A host <strong>of</strong> other facilities have been the source <strong>of</strong> complaints and lawsuitsinvolving INS detainees. 100 For example, the INS’s New England Districtused the Hillsborough (NH) County facility until allegations <strong>of</strong>sexual abuse <strong>of</strong> detainees surfaced. 101 The Krome Detention Center inFlorida has been the subject <strong>of</strong> repeated allegations <strong>of</strong> abuse, includingphysical and sexual abuse in a joint Physicians <strong>for</strong> Human Rights – MinnesotaLawyers report in 1991. 102 “Widespread sexual, physical, verbaland emotional abuse <strong>of</strong> detainees, especially women,” was found atKrome in an Oc<strong>to</strong>ber 2000 human rights report. 103In the late 1990s, the INS developed detention standards in conjunctionwith the American Bar Association <strong>to</strong> cover the conditions in all facilitiesunder which detained immigrants were kept in cus<strong>to</strong>dy. However, theseguidelines have not as yet been codified as regulations, and it is unclearhow they will be implemented under the new Department <strong>of</strong> HomelandSecurity.Trauma, Detention and Health CareMany <strong>of</strong> the healthcare services in facilities where asylum seekers aredetained have been evaluated and accredited by organizations includingNational Commission on Correctional Health Care (NCCHC), and theJoint Commission on Accreditation <strong>of</strong> Healthcare Organizations(JCAHO). However, the lawyers and legal groups affiliated with PHR’sAsylum Network 104 have noted complaints about medical care in detentioncenters. Despite winning an award <strong>for</strong> its health care unit, in 1999health care at Krome was characterized as inadequate by a Florida legalgroup. The Florida legal group received more than 100 complaints concerningmedical care. 105 The group also found substandard care at Floridacounty jails holding INS detainees, as did the Civil Rights Division <strong>of</strong> theUS Department <strong>of</strong> Justice in its investigation <strong>of</strong> the Jackson County (FL)100NY Times, Policy <strong>to</strong> Protect.101Dark Clouds over county jail, Nashua Telegraph, The Telegraph Online Archives, February27, 2003, June 3, 2003 accessed at www.nashuatelegraph.com, p. 2.; Amnesty InternationalUSA, “New Hampshire Cus<strong>to</strong>dial Sexual Misconduct, ” Women in Cus<strong>to</strong>dy, June 4,2003, accessed at www.amnestyusa.org/women/cus<strong>to</strong>dy/newhamp.pdf p. 1102Hidden from View: Human Rights Conditions in the Krome Detention Center, MinnesotaLawyers International Human Rights Committee and Physicians <strong>for</strong> Human Rights, April1991.103Behind Locked Doors: Abuse <strong>of</strong> Refugee Women at the Krome Detention Center,Women’s Commission <strong>for</strong> Refugee Women and Children, Oc<strong>to</strong>ber 2000, p. 1.104PHR’s Asylum Network consists <strong>of</strong> over 300 health pr<strong>of</strong>essionals. Members voluntarilyevaluate asylum seekers <strong>for</strong> symp<strong>to</strong>ms and signs <strong>of</strong> <strong>to</strong>rture. For more in<strong>for</strong>mation, visithttp://www.phrusa.org/campaigns/asylum_network/index.html105Cries <strong>for</strong> Help: Medical Care at Krome Service Processing Center and in Florida CountyJails, Florida Immigrant Advocacy Center, Inc., December 1999, p. 2.BACKGROUND 37
Correctional Facility in 2000. “[W]e conclude that certain conditions atJCCF violate the constitutional rights <strong>of</strong> convicted inmates anddetainees,” the Division said <strong>of</strong> deficiencies in health care and other areas.A 1998 report by Human Rights Watch found substandard medical careand that mental health needs were not met. 106Medical researchers have also noted a link between asylum seekers,trauma, poor mental health and detention. In August 2000, psychiatristDerrick Silove, a researcher with years <strong>of</strong> refugee experience, observedextensive trauma exposure and “prima facie evidence <strong>of</strong> substantialpsychological morbidity” among asylum groups in several recipient countries.107 Restrictions on access <strong>to</strong> health care and social services appear <strong>to</strong>be associated with deteriorating physical and mental health. Detentionmay be a powerful contribu<strong>to</strong>r <strong>to</strong> psychological distress in asylum seekers.108 “Long-term detention under harsh prison-like conditions is theantithesis <strong>of</strong> the conditions <strong>of</strong> support and stability that trauma survivorsneed in order <strong>to</strong> achieve stability,” according <strong>to</strong> Silove. 109Another growing problem has been an increasing number <strong>of</strong> INSdetainees in apparently indefinite detention — usually detainees who arerequired <strong>to</strong> be deported under the new immigration law but whose homecountries, such as Cuba, Vietnam and Iraq, refuse <strong>to</strong> take them back. A USSupreme Court ruling in the summer <strong>of</strong> 2001 should have provided eventualrelief <strong>for</strong> some asylum seekers. In Zadvydas vs Davis, the Court <strong>for</strong>badeindefinite detention <strong>for</strong> those immigrants who have entered thecountry and then are ordered removed or deported but have no countrythat will accept them. 110 However, the US Department <strong>of</strong> Justice has interpretedthis decision as not covering asylum seekers who are detained,because, in this interpretation, the asylum seekers have not legally enteredthe US, although they are physically inside its borders. 