From Persecution to Prison - Bellevue/NYU Program for Survivors of ...

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3. Trauma SymptomsThe following are symptoms that people sometimes have after experiencing hurtfulor terrifying events in their lives. Please decide how much the symptoms botheredyou in the past week.1 Recurrent thoughts or memoriesof the most hurtful or terrifyingevents.2 Feeling as though the event ishappening again.3 Recurrent nightmares.4 Feeling detached or withdrawnfrom people.5 Unable to feel emotions.6 Feeling jumpy, easily startled.7 Difficult concentrating.8 Trouble sleeping.9 Feeling on guard.10 Feeling irritable or havingoutbursts of anger.11 Avoiding activities that remindyou of the traumatic orhurtful event.12 Inability to remember parts ofthe most traumatic orhurtful events.13 Less interest in daily activities.14 Feeling as if you don’t havea future.15 Avoiding thoughts or feelingsassociated with the traumaticor hurtful events.16 Sudden emotional or physicalreaction when reminded of themost hurtful or traumatic events.17 Boredom18 Fear of being returned to your country1 2 3 4Not at all A Little Quite a lot ExtremelyAPPENDIX B 213
B. You said that you have experiencedproblems such as (list items scoring 3or 4). When did these problems begin?Before you began experiencing . . . . .1difficulties/persecution in your countrySince you began experiencing your . .2persecution but before arriving in theUnited StatesSince being detained by the INS . . . .3C. Since being in INS Detention, havethese problems:Improved a great deal . . . . . . . .1Improved a little . . . . . . . . . . . .2Stayed about the same . . . . . . .3Become a little worse . . . . . . . .4Become much worse . . . . . . . . .5D. To what extent do you think detentionis contributing to the symptomsyou mentioned above?Not at all . . . . . . . . . . . . . . . . .1A little . . . . . . . . . . . . . . . . . . .2Quite a lot . . . . . . . . . . . . . . . .3Extremely . . . . . . . . . . . . . . . . .4Explain response to C and D:Part V.1. During the time you have been in INS detention, have you wanted counselingfor feelings of sadness, nervousness, difficulty sleeping or any of the otherproblems you just described?Yes ...........1No............2(If no to question 1 skip to question 8)2. During the time you have been in INS detention, have you requested counselingfor these problems?Yes ...........1No............2If you did not request counseling, why not?Did not think counseling was available . . . . . . . . . . . .1Did not have confidence in services provided in . . . . .2detention facilityDid not feel comfortable talking with detention . . . . .3facility staffOther (specify) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43. During the time you have been in INS detention, have you received any counselingfor these problems?Yes ...........1No............2If yes, who provided the counseling?Mental health professional provided by . . . . . . . . . . .1detention facility (ex. psychologist, psychiatrist, social worker)Mental health professional not provided . . . . . . . . . . .2by detention facility (ex. psychologist, psychiatrist, social worker)214 FROM PERSECUTION TO PRISON
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From Persecution to Prison:The Heal
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CONTENTSAcknowledgements . . . . .
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The Bellevue/NYU Program for Surviv
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don, Miranda Ip, and Meriam Alrashi
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Significant symptoms of depression
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Detained asylum seekers participati
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persecution, yet most emphasized ho
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In many facilities, the response to
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years in detention, she finally got
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abuse For example, while being take
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They didn’t let me use the phone
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intensely personal events they had
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Limitations of this study include t
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Non-governmental organizations serv
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22 FROM PERSECUTION TO PRISON
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the late 1990s ranging from 10 to 7
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Historical BackgroundFor most of th
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international standards with the 19
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apply for asylum make up the majori
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tion judge. 57 Yet in many parts of
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York and Newark, New Jersey has had
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trict began denying parole to them
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Correctional Facility in 2000. “[
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men of which 750 were detained on i
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from that same country from seeking
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Detention Facilities in this StudyF
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high reliability in numerous langua
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York County Prison in York Pennsylv
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TABLE 2:Demographic Characteristics
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TABLE 4:Prevalence of Pre-Migration
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on a part time basis, researchers w
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Case #1(DK): “Loneliness and Fear
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TABLE 6:Hopkins Symptom Checklist-2
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TABLE 8:Harvard Trauma Questionnair
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think such services were available.
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When I am talking to you now it is
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After being granted asylum and rele
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“Being here is like going through
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In my country even though I became
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how long they were there - six mont
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Thoughts of SuicideSeveral asylum s
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here?’ I told the doctor, they br
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Another subject reported a positive
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substantial distance from their att
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eported that her experience in dete
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e somatic manifestations of the psy
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Case #2 (JG): “Health Care in Cha
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TABLE 11:Detainee Perceptions of He
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TABLE 13:Availability and Quality o
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detainees, or because they did not
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Difficulty Obtaining Specialized Ca
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Another detained asylum seeker repo
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One detainee who speaks French and
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Detention Facilities in this StudyS
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even though many reported having ex
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CASE #3 (HN): “SOLITARY CONFINEME
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Here, I’m scared. In [the detenti
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emote control and watch what he wan
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Whenever someone misbehaves, they t
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This subject was himself threatened
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One detainee reported several incid
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Some Process Exists to Respond to R
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There were no witnesses other than
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tion. An INS officer said they put
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There is an Anglican minister who c
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The dentists didn’t explain anyth
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tion between dental age and chronol
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Case #4 (LK): “Fifteen-Year-Old G
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TABLE 16:Treatment/Abuses Reported
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“There is no political asylum her
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I was crying. I was so afraid with
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save her life, but was not able to
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Case #5 (CR): “Begging for Mercy
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ehind and told me to sign. He physi
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days and it is now 2 years and four
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viewers asked for additional inform
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y study participants. In evaluating
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trast, under US law, detention of s
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nation for an asylum determination
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very negative effects of detention
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Page 177 and 178: Standards relevant to this study ar
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Page 181 and 182: which they are charged and a fair h
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Page 187 and 188: PunishmentThe Detention Standard on
Page 189 and 190: any time the detainee complains.”
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Page 193 and 194: while in detention, thus adding to
Page 195 and 196: Establish a Uniform National Parole
Page 197 and 198: that effect. These officers should
Page 199 and 200: Besides their inaccuracy, these exa
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Page 209 and 210: of thorough documentation. However,
Page 211 and 212: Human development is complex and di
Page 213 and 214: 18. Country from which fleeing pers
Page 215 and 216: 9. Being close to death.10. Forced
Page 217 and 218: Complete for each health problem:5.
Page 219 and 220: Explain:(Interviewer: Write brief n
Page 221: 2. Depression SymptomsA How much we
Page 225 and 226: Explain:13. How was your physical h
Page 227 and 228: Yes ...........1No............22. W
Page 229 and 230: Explain:20. At the time of your arr
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