Experiences and psychological strain in volunteer medical doctors providing medical visual examination for asylum seekers in a reception center in Germany - a qualitative interview study

Nearly 40% of the refugees arriving in Germany suffer from psychological traumatization. After initial accommodation in reception centers, German legislation requires that all refugees undergo a medical visual examination (MVE) to screen for infectious diseases. This examination is, in part, conducted by volunteering medical doctors. The present study aimed to analyze volunteering medical doctors' motivation for performing MVE, their connected experiences, and their psychological strain in a reception center. In this context, the emergence of secondary traumatic stress, vicarious traumatization, and the need for psychological support were explored. Semistandardized interviews were conducted with 18 medical doctors after they had performed MVE. Interview recordings were transcribed and subsequently underwent qualitative thematic analysis. Finally, thematic clusters were identified. The analysis revealed 512 relevant single codes, from which three main categories were derived. These ranged from private motives for volunteering to perform MVEs in a reception center setting, to thoughts and feelings after performing the examination, and the need for psychosocial support. After having performed MVE, some of the doctors displayed cognitive alterations, which can be an indication of vicarious traumatization. Most participants felt motivated to reflect on their personal beliefs and their moral concepts.</p

Ten Years of Participatory Cinema as a Form of Political Solidarity with Refugees in Italy. From ZaLab and Archivio Memorie Migranti to 4CaniperStrada

This paper introduces the context of European mobilizations for and against refugees and how participatory cinema has become a way of expressing political solidarity with refugees in Italy. We present and discuss ten years of the artistic work of ZaLab and Archivio Memorie Migranti and focus on two film projects of 4CaniperStrada. Central to the production of participatory cinema in Italy is challenging the mainstream narrative of migration through the proactive involvement of asylum seekers, with their political subjectivity, by using a self-narrative metho

Conceptualizing sexual and gender-based violence in European asylum reception centers

Background: Sexual and gender based violence (SGBV) is a major public health problem and a violation of human rights. Refugees, asylum seekers and migrants are exposed to a constant risk for both victimization and perpetration. Yet, in the context of European asylum reception centers (EARF) professionals are also considered to be at risk. Our study explores the conceptualization of SGBV that residents and professionals have in this specific context. Further, we intent to identify key socio-demographic characteristics that are associated with SGBV conceptualization for both groups. Methods: We developed a cross-sectional study using the Senperforto project database. Semi-structured interviews were conducted with residents (n=398) and professionals (n=202) at EARF. A principal component analysis (PCA) was conducted to variables related with knowledge on SGBV. Chi-square test and Fisher's exact test were applied to understand if significant statistical association exists with socio-demographic characteristics (significant level 0.5%). Results: The majority of residents were male (64.6%), aged from 19 to 29years (41.4%) and single (66.8%); for professionals the majority were women (56.2%), aged from 30 to 39years (42.3%) and married (56.8%). PCA for residents resulted in 14 dimensions of SGBV representing 83.56% of the total variance of the data, while for professionals it resulted in 17 dimensions that represent 86.92% of the total variance of the data. For both groups differences in SGBV conceptualization were found according to host country, sex, age and marital status. Specific for residents we found differences according to the time of arrival to Europe/host country and type of accommodation, while for professionals differences were found according to legal status and education skills. Conclusion: Residents and professionals described different conceptualization of SGBV, with specific types of SGBV not being recognized as a violent act. Primary preventive strategies in EARF should focus on reducing SGBV conceptualization discrepancies, taking into account socio-demographic characteristics

Reception and Placement of Refugees in the United States

[Excerpt] The U.S. Refugee Admissions Program (USRAP), which is managed by the Department of State (DOS), resettles refugees from around the world in the United States. Once a refugee case is approved for U.S. resettlement, the USRAP determines where in the country the refugee(s) will be resettled. This determination is made through DOS’s Reception and Placement Program (R&P), which provides initial resettlement services to arriving refugees. R&P initial resettlement assistance is separate from longer-term resettlement assistance provided through the Department of Health and Human Services’ (HHS) Office of Refugee Resettlement (ORR). Each year, DOS’s Bureau of Population, Refugees, and Migration (PRM) requests proposals from public and private nonprofit organizations that are interested in providing services and assistance to refugees under the R&P Program. It then enters into a cooperative agreement with each successful applicant. The organizations, sometimes referred to as voluntary agencies, maintain nationwide networks of local affiliates to provide services to refugees. The services include pre-arrival services (e.g., placement); reception on arrival in the United States; basic needs support (e.g., housing, furnishings, food, and clothing) for at least 30 days; and help accessing health, employment, education, and other services, as needed. Funding comes from the R&P Program and contributions from other sources. Decisions about which R&P agencies will resettle particular approved refugee cases are made at weekly meetings in which representatives of the resettlement agencies review biographic and other information about incoming refugees. As part of the “sponsorship assurance” process, an agency agrees to assume responsibility for a refugee case and provide required R&P services. Once refugees are in the United States, however, they do not have to remain in their initial placement area. They can relocate at any time. The R&P Program is subject to a set of statutory requirements. Regarding the placement process, the ORR director and the agency administering the R&P Program are required to consult regularly with state and local governments and resettlement agencies about the intended distribution of refugees among the states and localities. The agency administering the R&P Program is further required to consider the recommendations of the state in determining where to place refugees within a state. As of May 31, 2017, in FY2017, refugee arrivals have been placed in the District of Columbia and every state except Wyoming. In FY2016, the only states with no refugee placements were Delaware and Hawaii

Re-Conceptualizing the Economic Incorporation of Immigrants: A Comparison of the Mexican and Vietnamese

Using data from the 2000 5 per cent Integrated Public Use Microdata Series, this article advocates three shifts in our theoretical and empirical approaches to understanding immigrant economic incorporation. First, through a comparison of Mexican and Vietnamese immigrants, these findings highlight the importance of an immigrant population’s relationship to the state for economic outcomes, and cautions against analyses that aggregate the foreign-born population. Second, through a joint analysis of unemployment and poverty outcomes, these findings call for researchers to be specific about the varied aspects of ‘‘economic incorporation’’ and distinguish between factors that drive labor market access, and those that foster material well-being. Lastly, by examining three state economic, demographic and policy variables, this article promotes an approach that takes human capital into account, while also heeding the immigrant context of reception

Italy’s Refugee Burden and the Role of the EU in Asylum Cases

Italy\u27s unique geographic location at the coast of the Mediteranean Sea gives much opportunity for the international community to criticize its dealings with asylum seekers crossing the body of water to enter Europe. The UNHCR reported that as of October 2014, 165,000 asylum seekers had taken dangerous journeys across the Mediterranean Sea; of those 165,000 people, Italy received 140,000

Asylum Seekers of the Syrian Conflict: procedures and patterns of settlement in Germany

This paper reports the procedures of asylum and patterns of settlement of asylum seekers in Germany, with special focus on the asylum seekers of the Syrian conflict. Initially prepared for a workshop comparing policy responses and settlement outcomes of the Syrian conflict in several countries, this paper presents the German case addressing the development of refugee intake, asylum application duration and results and access to family unification between the years 2015 and 2017. Based on findings of the project “Addressing the Diversity of Asylum Seekers’ Needs and Aspirations”, the paper highlights the response of German authorities and civil society to the refugee intake on arrival, and exemplifies the diversity of local actors that engage actively in supporting refugee accommodation and integration measures. Additionally, it addresses the different post arrival programs and policies for accommodation and integration and the differential access of asylum seekers to different rights, offers and services. Finally, the paper summarizes the state of research into refugee intake in Germany focusing on Syrian conflict refugees