Once resettled...not so settled

This year’s “Forced to Flee” tour is dedicated to bringing awareness to refugee issues throughout the world and promoting activism among the Calling All Crows community. The Crows’ Nest blog will feature articles by Trish Becker-Hafnor discussing the complex elements of the refugee experience, from conflicts affecting communities across the globe, to the challenges of living in a foreign country after resettlement. You can read previous installments here, here, and here.
The first leg of the Forced to Flee Tour has come to a close, and over the past several weeks we’ve explored worldwide conflict, refugee camps and some of the difficult decisions that face refugees throughout the process. We are now poised to understand what happens after resettlement, once refugees have landed in a third country.
Once an individual or family has decided to resettle, they must undergo a series of interviews, health screenings and bureaucracy in order to be accepted. There is often a significant waiting period between registering for resettlement and being selected, yet there is typically very little time between the moment that someone is notified and when they are required to depart. Families are often thrown into a tailspin while packing all of their belongings into one or two suitcases, saying goodbye to family and friends and preparing for the rest of their lives in a foreign country.
There are 12 countries throughout the world that have substantial resettlement programs, the US being one of them. Once refugees arrive in the US, they receive a one-time stipend of $1,800 to assist with housing, food and all costs related to their transition into the US. They also qualify for eight months of food stamps and financial assistance, to assist with rent and expenses as they look for work. Often, refugees have specialized skills and advanced training in fields ranging from medicine to engineering to law. However, these skills and degrees are rarely recognized in the US and many individuals find themselves working menial jobs with poor hours and harsh conditions. Doctors find themselves in meat packing plants, and engineers work as janitors.
After eight months, most families are cut off from assistance, with exceptions for individuals with a disability or families with small children. Imagine suddenly moving to a new country, trying to learn the language, adapt to a completely different culture, navigate complex systems, provide for your family and find a company that will hire you despite linguistic, cultural and religious differences…all within just eight months. The amount of time given to new arrivals is far too short, and the support available is too little.
Adding to the challenge of resettlement is the fact that most refugees have significant trauma histories, and studies have shown that they experience Posttraumatic Stress Disorder (PTSD) at ten times the rate of the general population. Refugees are often in need of treatment for mental health issues such as depression, anxiety and PTSD, but face difficulties finding treatment that is culturally and linguistically competent. There are a limited number of mental health professionals who reflect the language and culture of the diverse group of incoming refugees.
Refugees are often unaware that there is treatment available for the life-altering symptoms that they are experiencing. Programs designed to screen incoming refugees for mental health issues are now available, and are gaining traction in resettlement programs throughout the country. The Pathways to Wellness Program was established in King County, Washington and uses multilingual screening tools that were carefully developed to incorporate culturally relevant symptoms and idioms of distress. The screeners are now given as part of the public health examination that many refugees undergo when arriving in the US.
The challenges that face refugees are complex and disheartening, but Pathways to Wellness and other innovative programs that address unmet needs offer some hope. Learn more about The Pathways to Wellness Program