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Australian health policy on access to medical care for refugees and asylum seekers

Correa-Velez, Ignacio; Gifford, Sandra M; Bice, Sara J
Fonte: BioMed Central Publicador: BioMed Central
Tipo: Artigo de Revista Científica
Publicado em 09/10/2005 EN
Relevância na Pesquisa
47.46%
Since the tightening of Australian policy for protection visa applicants began in the 1990s, access to health care has been increasingly restricted to asylum seekers on a range of different visa types. This paper summarises those legislative changes and discusses their implications for health policy relating to refugees and asylum seekers in Australia. Of particular concern are asylum seekers on Bridging Visas with no work rights and no access to Medicare. The paper examines several key questions: What is the current state of play, in terms of health screening and medical care policies, for asylum seekers and refugees? Relatedly, how has current policy changed from that of the past? How does Australia compare with other countries in relation to health policy for asylum seekers and refugees? These questions are addressed with the aim of providing a clear description of the current situation concerning Australian health policy on access to medical care for asylum seekers and refugees. Issues concerning lack of access to appropriate health care and related services are raised, ethical and practical issues are explored, and current policy gaps are investigated.

The impact of direct provision accommodation for asylum seekers on organisation and delivery of local primary care and social care services: a case study

Pieper, Hans-Olaf; Clerkin, Pauline; MacFarlane, Anne
Fonte: BioMed Central Publicador: BioMed Central
Tipo: info:eu-repo/semantics/article; all_ul_research; ul_published_reviewed
ENG
Relevância na Pesquisa
67.27%
peer-reviewed; Background: Many western countries have policies of dispersal and direct provision accommodation (state-funded accommodation in an institutional centre) for asylum seekers. Most research focuses on its effect on the asylum seeking population. Little is known about the impact of direct provision accommodation on organisation and delivery of local primary care and social care services in the community. The aim of this research is to explore this issue. Methods: In 2005 a direct provision accommodation centre was opened in a rural area in Ireland. A retrospective qualitative case study was designed comprising in-depth interviews with 37 relevant stakeholders. Thematic analysis following the principles of framework analysis was applied. Results: There was lack of advance notification to primary care and social care professionals and the community about the new accommodation centre. This caused anxiety and stress among relevant stakeholders. There was insufficient time to plan and prepare appropriate primary care and social care for the residents, causing a significant strain on service delivery. There was lack of clarity about how primary care and social care needs of the incoming residents were to be addressed. Interdisciplinary support systems developed informally between healthcare professionals. This ensured that residents of the accommodation centre were appropriately cared for. Conclusions: Direct provision accommodation impacts on the organisation and delivery of local primary care and social care services. There needs to be sufficient advance notification and inter-agency...

Getting to know you: a local study of the needs of migrants, refugees and asylum seekers in County Clare

Ní Shé, Éidín; Lodge, Tom; Adshead, Maura
Fonte: University of Limerick Publicador: University of Limerick
Tipo: info:eu-repo/semantics/report; all_ul_research
ENG
Relevância na Pesquisa
67.05%
non-peer-reviewed; This report includes a desk study on the policy and legal context of immigration into Ireland, and presents the findings of a field research project on the needs of refugees, asylum seekers and migrants in County Clare. In 2007, Ennis CDP and the HSE West commissioned the University of Limerick Centre for Peace and Reconciliation to conduct this research for a inter-agency group assembled by the Health Service Executive (West) in County Clare:

"A reluctant Odysseus” An auto-ethnographic exploration of working with asylum seekers living in direct provision

