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Assessing trauma in a transcultural context: challenges in mental health care with immigrants and refugees

Overview of attention for article published in Public Health Reviews, August 2018
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • Among the highest-scoring outputs from this source (#12 of 162)
  • High Attention Score compared to outputs of the same age (92nd percentile)

Mentioned by

news
1 news outlet
blogs
3 blogs
policy
1 policy source
twitter
11 tweeters

Citations

dimensions_citation
25 Dimensions

Readers on

mendeley
159 Mendeley
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Title
Assessing trauma in a transcultural context: challenges in mental health care with immigrants and refugees
Published in
Public Health Reviews, August 2018
DOI 10.1186/s40985-018-0102-y
Pubmed ID
Authors

Lloy Wylie, Rita Van Meyel, Heather Harder, Javeed Sukhera, Cathy Luc, Hooman Ganjavi, Mohamad Elfakhani, Nancy Wardrop

Abstract

The growing numbers of refugees and immigrants from conflict-prone areas settling throughout the world bring several challenges for those working in the mental health care system. Immigrants and refugees of all ages arrive with complex and nuanced mental health histories of war, torture, and strenuous migration journeys. Many of the challenges of addressing the health care needs for this growing population of immigrants and refugees are often unfamiliar, and thus practices to address these challenges are not yet routine for care providers and health care organizations. In particular, complex trauma can make mental health assessments difficult for health care organizations or care providers with limited experience and training in transcultural or trauma-informed care. Using a transcultural approach can improve assessment and screening processes, leading to more effective and high-quality care for immigrant and refugee families experiencing mental health disorders. This paper presents findings from an assessment of current mental health services focusing on current practices and experiences with immigrant and refugee patients and families. The difficulties in developing shared understandings about mental health can hinder the therapeutic process; therefore, it is imperative to ensure an effective assessment right from the beginning, yet there is limited use of existing cultural formulation tools from the DSM-IV or DSM-5. The paper outlines current practices, approaches, challenges, and recommendations shared by mental health care providers and program leaders in addressing the mental health care needs of immigrants and refugees. The results from this study demonstrate that there are many challenges and inconsistencies in providing transcultural, trauma-informed care. Respondents emphasized the need for a thorough yet flexible and adaptive approach that allows for an exploration of differences in cultural interpretations of mental health. Our study concluded that ensuring a mindful, reflexive, transcultural, and trauma-informed health care workforce, and a learning environment to support staff with education, resources, and tools will improve the health care experiences of immigrants and refugees in the mental health care system.

Twitter Demographics

The data shown below were collected from the profiles of 11 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 159 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 159 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 34 21%
Student > Bachelor 23 14%
Student > Ph. D. Student 18 11%
Student > Doctoral Student 17 11%
Student > Postgraduate 8 5%
Other 27 17%
Unknown 32 20%
Readers by discipline Count As %
Psychology 41 26%
Medicine and Dentistry 29 18%
Social Sciences 17 11%
Nursing and Health Professions 11 7%
Neuroscience 6 4%
Other 13 8%
Unknown 42 26%

Attention Score in Context

This research output has an Altmetric Attention Score of 34. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 15 April 2019.
All research outputs
#577,556
of 14,624,189 outputs
Outputs from Public Health Reviews
#12
of 162 outputs
Outputs of similar age
#19,594
of 274,158 outputs
Outputs of similar age from Public Health Reviews
#1
of 2 outputs
Altmetric has tracked 14,624,189 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 96th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 162 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 15.2. This one has done particularly well, scoring higher than 92% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 274,158 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 92% of its contemporaries.
We're also able to compare this research output to 2 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them