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Based on a survey of 205 Syrian refugees in Lebanon and in-depth interviews with 14 Syrian women refugees originally from different towns and cities in Syria, and additional research, this study confirms that the use of explosive weapons in populated areas drives multiple forced displacements and induces a pattern of displacement that increases the vulnerability of civilians. Quantitative data collected during the survey confirms the correlation between multiple forced displacements and the use of the explosive weapons, as almost half of all respondents had been internally displaced prior to seeking external refuge in Lebanon, with an average of 3 internal displacements within their own city. The women interviewed highlighted the deprivation induced by forced displacement. 

Abstract

Background

In 2015, Italy was the second most common point of entry for asylum seekers into Europe after Greece. The vast majority embarked from war-torn Libya; 80,000 people claimed asylum that year. Their medical conditions were assessed on arrival but their mental health needs were not addressed in any way, despite the likelihood of serious trauma before and during migration. Médecins sans Frontières (MSF), in agreement with the Italian Ministry of Health, provided mental health (MH) assessment and care for recently-landed asylum seekers in Sicily. This study documents mental health conditions, potentially traumatic events and post-migratory living difficulties experienced by asylum seekers in the MSF programme in 2014–15.

Methods

All asylum seekers transiting the 15 MSF-supported centres were invited to a psycho-educational session. A team of psychologists and cultural mediators then provided assessment and care for those identified with MH conditions. Potentially traumatic events experienced before and during the journey, as well as post-migratory living difficulties, were recorded. All those diagnosed with MH conditions from October 2014 to December 2015 were included in the study.

Results

Among 385 individuals who presented themselves for a MH screening during the study period, 193 (50%) were identified and diagnosed with MH conditions. Most were young, West African males who had left their home-countries more than a year prior to arrival. The most common MH conditions were post traumatic stress disorder (31%) and depression (20%). Potentially traumatic events were experienced frequently in the home country (60%) and during migration (89%). Being in a combat situation or at risk of death, having witnessed violence or death and having been in detention were the main traumas. Lack of activities, worries about home, loneliness and fear of being sent home were the main difficulties at the AS centres.

Conclusion

MH conditions, potentially traumatic events and post-migratory living difficulties are commonly experienced by recently-arrived ASs, this study suggests that mental health and psychosocial support and improved living circumstances should be integrated into European medical and social services provided by authorities in order to fulfil their humanitarian responsibility and reduce the burden of assimilation on receiving countries.

Keywords

Immigration Asylum seekers Refugee Mental health Italy Europe Traumatic event Operational research

Factors associated with complex and specific needs of people with disabilities who become migrants owing to climate change are discussed and rights of disabled migrants as covered by  UNCRPD Article 11: Situations of Risk and Humanitarian Emergencies and UNCRPD Article 18: Liberty of Movement and Nationality are highlighted. The challenge of disability-inclusive planning to incorporate migrants with disabilities in a way that maintains health, physical access and necessary support throughout the migration or relocation process and once at their destination is reported. This involves maximizing accessibility of transit and infrastructure (namely temporary camps, long-term housing and public spaces); maintaining personal care and communal support networks; and guaranteeing vital health-care and social services.

Migration, Environment and Climate Change: Policy Brief Series: Issue 6 | Vol. 2 | June 2016

The vast majority of the world’s displaced people are hosted in the global South, in the poorest countries in the world. This is also a space with the highest numbers of disabled people, many of who live in extreme and chronic poverty. This poverty, alongside deprivation, wars, conflict, and environmental disasters is what drives people to flee, in search of security. This includes disabled people. In spite of this, this population (disabled forced migrants) continues to be cast in a shadow, of epistemological, ontological and practical invisibility. It is hardly theorised in forced migration studies and rarely contemplated in humanitarian intervention. The lives of disabled forced migrants are cast aside in a Eurocentric disability studies that remains global North-centric and focused, while Southern contexts and histories and the geopolitics that envelope them, are forgotten or never known. Migration theory grows without the disabled person, disability studies without the migrant, and practice without the disabled migrant. In this paper, we explore the disability/forced migration nexus with a view to understanding some of the critical intersectionalities that emerge, and their implications for theory and practice. We trace elements of the forced migration trajectory, from exodus, to crossing international borders, to life in protracted refugee camps, the use of networks and smugglers, to those related to national and human security. We argue that forced migration studies, as well as humanitarian practice continue to be premised on and adopting an ableist approach focused on heteronormative productive bodies, while disability studies, with a corpus of work premised on an assumption of citizenship, has failed to critically engage with issues of sovereignty, borders and bodies that lie beyond the protection of the Nation State. In this paper, we also question and contest dominant and hegemonic frames that are historically contextualized, alongside discourses and structures that not only produce forced migration, but also serve to perpetuate the global divide and inequalities. We conclude by calling for a critical interrogation of theoretical perspectives in both forced migration and disability studies, in policy and humanitarian action, and to work towards a praxis geared towards social justice for disabled forced migrants.

Disability and the Global South (DGS), 2015, Vol. 2 No. 1

Australia has long placed restrictions on the immigration of people with disabilities. While recent civil society mobilisation has forced some shift in policy, it is far from clear whether this will result in people with disabilities being accepted as immigrants. The issue is complicated further for people defined as ‘refugees’ and ‘asylum seekers’ who have encountered the migration restrictions on disability. As a result of this policy landscape, there is limited rigorous research that seeks to understand the social inclusion and participation of disabled refugees and asylum seekers within the resettlement process. An extensive review reveals that refugees and asylum seekers with disabilities remain largely absent from both resettlement literature and disability research. This paper summarises the limited available research in the area around the following themes: processes of offshore migration and the way that disability is assessed under Australia’s refugee legislation; the uncertainty of the prevalence of disability within refugee and asylum seeker communities; the provision of resettlement services, both mainstream and disability-specific, through the transitional period and beyond; and the invisibility of asylum seekers with disabilities in Australia’s immigration detention centres, community-based arrangements and offshore processing centres. To conclude, the paper outlines implications for further research, policy and practice in the Australian context.

Disability and the Global South (DGS), 2015, Vol. 2 No. 1

Articles include:

• EDITORIAL Towards a Critical Understanding of the Disability/Forced Migration nexus
• Disability and Forced Migration: Critical Intersectionalities
• Disability and displacement in times of conflict: Rethinking migration, flows and boundaries
• ‘Ask us what we need’: Operationalizing Guidance on Disability Inclusion in Refugee and Displaced Persons Programs
• Disability-inclusive healthcare in humanitarian camps: Pushing the boundaries of disability studies and global health
• ‘Nowhere to be found’: disabled refugees and asylum seekers within the Australian resettlement landscape
• ‘Disabled asylum seekers?… They don’t really exist’: The marginalisation of disabled asylum seekers in the UK and why it matters

The goal of this report is to provide the best possible data on the global AIDS epidemic, with a particular focus on information and analysis on the people left behind. The report highlights these gaps firstly in regional terms, providing “Regional Snapshots” and then explores issues faced by the following 12 populations that have been left behind by the AIDS response: people living with HIV, adolescent girls and young women, prisoners, migrants, people who inject drugs, sex workers, gay men and other men who have sex with men, transgender people, children and pregnant women living with HIV, displaced persons, people with disabilities and people aged 50 years and older