Kerwin, Sara
Fonte: University of Limerick Publicador: University of Limerick
Tipo: info:eu-repo/semantics/masterThesis; all_ul_research; ul_theses_dissertations
ENG
Relevância na Pesquisa
67.43%
non-peer-reviewed; Background: An Asylum Seeker is defined as a person seeking refugee status. In Ireland, Asylum Seekers spend between three and eight years living in Direct Provision awaiting this status. Direct Provision provides food and shelter but limits occupational choice. Social policy and health research studies have highlighted the impropriety and multiple challenges faced by Asylum Seekers living there. Persistent denial of opportunities to engage in meaningful and necessary occupations is termed occupational deprivation. Objectives: To explore the experiences of an occupational therapy student during her participation in an occupation based intervention with Asylum Seekers living in Direct Provision. Methods: Auto-ethnography was used to explore the subjective experiences of the student. Her experience is the focus of the research. Journals, self reflections, field notes, semi structured interviews; physical and textual artefacts were gathered, discussed and critiqued by the student for thematic analysis. Results: Four themes emerged: peaks and troughs; an occupational kaleidoscope; growing; and a new lens. The experience was a transformational journey that involved many emotions and challenges but brought awareness and positive change to the student. Auto-ethnography enhanced the student’s reflective practice and understanding of occupation. Conclusions: Occupational Therapists are expertly equipped to advocate for Asylum Seekers in local and political arenas. Auto-ethnography can provide rich insights to the understanding of occupation and should be incorporated into the MSc programme to link fieldwork experience to course work.

Constructions of racism in the Australian parliamentary debates on asylum seekers

Every, D.; Augoustinos, M.
Fonte: Sage Publications Ltd Publicador: Sage Publications Ltd
Tipo: Artigo de Revista Científica
Publicado em //2007 EN
Relevância na Pesquisa
67.43%
The proliferation of the subtle and slippery nature of the new racism has made it increasingly difficult to define racism and to develop an effective anti-racist rhetoric with which to challenge it. To explore the implications of the new racism for anti-racist discourse, this article uses discourse analysis to examine the parliamentary speeches of politicians opposing Australia’s new asylum-seeking laws for what these refugee advocates challenge and make accountable as racist. Using a corpus of the 2001 Australian Hansard speeches on the MV Tampa, amendments to the Migration Act, and the Border Protection Bill 2001 as data we identify four ways in which the government’s representation of asylum seekers was constructed as racist. These included: the use of categorical generalizations in talk about asylum seekers, the unequal treatment of asylum seekers compared with other categories of ‘illegal’ immigrants, talk about the nation and cultural-difference-talk. We demonstrate how articulating these constructions of racism in political discourse (and no doubt, in everyday talk) is a socially delicate conversational act that was carefully managed. We suggest that anti-racism strategies must take this issue of the complex nature of making an accusation of racism into account...

Negotiating existence: asylum seekers in East Anglia, UK.

Corfield, Sophia
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2008
Relevância na Pesquisa
67.61%
This ethnographic study of asylum seekers in East Anglia, UK, poses the following questions: how do asylum seekers adapt, cope and adjust to life in the UK when their future is so uncertain? To what extent do people seeking asylum relate to an asylum seeker identity? How do asylum seekers negotiate interactions with others as they await an outcome to their application for asylum? This study explores these questions in an effort to gain insight into the role of identity reconstruction during the process of asylum seeking. This thesis is based on twelve months of fieldwork in the towns of Norwich and Great Yarmouth, and to a lesser extent in Peterborough and London, where asylum seekers had been dispersed by either the London Boroughs or the Home Office’s NASS (National Asylum Support Service). During 2002 and 2003, I conducted fieldwork amongst asylum seekers, as well as amongst support workers working for various NGOs that offered a number of support services for asylum seekers. The focus on asylum seekers’ speech-acts is a method to observe the primary form of social action by which asylum seekers articulate a shared place, liminal immigration system and interaction with others. These elements shape asylum seekers’ identity in the UK. Consequently...

Asylum seekers and Australian politics, 1996-2007.

Wright, Bette Diane
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2014
Relevância na Pesquisa
67.18%
The thesis is a study of the politics of refugee and asylum seeker policy in Australia, focussing on the John Howard Coalition period 1996-2007. It is argued that the era constituted a pivotal point in time, both politically and historically, when Australia acted contrary to the spirit of its international obligations. The government introduced harsher exclusionary policies which failed to observe some of the basic principles of protection contained within the United Nations High Commissioner for Refugees (UNHCR) 1951 Convention, Relation to the Status of Refugees and 1967 Protocol Relating to the Status of Refugees (hereinafter the Convention). The Tampa incident can be seen as a trigger for the introduction of harsher exclusionary policies. From that time those arriving by boat were unable to land on Australian shores. The shift to a new approach saw a flurry of cleverly crafted policies to control, deter and deny unauthorised arrivals and marked an era of change in political culture which found support from many of the voting public. With an election looming in 2001, the government grasped at events for political advantage. The asylum seeker issue, which invoked deeply ingrained public passions of fear, intolerance and exclusion...

