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B: Challenges for health care providers

PAST: TRAUMA War Arrest Misstreatment / Torture Rape Loss of family and friends Flight/ forced migration. PRESENT: CURRENT PROBLEMS Separation from family / friends Isolation in the host country Overburdening / Stress Financial Problems Stressfull living conditions

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B: Challenges for health care providers

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  1. PAST: TRAUMA • War • Arrest • Misstreatment / Torture • Rape • Loss of family and friends • Flight/ forced migration • PRESENT: CURRENT PROBLEMS • Separation from family / friends • Isolation in the host country • Overburdening / Stress • Financial Problems • Stressfull living conditions • Being unwanted / rejected • FUTURE: CONCERNS & FEARS • Fear of deportation • Lack of prospects • Concern about relatives • Uncertain future A: Psychosocial stress factors B: Challenges for health care providers LANGUAGE AND CULTURAL BARRIERS • TRIPLE ROLE OF PHYSICIANS • Health care providor/ Clinician • Writer of medical certificates • Financial resource manager Psychosocial stress of asylum seeking patients COPING WITH PATIENTS‘ HISTORY Health System‘s Response • PSYCHOLOGICAL SUPPORT • (EMOTIONAL/APPRAISAL) • Internal unit of psychosomatics/ social medicine • Referral to psychiatric services of the university hospital • Prescription of psychotropic drugs • INSTRUMENTAL AND FINANCIAL SUPPORT • Consult the hospital‘s own social services • Contact with asyluum homes • Contact with social assistance units • and authorities • LEGAL SUPPORT • Provision of medical certificates • Contact with asylum authorities • Referral to advice units for asylum seekers C: Different types of support

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