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A House with Two Rooms - The Advocates for Human Rights

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yet typical, trauma by the time they arrived in the United States as refugees:<br />

I used to be an aunt <strong>for</strong> two Liberian girls…[b]y the time they got refugee<br />

status, one had a three-year old baby. <strong>The</strong>y came to the United States, and I<br />

was contacted by a Catholic relief organization, and they told me they were<br />

coming and they found foster parents <strong>for</strong> them…Well, one thing I saw was<br />

that they were not prepared <strong>for</strong> these children. <strong>The</strong> girls were [children]<br />

when the bomb fell in their yard and killed their ma, and they ran…<strong>The</strong>y<br />

had a five-year-old brother, and their father was executed. <strong>The</strong>ir five-yearold<br />

brother got lost, so they were very traumatized, their father was executed<br />

in their presence, and they lost their brother and were raped constantly <strong>for</strong><br />

five years. <strong>The</strong>y went through five African countries. <strong>The</strong>y were 13 and 15<br />

years old when they got here, <strong>with</strong> a baby, having run <strong>for</strong> years. I told the<br />

people these children are very traumatized, and they need counseling…So, I<br />

looked at them, and they were not prepared <strong>for</strong> these children. If you bring<br />

traumatized people here, then they need proper psychological counseling. 516<br />

Numerous statement givers and interviewees report that mental health issues are prevalent in the<br />

diaspora community, including Post-Traumatic Stress Syndrome, 517 depression, and feelings of<br />

inadequacy. Some feel these issues are of particular concern among Liberian men because of their<br />

dramatic change in status. 518 One interviewee in Minnesota told the TRC that he saw his friends<br />

turning to drugs and alcohol as a coping mechanism to deal <strong>with</strong> the stress of past trauma and<br />

adjustment to life in the United States. 519<br />

Physical health concerns are ongoing as a result of trauma and often are linked to mental health issues.<br />

Liberians suffer from all manner of physical disability resulting from the conflict, including chronic<br />

pain, scarring, vision problems, dental pain, loss of limbs, hearing loss, and traumatic brain injury. 520<br />

Women in particular suffer from the long term consequences of rape and sexual assault as well as<br />

traumatic pregnancies and miscarriages during the conflict. In addition, health care providers also<br />

report that many Liberians are dealing <strong>with</strong> the after-effects of malnutrition and that older Liberians<br />

are dealing <strong>with</strong> hypertension and diabetes. 521 Statement givers also were likely to describe physical<br />

manifestations of mental health concerns, such as feeling “pressure,” chest pain, feeling weak or<br />

faint, and night sweats. Nightmares and flashbacks also are commonly reported. Within the diaspora<br />

community, youth and <strong>for</strong>mer child soldiers are specifically cited as being in need of mental health<br />

treatment to assist in their recovery from their war experiences. 522<br />

<strong>The</strong>re is general consensus both <strong>with</strong>in the diaspora community and among those providers who<br />

work <strong>with</strong> the community that few Liberians receive appropriate mental health treatment, due both<br />

to a strong cultural bias on the part of Liberians against therapy and mental-health treatment 523 and<br />

362

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