Tradable refugee-admission quotas : a policy proposal to reform the EU asylum policy

RAPOPORT, Hillel; FERNÁNDEZ-HUERTAS MORAGA, Jesus
Fonte: Instituto Universitário Europeu Publicador: Instituto Universitário Europeu
Tipo: Trabalho em Andamento Formato: application/pdf
EN
Relevância na Pesquisa
57%
The current EU Asylum policy is widely seen as ineffective and unfair. We propose an EU-wide market for tradable quotas on both refugees and asylum-seekers coupled with a matching mechanism linking countries' and migrants' preferences. We show that the proposed system can go a long way towards addressing the shortcomings of the existing system. We illustrate this claim using the recent problems regarding relocation faced by the European Relocation from Malta (EUREMA) program.

Vicarious resilience and vicarious traumatisation: experiences of working with refugees and asylum seekers in South Australia

Puvimanasinghe, T.; Denson, L.A.; Augoustinos, M.; Somasundaram, D.
Fonte: SAGE Publications Publicador: SAGE Publications
Tipo: Artigo de Revista Científica
Publicado em //2015 EN
Relevância na Pesquisa
56.92%
The negative psychological impacts of working with traumatised people are well documented and include vicarious traumatisation (VT): the cumulative effect of identifying with clients' trauma stories that negatively impacts on service providers' memory, emotions, thoughts, and worldviews. More recently, the concept of vicarious resilience (VR) has been also identified: the strength, growth, and empowerment experienced by trauma workers as a consequence of their work. VR includes service providers' awareness and appreciation of their clients' capacity to grow, maintaining hope for change, as well as learning from and reassessing personal problems in the light of clients' stories of perseverance, strength, and growth. This study aimed at exploring the experiences of mental health, physical healthcare, and settlement workers caring for refugees and asylum seekers in South Australia. Using a qualitative method (data-based thematic analysis) to collect and analyse 26 semi-structured face-to-face interviews, we identified four prominent and recurring themes emanating from the data: VT, VR, work satisfaction, and cultural flexibility. These findings-among the first to describe both VT and VR in Australians working with refugee people-have important implications for policy...

Neoliberalism and nationalism: representations of asylum seekers in the Australian mainstream news media

Lueck, K.; Due, C.; Augoustinos, M.
Fonte: SAGE Publications Publicador: SAGE Publications
Tipo: Artigo de Revista Científica
Publicado em //2015 EN
Relevância na Pesquisa
67.54%
In this article, we build on previous critical discursive research concerning the deployment of nationalist rhetoric in the negative representation of asylum seekers to also consider the interplay between neoliberal and nationalist discourses regarding asylum seekers arriving by boat to Australia. Rather than arguing that neoliberalism and nationalism are incompatible (by virtue of the former being about internationalization and the latter about protecting the nation-state), we argue that in fact media representations of asylum seekers are compatible with both neoliberal and nationalist discourses, with both ultimately aimed at protecting the sovereignty of the (White) Australian nation-state. Utilizing a synthetic approach to critical discourse analysis, we analyze two incidents concerning asylum seekers that were widely reported in the mainstream media in late 2009, namely, the Oceanic Viking and the Jaya Lestari 5 incidents. Our article demonstrates that while many of the discourses concerning asylum seekers can be read as nationalistic in nature (i.e. through 'protecting' a sovereign state and maintaining border control), they can also be seen as neoliberal in relation to the (supposed) economic benefits of excluding asylum seekers and their undesirability on economic terms. The 'threat posed by asylum seekers arriving by boat' was positioned as one that required increased economic support for stricter border protection policies. The economic nature of border protection and security came to the fore not only in terms of its role in keeping out those seen as economically undesirable...

