Burden of Suffering Burden of Cost Poor Integration
Harsh and unsafe living conditions Exposure to violence Disruption of family and community networks Uncertainty about outcome of migration Malnutrition Exposure to disease, inadequate health care
Upon arrival: -language barrier, -resettlement process, -culture shock -Poverty -Safety -climate changes -dependency on others -intergenerational conflict -marital strife -ethnic tensions -inadequate services
69,930 Refugees Resettled in the US in ,965 Refugees Resettled in NY in ,361 Refugees resettled Erie County 2013
Care Coordination Forensic Exams and access to Health care Behavioral Health and emotional supports Social Services Employment Education Legal Partnership between: Jewish Family Service UB Family Medicine Journey’s End Refugee Services Lake Shore Behavioral Health Catholic Family Center/ Rochester
WNY Center for Survivors of Torture at Jewish Family Service Project Director Care Coordinators Mental Health Re-integration services Volunteers/interns Lakeshore Behavioral Health Mental Health Services UB Medical School Interns WNY Human Rights Clinic UB School of Social Work ITTIC/IRRI Seeking safety groups and research Catholic Family Center and Rochester General Hospital UB Family Medicine Medical Director Forensic Exams Research Journeys End Refugee Services Legal Director Legal Services Language Services Jericho Road Shelter/medical care Referring Agencies Partner Agencies Forensic Exam Partner New Partnership Resettlement Agencies IIB, JERS, Catholic Charities, HEAL, Hope, etc Draft November 2014 Physicians for Human Rights
Anna Skop o Care Coordinator o Jewish Family Service of Buffalo & Erie County x329 Ali Kadhum Care Coordinator Jewish Family Service of Buffalo & Erie County x329 Pam Kefi Director of Program Development and Integration Jewish Family Service of Buffalo & Erie County x314 Karen M. Andolina Scott Managing Attorney- Immigration Legal Services Program Journey’s End Refugee Services, Inc. x317 Dr. Kim Griswold Medical Director UB Department of Family Medicine