111Changes Since September 11, 2001The US government’s response <strong>to</strong> critical security issues raised by the September11, 2001 tragedy has caused additional hurdles <strong>for</strong> asylees facingan already restrictive system. Shortly after September 11, the government106Human Rights Watch, Locked Away, Summary and Recommendations107“Policies <strong>of</strong> Deterrence and the Mental Health <strong>of</strong> Asylum Seekers,” Silove et al, Journal <strong>of</strong>the American Medical Association, Aug.2 2000, Vol 284, No.5, p. 606 (Asylum MentalHealth, JAMA)108Asylum Mental Health, JAMA, at p. 608,610109Hargreaves, S. “A body <strong>of</strong> evidence: <strong>to</strong>rture among asylum seekers <strong>to</strong> the West,” TheLancet, March 2, 2002, Vol. 359, p.793-794.110Zadvydas v. Davis, 533 US 690 ; 121 S. Ct. 2491 (2001).11166 Fed. Reg. 56967, INS No. 2156-01; AG Order No. 2533-2001, “Continued Detention<strong>of</strong> Aliens Subject <strong>to</strong> Final Orders <strong>of</strong> Removal,” Nov. 14, 2001.38 FROM PERSECUTION TO PRISON
- Page 2 and 3: From Persecution to Prison:The Heal
- Page 4 and 5: CONTENTSAcknowledgements . . . . .
- Page 6: The Bellevue/NYU Program for Surviv
- Page 9 and 10: don, Miranda Ip, and Meriam Alrashi
- Page 11 and 12: Significant symptoms of depression
- Page 13 and 14: Detained asylum seekers participati
- Page 15 and 16: persecution, yet most emphasized ho
- Page 17 and 18: In many facilities, the response to
- Page 19 and 20: years in detention, she finally got
- Page 21 and 22: abuse For example, while being take
- Page 23 and 24: They didn’t let me use the phone
- Page 25 and 26: intensely personal events they had
- Page 27 and 28: Limitations of this study include t
- Page 29 and 30: Non-governmental organizations serv
- Page 31 and 32: 22 FROM PERSECUTION TO PRISON
- Page 33 and 34: the late 1990s ranging from 10 to 7
- Page 35 and 36: Historical BackgroundFor most of th
- Page 37 and 38: international standards with the 19
- Page 39 and 40: apply for asylum make up the majori
- Page 41 and 42: tion judge. 57 Yet in many parts of
- Page 43 and 44: York and Newark, New Jersey has had
- Page 45: trict began denying parole to them
- Page 49 and 50: men of which 750 were detained on i
- Page 51 and 52: from that same country from seeking
- Page 53 and 54: Detention Facilities in this StudyF
- Page 55 and 56: high reliability in numerous langua
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- Page 59 and 60: York County Prison in York Pennsylv
- Page 61 and 62: TABLE 2:Demographic Characteristics
- Page 63 and 64: TABLE 4:Prevalence of Pre-Migration
- Page 65 and 66: on a part time basis, researchers w
- Page 67 and 68: Case #1(DK): “Loneliness and Fear
- Page 69 and 70: TABLE 6:Hopkins Symptom Checklist-2
- Page 71 and 72: TABLE 8:Harvard Trauma Questionnair
- Page 73 and 74: think such services were available.
- Page 75 and 76: When I am talking to you now it is
- Page 77 and 78: After being granted asylum and rele
- Page 79 and 80: “Being here is like going through
- Page 81 and 82: In my country even though I became
- Page 83 and 84: how long they were there - six mont
- Page 85 and 86: Thoughts of SuicideSeveral asylum s
- Page 87 and 88: here?’ I told the doctor, they br
- Page 89 and 90: Another subject reported a positive
- Page 91 and 92: substantial distance from their att
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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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authority to grant asylum and with
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absconding.” 250 Since the passag
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said “[F]reedom from imprisonment
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Standards relevant to this study ar
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“detained person” generally as
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which they are charged and a fair h
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esponse to substantial public press
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specified procedures, provided they
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PunishmentThe Detention Standard on
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any time the detainee complains.”
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while in detention, thus adding to
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Establish a Uniform National Parole
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that effect. These officers should
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Besides their inaccuracy, these exa
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friends so asylum seekers can maint
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appropriate staffing of such groups
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efugees and asylum seekers who win
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198 FROM PERSECUTION TO PRISON
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of thorough documentation. However,
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Human development is complex and di
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18. Country from which fleeing pers
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9. Being close to death.10. Forced
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Complete for each health problem:5.
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Explain:(Interviewer: Write brief n
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2. Depression SymptomsA How much we
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B. You said that you have experienc
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Explain:13. How was your physical h
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Yes ...........1No............22. W
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Explain:20. At the time of your arr