"Asylum seekers", "boat people" and "illegal immigrants": Social categorisation in the media

O'Doherty, K.; Le Couteur, A.
Fonte: Australian Psychological Soc Publicador: Australian Psychological Soc
Tipo: Artigo de Revista Científica
Publicado em //2007 EN
Relevância na Pesquisa
57%
This paper is concerned with representations of people entering Australia to request asylum. The study critically analyses the role of social categorisation in descriptions about these people, drawn from texts available through the Australian print media. The aim is to examine constructions that constitute marginalising practices toward people who request asylum in Australia. It is argued that traditional approaches to social categorisation have a number of shortcomings, particularly in the context of an examination of potentially marginalising discourse. A discursive psychological approach is adopted for the purpose of analysing certain categorisations and identifying the social actions they constitute. Sample extracts are drawn from media articles and specific categories examined include “illegal immigrants”, “boat people”, and related category labels. It is argued that certain types of categorisation can support and encourage specific actions and, in particular, specific marginalising practices.; © 2007 Informa plc

The 'Tampa effect' Australian asylum policy in international perspective

Hatton, Timothy J; Lim, Audrey
Fonte: Universidade Nacional da Austrália Publicador: Universidade Nacional da Austrália
Tipo: Working/Technical Paper Formato: 112553 bytes; 350 bytes; application/pdf; application/octet-stream
EN_AU
Relevância na Pesquisa
57.12%
Australia’s policies towards asylum seekers hit the headlines when it refused to admit those aboard the Tampa in September 2001. This tough stance and the raft of legislation that followed became known as Australia’s “Pacific Solution”. It was clearly intended to deter those who might otherwise arrive by sea or by air to claim asylum in Australia. Several other countries toughened their policies after September the 11th 2001. This paper examines the effects of those policies on the subsequent streams of asylum applications by estimating the effects from panel data using a differences-in-differences approach. We find that the post-Tampa effect for Australia was to cut asylum applications by more than half. In other countries such as New Zealand and the UK, negative policy effects are also found but they are somewhat weaker. We conclude that the deterrent effects of policy are greatest not only when tough policies are enforced but when they are also widely publicised.; no

Houston, we have a problem: the compatibility of the report of the expect panel on asylum seekers with international law

Jehne, Mark
Fonte: Universidade Nacional da Austrália Publicador: Universidade Nacional da Austrália
Tipo: Relatório
Relevância na Pesquisa
67.39%
The Houston Panel's Report provides the next chapter in Australian asylum seeker policy, which has been a central political issue over the last decade. The Houston Panel was appointed in the wake of a political and humanitarian crisis - the Government's burden sharing arrangement with Malaysia had been rejected by the High Court and many asylum seekers had perished at sea on boat journeys to Australia. The Houston Panel was tasked with establishing a policy that would prevent deaths of asylum seekers at sea. This paper analyses the compatibility of the Panel's recommendations with international law. International human rights law provides protections for refugees through various treaties. Although the human rights framework has been critiqued by both the humanitarian and state sovereignty perspectives, the human rights framework protects refugees better than humanitarianism and withstands the criticisms of those who advocate the primacy of state interests and state autonomy over asylum seeker protection. Central recommendations of the Houston Panel's Report are analysed in light of Australia's obligations under international law. The Report considers policies relating to regional processing, the no advantage principle, temporary protection...

Assessment of ministerial discretion granted by s417 Migration Act 1958 and it's current usage, in relation to Australia's international obligations of refugees.

