IMPACT OF IMMIGRATION ON MENTAL HEALTH IN MUSLIM POPULATION by ntx18253

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									IMPACT OF IMMIGRATION ON
 MENTAL HEALTH IN MUSLIM
 POPULATION OF MICHIGAN
    By FARHA ABBASI MD
         ALIEN TO AMERICAN
• United States accepts more legal immigrants
  as permanent residents than any other
  country in the world. In 2006, the number of
  Immigrants totaled 37.5 million.
• U.S. immigration use to be an economic
  venture, which inspired dreams of prosperity
  and opportunity .The fear of life has become
  the driving force now.
THE WAVE OF MUSLIM IMMIGRATION
CREATING THE NEW FACE OF AMERICA
• The number of immigrants from Muslim
  countries were nearly 1.5 million in 2000 and
  now number nearly 2 million.
• Muslim immigrants to the United States are
  highly dispersed. The only town in the country
  with a substantial concentration of Muslim
  immigrants is Dearborn, Michigan, where they
  make up perhaps 30 percent of the population
NOT ALL ARE ARABS
                          WHY!

• Muslims since 1965 have arrived in the United States for
  two main reasons.
• The first is refuge, Tragic events in Muslim countries often
  lead directly to the emergence of a Muslim ethnic
  community in the United States. The Muslim countries
  being disproportionately dominated by dictators means
  that tyranny, persecution, poverty, violent regime changes,
  civil strife, and wars have driven some of the most talented
  and wealthy from Muslim countries in the Middle East,
  South Asia, and beyond.
• The second major reason for immigration is education
          WHO ARE REFUGEES?
• Refugee is a person who owing to a well founded
  fear of being persecuted for reasons of race,
  religion nationality, and is unable to or owing to
  such fear is unwilling to avail himself of the
  protection of that country. [UNHCR]
• The United States resettled the largest number
  of refugees in2001.Muslim countries like Iran,
  Iraq, Sudan ,Somalia and Afghanistan being the
  top ten countries producing the most refugees.
      THE REFUGEE EXPERIENCE
• Refugees are different from immigrants, they flee
  their country of origin for fear of persecution not
  out of personal choice, they are resettled in
  countries that they may not have chosen ,as their
  primary residence or with which they may not be
  familiar . They do not have the opportunity to
  prepare for their transition to a new country ,may
  find it culturally strange ,and may have skills that
  do not transfer well to their new
  environments.{STEIN,1986}
       REFUGEES IN MICHIGAN
• According to an estimate since 2004-2006 a
  total of 4187 refugees have been resettled in
  Michigan ,1890 in Lansing area only
  comprising of diverse populations ,out of
  which roughly 20%-30% are of Muslim faith.
         FIGHT,FRIGHT,FLIGHT
• Immigration may it be legal, illegal or as a
  refugee is a traumatic and stressful
  experience, fraught with hardships, fear of the
  unknown and social disruption.
• Refugees additionally have to deal with the
  consequences of exposure to violence and
  political oppression. It can have severe and
  lasting impact on their mental well being.
      CULTURAL BEREAVEMENT
• Loss of familiar sights, sounds and smells.
• Language barriers.
• Norms, values and cultural beliefs, stark
  contrasts to host country.
• Change of economic and social status.
• Lack of social support.
• Racial discrimination.
       “ IT’S ALL IN YOUR MIND”
• “Minority status ,experiences of prejudice ,social
  and economic disadvantages and communication
  barriers become a lamentable part of daily life
  adversely affecting the immigrant’s mental
  state.”…Dr Saeed Islam.
• Due to how people behave, express and manifest
  is largely determine by their culture and ethnicity,
  mental diseases especially depression go largely
  undetected in immigrant populations.
 STIGMA……SHROUD IT IN SILENCE
• “Absence of evidence is not evidence of absence.”
• Strong faith and spirituality in Muslim culture
  deems mental illness as the weakness of the
  soul, where keeping silent in face of suffering is
  the norm and to persevere is pious.
• These tend to under seek the professional help
  as the stigma and shame of mental health is
  worse than their anguish. They usually end up in
  Primary care settings with vague pain and
  symptoms. Where they are either under or
  misdiagnosed.
MISMATCHED,MISUNDERSTOOD AND
        MISDIAGNOSED
• The reasons for under diagnosing of
  depression in Transcultural settings:
• Different description models used.
• Patient’s unwillingness or inability to disclose
  mental or emotional issues.
• Divergence of clinical features across cultures.
• Language, cultural and racial barriers between
  patient and psychiatrists.
    WHEN WORDS CAN’T DESCRIBE THE
               PAIN
•   Common expressions of distress include:
•   Country / culture Somatic idiom
•   India/Pakistan ‘sinking heart’, ‘feeling hot’, ‘gas’
•   Nigeria ‘heat in the head’, ‘biting sensation all over the
•   body’, ‘heaviness sensation in the head’
•   Mexican Americans ‘brain ache’, ‘brain exploding’, ‘uncontrollable’
•   Chinese ‘shenjing shuairuo’ – neurasthenia
•   Dubai ‘sadri dayeq alayya’ – ‘my chest feels tight’
•   ‘taabana’ – ‘I am tired, fatigued’
•   ‘jesmi metkasser’ – ‘broken body’
•   United Arab Emirates‘the heart is poisoning me’
•   ‘as if there is hot water over my back’
•   ‘something is blocking my throat
           ASSESSING DEPRESSION IN
                 IMMIGRANTS
• • Review sadness, joylessness, hopelessness, lack of energy, poor
  concentration.
• • Look for biological symptoms such as loss of sleep and libido and
  appetite
• variations.
• • Determine the reasons for migration, preparations and the actual act of
• migrating.
• • Evaluate aspirations and achievements.
• • Gauge social support and peer group contacts.
• • Study negative life events, feelings of loss and grief.
• • Appraise self-esteem and self-confidence.
• • Ascertain whether any social skills deficit is present.
• • Determine the degree of culture shock.
• • Check cultural identity.
                                                HEALTH FAIR
•   Sep. 7
    ------------------------

•   Greater Lansing Arab American Social Services (GLAASS),
    Sparrow Hospital, Ingham County Health Department
    Family & Community Development Services
    are delighted to jointly organize a HEALTH FAIR!!
    FREE BLOOD PRESSURE, CHOLESTEROL, BONE DENSITY, AND BODY MASS TESTING
•   MENTAL HEALTH SCREENING and FREE REFRESHMENTS too!
•
•   FRIDAY SEPTEMBER 7TH, 2007
•
•   12:00 PM TO 4:00 PM
•
•   WHERE: at the Islamic Center Gymnasium
    920 S. Harrison Rd., E. Lansing,
    Inside the gym

•   When you come to the Jummah prayer, plan on coming early or on staying back longer !
•
•   Free consultation from the best of the best expert professionals in town. The event is free and is open to all.
•
    If you have any questions, please call 517-402-6225

•   Download a flyer to the event at : http://www.lansingislam.com/dl/health_fair.doc Annual Fund Raising Dinner
    Sunday September 9, 2007
HIDE YOUR CARROTS IN THE CLOSET

								
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