst asylum decision makers in New South Wales, Australia, drawing on the archives of a representative cohort of 52 asylum seekers. A mixed-method approach was used to examine key mental health issues presented in psychological reports accompanying each asylum application, including key documents submitted for consideration of asylum at the primary and review levels. The findings indicated that the majority of decision makers at both levels did not refer to psychological evidence in their decision records. Those who did, particularly in the context of negative decisions, challenged the expert findings and rejected the value of such evidence. Asylum seekers exhibiting traumatic stress symptoms such as intrusive thoughts and avoidance, as well as memory impairment, experienced a lower acceptance rate than those who did not across the primary and review levels. The findings raise concern that trauma-affected asylum seekers may be consistently disadvantaged in the refugee decision-making process and underscore the need to improve the understanding and use of mental health evidence in the refugee decision-making setting. The study findings have been used to develop a set of guidelines to assist refugee decision makers, mental health professionals and legal advisers in improving the quality and use of psychological evidence within the refugee decision-making context. SN - 1873-5347 UR - https://www.unboundmedicine.com/medline/citation/24331888/A_mixed_method_study_of_expert_psychological_evidence_submitted_for_a_cohort_of_asylum_seekers_undergoing_refugee_status_determination_in_Australia_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0277-9536(13)00481-4 DB - PRIME DP - Unbound Medicine ER -