Child, Kobie
Fonte: Universidade Nacional da Austrália Publicador: Universidade Nacional da Austrália
Tipo: Relatório
Relevância na Pesquisa
47.54%
Refugees and asylum seekers arrive in Australia seeking protection from the countries they have left. There is a distinction between these two types of arrivals, for example, refugees are defined by the Convention Regarding Refugees 1951, Article 1 A (2), adopted by Australia. Asylum seekers in contrast, seek refuge for other humanitarian or compassionate reasons. The Australian system does not identify the two categories as separate. Instead, all applications are assessed by DIMIA officials, against the Convention, which asylum seekers often do not meet. If found to meet the definition, they are granted temporary protection however, if not they have access to appeal or are returned to their country of origin. Under treaties, such as the JCCPR, CROC, and CAT, asylum seekers who have an unforeseen reason to remain in Australia, are entitled to protection of the State. Other countries such as Canada, the UK and New Zealand allow for asylum seekers to use a separate and direct process. Australia should follow these examples. Previously the Act did separate the two types of applicants under s6A (1) (e), allowing applicants to apply for Permanent Residence. However, the 1989 reforms revoked this section and did not replace it. Therefore...

Australia, Indonesia and the Papuan asylum seeker controversy

Cole, Rachelle
Fonte: Universidade Nacional da Austrália Publicador: Universidade Nacional da Austrália
Tipo: Relatório
Relevância na Pesquisa
57.45%
Indonesia, Australia and 43 Papuan asylum seekers The arrival of forty three Papuan asylum seekers at Cape York in January 2006, and the decision by the Australian government to grant the asylum seekers refugee status, propelled the Papuan issue to the forefront of public debate. Australia was accused of interfering in Indonesia's domestic affairs and boosting the separatist cause. The incident triggered considerable antagonism in Indonesia, culminating in a breakdown in diplomatic relations. The highly negative response is due to Indonesia's sensitive feelings about Papua and the distrust over Australia's intentions in the province. Indonesia's territorial integrity and the Importance of Papua Sensitivities over Papua can be attributed to insecurity over the ability of Indonesia's leaders to hold the enormous and diverse nation together. With over 300 different ethnic groups and more than 15,000 islands this is no easy task. This is clear in the rigorous nation building project .conducted by the first President Sukarno to create a shared sense of identity among people of the archipelago necessary to forge a modern nation state. The concept of Indonesia has come under serious challenge since independence. The first decade and a half were characterised by frequent conflict mainly based on dissatisfaction with the central government. After 30 years of authoritarian rule an explosion in regional conflicts occurred...

What are the occupational experiences of adult asylum seekers living in direct provision in Ireland?

O'Brien, Laura
Fonte: University of Limerick Publicador: University of Limerick
Tipo: info:eu-repo/semantics/masterThesis; all_ul_research; ul_theses_dissertations
ENG
Relevância na Pesquisa
67.59%
non-peer-reviewed; Background Asylum seekers in Ireland are required to live in State provided hostel type accommodation called Direct Provision. The system of Direct Provision places a number of restrictions on the lives of asylum seekers; they are not permitted to cook, to work or to access third level education and are expected to live on limited finances. This denies asylum seekers opportunities to engage in meaningful occupations of their choice. Objectives The research aimed to understand the occupational experiences of asylum seekers living in Direct Provision and to explore the potential risk of occupational deprivation. Methods A qualitative approach using semi-structured interviews was chosen to explore and gain an understanding of asylum seekers experiences of living in Direct Provision. Interviews were analysed using Braun and Clarke’s (2006) six stages of thematic analysis informed by phenomenology to gain an insider’s perspective. Results Four main themes emerged that captured the occupational experiences of asylum seekers; restricted environment, restricted occupational performance, impact of occupational deprivation on health and wellbeing and coping through doing and cognitive strategies. Conclusion This study reveals how vulnerable asylum seekers are to occupational deprivation because they are denied access to occupation participation over an extended period of time...

A cosy consensus on deviant discourse: how the refugee and asylum seeker meta-narrative has endorsed an interpretive crisis in relation to the transnational politics of world's displaced persons

Haynes, Amanda; Devereux, Eoin; Breen, Michael
Fonte: Department of Sociology, University of Limerick Publicador: Department of Sociology, University of Limerick
Tipo: info:eu-repo/semantics/workingPaper; all_ul_research
ENG
Relevância na Pesquisa
57.13%
non-peer-reviewed; Immigration is a key feature in late capitalist societies, with some 20,000,000 displaced persons worldwide. This paper reports on coverage of refugees and asylum seekers in English-language newspapers worldwide, drawing on media content between 2003 and 2004. It analyses media discourse on refugees and asylum seekers across the world, with a particular focus on deconstructing negative coverage. Five dominant negative frames in international media discourses are identified. These themes are examined in the context of theories of racism and xenophobia to highlight their negative potential for displaced persons and attitudes towards them in their host countries. Theory is also employed to explore the potential utility of such negative narratives for the media and social elites. The work being presented here is part of a much larger research project being undertaken by the authors at the University of Limerick. (For preliminary findings see Devereux and Breen, 2003 and 2004).

