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Evaluation of the Integrated Humanitarian Settlement Strategy (IHSS)

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facilitation <strong>of</strong> appropriate referrals to general practitioners and o<strong>the</strong>r health services as<br />

indicated through <strong>the</strong> assessment and requested by <strong>the</strong> entrant<br />

with <strong>the</strong> permission <strong>of</strong> <strong>the</strong> entrant, ensuring that critical information is provided to health<br />

service practitioners necessary to <strong>the</strong> effective treatment <strong>of</strong> <strong>the</strong> entrant, including any issues<br />

that may influence <strong>the</strong> entrant’s acceptance <strong>of</strong> assessment and treatment procedures, and<br />

any pre-existing treatment regimes.<br />

(c) A comprehensive and appropriately structured assessment <strong>of</strong> psychological symptomatology and<br />

social functioning that takes into account <strong>the</strong> effect <strong>of</strong> past experiences <strong>of</strong> trauma and torture and <strong>the</strong>ir<br />

potential to inhibit <strong>the</strong> entrant’s ability to settle in Australia. The psychosocial and psychological<br />

assessments include:<br />

<br />

<br />

<br />

<br />

<br />

an assessment <strong>of</strong> post-traumatic symptoms including depression, anxiety, and associated<br />

symptoms as well as <strong>the</strong> effects <strong>of</strong> grief, loss and anger as components <strong>of</strong> <strong>the</strong> trauma response<br />

an assessment <strong>of</strong> <strong>the</strong> quality <strong>of</strong> daily functioning and <strong>the</strong> extent to which, if at all, psychosocial<br />

issues may be contributing to a diminished level <strong>of</strong> participation in <strong>the</strong> community or o<strong>the</strong>r<br />

settlement support services<br />

<strong>the</strong> formulation <strong>of</strong> case plans arising from <strong>the</strong> assessment that details <strong>the</strong> range <strong>of</strong> interventions<br />

required and agreed to by <strong>the</strong> entrant<br />

where assessments indicate <strong>the</strong> need, <strong>the</strong> facilitation <strong>of</strong> referrals to a range <strong>of</strong> health and<br />

community service providers<br />

development <strong>of</strong> measures to commence to address <strong>the</strong> entrant’s needs in various areas as <strong>the</strong>y<br />

are identified in <strong>the</strong> assessment process.<br />

(d) A range <strong>of</strong> short-term psychosocial and psychological interventions that will:<br />

assist <strong>the</strong> entrant to manage <strong>the</strong>ir recovery from serious traumatic and psychological difficulties<br />

assist <strong>the</strong> entrant to benefit from <strong>the</strong> health, community support and resettlement services<br />

available to <strong>the</strong>m<br />

prevent deterioration <strong>of</strong> entrants who need long term counselling by providing interim counselling<br />

as appropriately indicated through assessments, interventions consisting <strong>of</strong> a range <strong>of</strong> possible<br />

strategies including:<br />

psycho-educative strategies designed to streng<strong>the</strong>n <strong>the</strong> entrant’s understanding <strong>of</strong> issues<br />

affecting <strong>the</strong>m and <strong>the</strong>ir families and how <strong>the</strong>se can be managed<br />

provision <strong>of</strong> symptom management strategies that alleviate symptoms <strong>of</strong> psychological<br />

distress and reinforce <strong>the</strong> entrant’s capacity to cope independently<br />

working through <strong>the</strong> case plans arising from <strong>the</strong> assessment with <strong>the</strong> interventions required<br />

and agreed to by <strong>the</strong> entrant<br />

<strong>the</strong> provision <strong>of</strong> short term counselling that assists entrants in addressing those emotional and<br />

psychological difficulties which are significantly affecting <strong>the</strong>ir ability to cope in <strong>the</strong> early<br />

stages <strong>of</strong> <strong>the</strong> resettlement process<br />

facilitating referrals for longer-term counselling and casework services in situations where <strong>the</strong><br />

psychological difficulties have been compounded by new information or experiences, or<br />

where <strong>the</strong> traumatic effects <strong>of</strong> past experiences require long term interventions.<br />

In addition to direct services to entrants, EHAI service providers are required to provide training to a<br />

range <strong>of</strong> service providers including mainstream health services, general and specialised medical<br />

practitioners, settlement services providers, <strong>IHSS</strong> funded services, and o<strong>the</strong>r relevant services, in<br />

12<br />

<strong>Evaluation</strong> <strong>of</strong> <strong>the</strong> <strong>Integrated</strong> <strong>Humanitarian</strong> <strong>Settlement</strong> <strong>Strategy</strong> 27 May 2003

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