Book contents
- Seeking Asylum and Mental Health
- Seeking Asylum and Mental Health
- Copyright page
- Contents
- The Authors
- Foreword
- Acknowledgements
- Glossary
- Introduction
- 1 Why do people seek asylum? The global context
- 2 Seeking asylum in the United Kingdom
- 3 Seeking asylum and mental health
- 4 Access to mental health care
- 5 Assessing mental health needs
- 6 Interpreting assessment findings
- 7 Formulation and diagnosis
- 8 Common diagnoses
- 9 Intervention: the essentials
- 10 Specific interventions
- 11 Children, families, and young people
- 12 Records and reports
- 13 Improving mental health services
- 14 Therapeutic complexity
- 15 Working with people seeking asylum
- Some resources
- Index
- References
6 - Interpreting assessment findings
Published online by Cambridge University Press: 26 August 2022
- Seeking Asylum and Mental Health
- Seeking Asylum and Mental Health
- Copyright page
- Contents
- The Authors
- Foreword
- Acknowledgements
- Glossary
- Introduction
- 1 Why do people seek asylum? The global context
- 2 Seeking asylum in the United Kingdom
- 3 Seeking asylum and mental health
- 4 Access to mental health care
- 5 Assessing mental health needs
- 6 Interpreting assessment findings
- 7 Formulation and diagnosis
- 8 Common diagnoses
- 9 Intervention: the essentials
- 10 Specific interventions
- 11 Children, families, and young people
- 12 Records and reports
- 13 Improving mental health services
- 14 Therapeutic complexity
- 15 Working with people seeking asylum
- Some resources
- Index
- References
Summary
When assessing people from very different backgrounds who have had complicated and challenging life experiences, mental health professionals need to be wary of jumping to wrong conclusions.
With people seeking asylum, interpreting appearance, behaviour and non-verbal communication is likely to be harder than usual. Narrative style and autobiographical memory aresubject to diverse influences that include attachment security and autobiographical competence, emotional distress, external prompts and context, social identity, and culture. Major adversity and PTSDcan result in complex difficulties in giving clear consistent accounts. Neurodevelopmental diversity and intellectual disabilities present specific challenges. People seeking asylum also face some narrative dilemmas particular to their situation.
The outcome of an asylum claim often hinges on judgements about a person’s credibility.While determining credibility is the responsibility of the Home Office and courts, mental health professionals can contribute to good decision-making by offering clinical explanations for features of a person’s account or behaviour that have been used to cast doubt on their credibility.
Keywords
- Type
- Chapter
- Information
- Seeking Asylum and Mental HealthA Practical Guide for Professionals, pp. 116 - 131Publisher: Cambridge University PressPrint publication year: 2022
References
Further reading
There is a wealth of further discussion of some of the issues raised in this chapter, and other resources, available on the website of the Centre for the Study of Emotion and Law, based at Royal Holloway University: http://pc.rhul.ac.uk/sites/csel/research-hub/