A survey of asylum seekers' general practice service utilisation and morbidity patterns

McMahon, Julie; MacFarlane, Anne; Avalos, Gloria; Cantillon, Peter; Murphy, Andrew W
Fonte: Irish Medical Organization Publicador: Irish Medical Organization
Tipo: info:eu-repo/semantics/article; all_ul_research; ul_published_reviewed
ENG
Relevância na Pesquisa
57.62%
peer-reviewed; To compare Irish asylum seekers to other General Medical Scheme (GMS) patients possessing Irish citizenship in terms of their utilisation of GP services, morbidity patterns and consultation outcomes. A retrospective 1 year study on patient records in two Galway City practices was performed. All asylum seekers who were patients of the two practices were compared with two controls each from a population of GMS patients with Irish citizenship matched for age, sex, and GMS status. Demographic information was recorded. For each consultation over the 12 months the diagnosis using the ICPC coding system1 and consultation outcomes were recorded. Data was collected on 171 asylum seekers and 342 Irish citizens. The majority of asylum seekers registered in the two practices were from Nigeria (43.9%). The age of cases ranged from 1 month to 60 years of age with a median of 26. 45.8% were female and 54% male. The mean number of visits per asylum seeker per year was 5.16 (SD 3.12) whereas the mean for Irish Citizens was 2.31(SD 2.33) (p = 0.0001). Asylum seekers had a significantly higher likelihood of being assigned diagnoses in the disease systems of psychiatry, dermatology, neurology, musculoskeletal disease, urology...

Asylum seekers living in the community on Bridging Visa E: Community sector's response to detrimental policies

McNevin, Anne; Correa-Velez, Ignacio
Fonte: Australian Council of Social Services Publicador: Australian Council of Social Services
Tipo: Artigo de Revista Científica
Relevância na Pesquisa
67.13%
In 1997, the Australian government introduced regulations restricting work rights, income and Medicare access to asylum seekers living in the community on Bridging Visa E (BVE). These visa conditions have resulted in unacceptable hardship for asylum seeke

Complex posttraumatic stress disorder in traumatised asylum seekers: a pilot study

Kissane,Madeleine; Szymanski,Lawrence; Upthegrove,Rachel; Katona,Cornelius
Fonte: The European Journal of Psychiatry Publicador: The European Journal of Psychiatry
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/09/2014 ENG
Relevância na Pesquisa
67.4%
Background and Objectives: Complex posttraumatic stress disorder (cPTSD), a construct associated with early onset and repeated interpersonal trauma, has not previously been assessed in asylum seekers who have experienced major human rights violations. The aim of this pilot study was to describe the cPTSD symptom profile in asylum seekers, and to compare this profile between three groups of people who have experienced: human trafficking, domestic violence and/or torture. Methods: Over a period of eight weeks, clinicians working at the Helen Bamber Foundation charity invited 48 patients currently receiving psychotherapy to take part in the study, of whom 30 (62.5%) agreed. The structured interview for disorders of extreme stress (SIDES) was used to assess cPTSD in 29 asylum seekers, as one patient withdrew during the interview. Results: Participants originated from 18 countries, 72.4% were female, the median age at trauma onset was 17 years and the duration of trauma was ten years. Eight (27.6%) participants were found to have cPTSD, defined as having all six symptom clusters, and 15 (51.7%) had five or more cPTSD symptom clusters. Age at trauma onset, duration of trauma, last trauma experience, gender and trauma type were not found to be associated with cPTSD presence. Conclusions: Extensive cPTSD symptoms were common in all participants...